OCD Family Functioning (OFF) Scale

Author of Tool: 

Stewart, Hu, Hezel, Proujansky, Lamstein, Walsh, Ben-Joseph, Gironda, Jenike, Geller & Pauls

Key references: 

Stewart, E. S., Hu, Y. P., Hezel, D. M., Proujansky, R., Lamstein, A., Walsh, C., … & Pauls, D. L. (2011). Development and psychometric properties of the OCD family functioning (OFF) scale. Journal of Family Psychology, 25, 434-443. 

Primary use / Purpose: 

The OFF was developed to explore the content, extent, and perspectives of functional impairment in families affected by OCD.


Obsessive Compulsive Disorder (OCD) often has a great impact on family functioning. Parents, and other family members, often become involved in the individual's ritualistic behaviours and family accomodation, either through enabling avoidance or assisting ritualistic behaviours, is very common. The OCD Family Functioning (OFF) Scale is a 42 item self-report questionnaire that consists of three major subscales: family functioning impairment, symptom-specific impairment, and family role-specific impairment. It is designed for use with families of adults and children with OCD. Two versions of the scale are available- a patient version and a relative version. The results of the scale may be used to assess family functioning and to help plan interventions and treatments. 

Scoring is described in Stewart et al. (2011). 


The scale's psychometric properties are examined in Stewart et al. (2011).



Other Information: 

Other keywords: obsessive compulsive disorder, OCD, functional impairment, family

Digital Object Identifier (DOI):