PIPages
Labs

Emily Haimes

University of Pennsylvania, PA·Psychology

Many mental health clinicians are trained in proven therapies but do not fully use them with clients. Understanding why is key to improving care.

Fields

Psychology

Public Health & Epidemiology

Social Science

Topics

implementation science

evidence-based practice

cognitive-behavioral therapy

Grants
1 known grant, through Feb 2027

What they work on

  1. Test whether clinicians' intentions, and the attitudes, norms and confidence behind them, predict their use of each separate component of cognitive-behavioral therapy, measured from audio-recorded sessions with clients.
  2. Determine how organizational climate, culture, workload and resources shape intention formation and weaken or strengthen the link between intentions and CBT use, using multilevel modeling of 300 clinicians in 40 organizations.
  3. Explore why some clinicians intend to use CBT but rarely do, through semi-structured interviews with clinicians who show high intentions and low observed use.

More about the research

This project tests a model, drawn from organizational and social psychology, that explains what causes clinicians to adopt evidence-based practices (EBPs), meaning treatments backed by research. The model proposes that workplace climate and culture shape clinicians' attitudes, sense of what peers expect, and confidence. These in turn shape intentions to use a practice. Workload, resources and organizational friction then affect whether intentions become action.

Why it matters

Many people in publicly funded mental health systems do not receive the full benefit of proven therapies like CBT. Pinpointing which changeable workplace and personal factors stop clinicians from using them could help health systems design targeted training and support, improving the quality of mental health care.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

Validation of a Causal Model of Implementation

NIH · May 2021 – Feb 2027

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Lauren Shomaker

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The school

University of Pennsylvania: 90 labs on PI Pages, $2.2B a year on research, 750 research doctorates a year.

More about University of Pennsylvania

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