Building Capacity To Treat Obsessive-Compulsive Disorder In Community Practice
About This Grant
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.
Grant Summary
Building Capacity To Treat Obsessive-Compulsive Disorder In Community Practice is a NIMH - National Institute of Mental Health grant providing up to $736K for university, nonprofit, healthcare org. Applications are due 2029-06-30 (open). Check eligibility and apply with FindGrants.
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Eligibility
How to Apply
Up to $736K
2029-06-30
- 1Confirm your organization is eligible for Building Capacity To Treat Obsessive-Compulsive Disorder In Community Practice from NIMH - National Institute of Mental Health, checking organization type, location, and any population or project requirements.
- 2Gather the required documents and information, including your organization details, project plan, and budget figures.
- 3Draft your application narrative and budget addressing the funder's priorities and review criteria. FindGrants can draft each section for you to review and edit.
- 4Review every section against the requirements checklist, then export a submission-ready application pack and submit it to NIMH - National Institute of Mental Health before the deadline.
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Building Capacity To Treat Obsessive-Compulsive Disorder In Community Practice: Frequently Asked Questions
Who is eligible for the Building Capacity To Treat Obsessive-Compulsive Disorder In Community Practice?
Building Capacity To Treat Obsessive-Compulsive Disorder In Community Practice is offered by NIMH - National Institute of Mental Health and is generally open to university, nonprofit, healthcare org. It is open to organizations nationwide unless the funder specifies otherwise. Review the specific eligibility terms before applying, since funders set their own requirements around organization type, location, and the population or project being served.
How much funding does the Building Capacity To Treat Obsessive-Compulsive Disorder In Community Practice provide?
Building Capacity To Treat Obsessive-Compulsive Disorder In Community Practice provides up to $736K per award from NIMH - National Institute of Mental Health. Actual award sizes depend on the scope of your project, available program funds, and the number of applicants, so build a budget that reflects realistic, allowable costs rather than the maximum figure.
When is the Building Capacity To Treat Obsessive-Compulsive Disorder In Community Practice deadline?
Applications for Building Capacity To Treat Obsessive-Compulsive Disorder In Community Practice are due 2029-06-30 (open). Because deadlines can change, verify the date with the funder, NIMH - National Institute of Mental Health, and give yourself enough time to prepare a complete, competitive application before the close date.
How do you apply for the Building Capacity To Treat Obsessive-Compulsive Disorder In Community Practice?
To apply for Building Capacity To Treat Obsessive-Compulsive Disorder In Community Practice, confirm your eligibility, gather the required documents, and prepare a narrative and budget that address the funder's priorities. FindGrants guides you step by step and can draft each section, then exports a submission-ready application pack for this grant from NIMH - National Institute of Mental Health.