Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( 🔒 ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Need Help

Building Capacity To Treat Obsessive-Compulsive Disorder In Community Practice

Award Number: R34MH137291
ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 07/01/2026
PERIOD OF PERFORMANCE END DATE: 06/30/2029

Group Awards By:

View Award Description

Building Capacity To Treat Obsessive-Compulsive Disorder In Community Practice - Obsessive-compulsive disorder (OCD) is a disabling illness that significantly impairs quality of life and functioning. First-line treatments include cognitive behavioral therapy consisting of exposure and response prevention (EX/RP) and pharmacotherapy with serotonin reuptake inhibitors (SRIs). Randomized controlled trials (RCTs) have shown that EX/RP alone or combined with SRIs helps up to two-thirds of patients attain minimal symptoms. EX/RP (alone or combined with medication) is also the treatment patients typically prefer compared to medications alone. However, despite its proven efficacy and this patient preference, EX/RP is greatly underused in community settings. This R34 will begin to address this treatment gap by testing scalable implementation strategies to train community clinicians to deliver EX/RP. In response to PAR-21-131 (Pilot Effectiveness Trials for Treatment, Preventive, and Services Interventions) and NIMH NOT-MH-22-170 (Research Using Implementation Science to Support the Delivery of Evidence- Based Practices in Certified Community Behavioral Health Clinics (CCBHCs), this R34 will develop and evaluate the feasibility and preliminary effectiveness of a fully remote EX/RP learning collaborative, called SCALE-EX/RP, developed with and for CCBHC clinicians. First, we will use behavior change theory to guide a mixed-method evaluation consisting of surveys and interviews with clinicians, and interviews with supervisors and clinic leaders from six CCBHC clinics to identify barriers and facilitators to EX/RP use. We will use these data to refine our initial plan for SCALE-EX/RP that includes self-paced online EXRP training courses, remote 1:1 consultations with experiential training, and a virtual learning community comprised of CCBHC clinicians and an implementation specialist where clinicians will engage in case-based learning, self-audit and receive feedback while delivering EX/RP (Aim 1). Next, we will conduct a pilot cluster RCT in adults with OCD to test our hypotheses that SCALE-EX/RP will lead to superior clinician fidelity to EX/RP compared to online EX/RP training courses alone and to greater improvement in hypothesized mechanisms of action: clinician knowledge, attitudes, and confidence (Aim 2). Acceptability and feasibility will be evaluated with clinician surveys, time spent in training and training completion rates. Qualitative interviews with clinic members in SCALE-EX/RP will be used to identify barriers and facilitators to future implementation. We will also explore how clinician EX/RP fidelity influences patient EX/RP adherence, and improvement in OCD symptoms and quality of life (Exploratory Aim). Results will inform the design of a larger scale cluster RCT powered to test the hypothesis that training CCBHC clinicians with SCALE-EX/RP will lead to better patient outcomes. Our long-term goal is to increase access to EX/RP (our most effective, patient-preferred OCD treatment) while advancing knowledge of how learning collaboratives can be used to implement evidence-based treatments for severe mental illness (like EX/RP) in behavioral health.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $736,483 )
2026	2026	RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC.	1051 RIVERSIDE DR	NEW YORK	NY	10032	NEW YORK	USA	Mental Health Research Grants	000	1	6/22/2026	NEW	$736,483
														Subtotal = $736,483

Grand Total All Awards = $736,483

Top

All Categories

About

Search

Reports

Data Submission

Award Information

Building Capacity To Treat Obsessive-Compulsive Disorder In Community Practice

Award Number: R34MH137291

ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 07/01/2026

PERIOD OF PERFORMANCE END DATE: 06/30/2029

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer