The effectiveness of "home-based" exposure and response prevention was asse
ssed in a series of 11 subjects with obsessive-compulsive disorder (OCD). P
atients received 24 treatment sessions in a range of natural settings and s
ituations. Sixty-four percent of the patients responded to behavior therapy
in these settings, and 36% achieved lasting improvements in their OCD symp
toms. Implications for the impact on consumers of this seldom-used applicat
ion of behavior therapy are discussed and some recommendations for future r
esearch are made. (C) 2001 Elsevier Science Inc. All rights reserved.