Creation of an Institutional Review Board (IRB) for Practice-Based Research

“Science and everyday life cannot and should not be separated.” — Rosalind Franklin

Research in Clinical Practice

Clinical psychologists typically pursue either research or practice. While researchers typically have minimal contact with clients, practitioners typically have minimal access to resources that make research possible. For clinicians who do conduct research, few do so in settings in which they treat clients (i.e. “practice settings”). Instead, clinical research typically occurs in academic institutions, hospitals and research agencies (e.g. the National Institutes of Health). Yet, research conducted in practice settings could have unique benefits. Researchers would have on-the-ground insights into mental health and wellness, and could incorporate this knowledge into their research interests, hypotheses and designs. Clinicians would have insights into state of the art approaches to therapy, grounded in science. Ideally this would allow clinical psychologists to be true “scientist-practitioners” knowledgeable about both the research and practice of evidence-based treatments.

Importance of Research Ethics Review

One of the research resources that people in clinical practice do not typically have access to is an institutional review board (IRB) which reviews the ethics of research projects. These review boards are typically only available to people in academic and medical settings. Even though not all research needs to be reviewed by an IRB, review by these independent, non-biased third parties is an important step in insuring that research protects the right of participants who kindly offer their time to these endeavors. This review process also shows journals that researchers have taken steps to ensure their research is ethical, thus increasing the chance the journals will accept paper submissions and allowing researchers to more easily share their findings through peer-reviewed publications. The dissemination of research through peer-reviewed publications is key in improving therapies, and the collective knowledge of the clinical psychology field, in the long-run.

Institutional Review Board Options

Team members at Portland Psychotherapy and the organizations listed below banded together to create a nonprofit called the Behavioral Health Research Collective (BHRC) to host an independent IRB to review our research. The options for clinicians seeking to conduct research with an ethics committee are limited. Clinicians can pay a private IRB to review their research (however, this option is expensive). Alternatively, clinicians can attempt to obtain a faculty position at a university to gain IRB access, however, access to these IRBs are not always granted. Finally, clinicians can collaborate with people who do have access to an IRB, but this can limit the independence of their own research ideas.

Founding members of the BHRC:

Center for Cognitive and Dialectical Behavior Therapy, New York, NY
Cognitive-Behavioral Therapy Center of Western North Carolina, PA, Asheville, NC
Evidence-Based Practice Institute (EBPI), Seattle, WA
Evidence Based Treatment Centers of Seattle (EBTCS), Seattle, WAOakland Cognitive Behavior Therapy Center, Oakland, CA

The Behavioral Health Research Collective IRB

The Behavioral Health Research Collective IRB provides an alternative. The board is hosted by a separate, non-profit entity and its members are familiar with so that they can behavioral research that provides expert reviews of the ethics of research and liability protection. Currently, the BHRC IRB provides guidance for seven evidence-based behavioral health care organizations located in six states (CA, NC, NY, OH, OR, and WA). These organizations pay the board a low annual fee to cover standard operating expenses.

Board members who review the research do so as volunteers. Over the past 6 years, they have reviewed 28 protocols submitted by psychologists working outside traditional research settings. More detailed information about the BHRC IRB can be found in our article, “Overcoming a Primary Barrier to Practice-Based Research: Access to Independent Ethics Review” and our new website.

We hope that by sharing this information, others will create similar IRBs. This type of ethics board helps remove a barrier to conducting research in practice settings by making it easier and more affordable to have research reviewed by an ethics board. We believe that clinical research and practice are intrinsically intertwined, and that practice-based researchers are in a unique position to tackle the challenges of developing and disseminating improved treatments.

Acknowledgments

Thanks to Dr. Travis Osborne for his huge contributions in getting this up and running and for serving as the BHRC IRB Chair, and to Dr. Brian Thompson for helping the whole three-and-a-half-year undertaking get started. The creation of the BHRC IRB wouldn’t be possible without their contributions and support!

By Christina Chwyl, B.A., Research Coordinator

 

UPCOMING TRAINING EVENTS


De-Mystifying Self-As-Context in ACT: Practical Strategies for Clients

Brian Pilecki, PhD and Kati Lear, PhD
December 3rd, 2021 from 12pm-1:30pm

This workshop will outline how self-as-context can be used to conceptualize commonly discussed topics in therapy such as self-esteem, confidence, identity, and inner conflict. Participants will learn how to flexibly practice practical self-as-context interventions that can be used with clients, as well as have a chance to practice newly learned skills through structured role-play exercises in breakout groups. Read More.


Values in Therapy: An Intro to Working with Values from an ACT Perspective

Jenna LeJeune, PhD
January 21, 2022 from 12pm-2:00pm

This workshop will provide a theoretical and conceptual overview of values from a contextual behavioral science perspective. We will cover the “what”, “why”, “when”, and “how” of values within ACT. While we will also provide an overview of various values exercises and measures that can be used with clients, the emphasis in this workshop will be on providing a foundational framework that will help clinicians approach values work from a functional perspective rather than a primarily technique-focused approach. Read More.



Culturally Responsive Therapy: How to Apply Anti-Racist Values in Session

Christy Tadros, LPCC and RaQuel Neal, LCSW
February 4th, 2022 from 1:30pm-4:45pm
and February 5th from 9:00am-12:00pm

This 2 day 6-hour training will help therapists develop their ability to support clients from a different racial background than them, with a particular focus on Black, Indigenous and People of Color. Through a multicultural social justice framework, it will integrate research and clinical experience to teach a therapeutic model for rapport building, assessment, and treatment. This model is not a rigid therapeutic modality, but provides a contextual lens to build a strong, culturally grounded therapeutic relationship. It is a flexible model and can align with many therapeutic modalities, including a contextual behavioral approach to therapy. Read More.


Truffle Hunting: Bringing Values to Life in the Therapy Room

Jenna LeJeune, PhD
February 25, 2022 from 12pm-2:00pm

This brief workshop is designed to help clinicians deepen their values work with clients by shifting the focus from the content of values conversations to the quality of those conversation. By listening for and deepening the qualities of effective values conversations participants will get a taste for how more experiential and relationally-based values work can supercharge therapy. Participants will have opportunities to both observe demonstrations and practice in small groups with the benefit of feedback. Read More.


Values Prototyping: Using Action to Help Clients Explore Their Values

Jenna LeJeune, PhD
March 11, 2022 from 12pm-2:00pm

This workshop will focus on one specific experiential tool called “values prototyping” that helps clients learn more about their values through engaging in intentional valuing. As participants will hopefully already have a solid foundation of some of the core concepts of the values process in ACT, this workshop will dive right in on how to use values prototyping to help clients learn more about what they would choose to value in their life. You will have the chance to practice developing a values prototype in small groups with the benefit of feedback, so that by the end of the workshop you will be able to use this tool in your work with clients. Read More.


The Invitation to Change Approach: Helping Families Affected by Addiction

Jeff Foote, PhD and Cordelia Kraus, LPC, CADC 1, certified CRAFT clinician
May 13th and 14th, 2022 from 9:00am-5:00pm
at University of Portland, Terrace Room
This two-day in-person workshop will provide skills training for professionals focused on the process of working with clients who have a loved one struggling with substance use issues. The Invitation to Change Approach draws on CRAFT (Community Reinforcement and Family Training), MI (Motivational Interviewing), and ACT (Acceptance and Commitment Therapy) to provide a compassionate and collaborative way of working with the families and concerned significant others of people who struggle with substance use. Read More.


Therapy and Research in Psychedelic Science (TRIPS) Seminar Series

Second Friday of each month from 12:00 PM – 1:00 PM (PT)

TRIPS is an online seminar series that hosts speakers discussing science-informed presentations and discussions about psychedelics to educate healthcare professionals. This series was created to guide healthcare providers and students preparing to be professionals towards the most relevant, pragmatic, and essential information about psychedelic-assisted therapy, changing legal statuses, and harm reduction approaches in order to better serve clients and communities. This seminar series is a fundraiser for our clinical trial of MDMA-assisted psychotherapy for social anxiety disorder that Portland Psychotherapy investigators are preparing for and starting in the Fall of 2021. All proceeds after presenter remuneration will go to fund this clinical trial. Read more.

January 14th, 2022Psilocybin-Assisted Therapy of Major Depressive Disorder using Acceptance and Commitment Therapy as a Therapeutic Frame with Jordan Sloshower, MD, MSc

February 11th, 2022 – Drug-Drug Interactions Between Psychiatric Medications and MDMA or Psilocybin with Aryan Sarparast, MD

May 13th, 2022Implementing Culturally-Attuned & Anti-Racist Psychedelic Therapy: Impact over Intention with Jamilah R. George, M.Div, M.S.