Implementing Transdiagnostic Cognitive Behavioral Psychotherapy in Adult Public Behavioral Health: A Pilot Evaluation of the Feasibility of the Common Elements Treatment Approach (CETA)

Roselyn Peterson, Doyanne Darnell, Lucy Berliner, Shannon Dorsey, Laura Murray, Maria Monroe-DeVita

Research output: Contribution to journalArticle


Few evidence-based psychotherapies are provided in adult public behavioral health (PBH), despite the need for such treatments. The common elements treatment approach (CETA) was developed for use by lay providers in low- and middle-income countries and may have relevance in PBH given its unique application with individuals with multiple diagnoses including PTSD, depression, and anxiety. This study utilized data collected as part of the implementation of CETA in 9 PBH agencies in Washington State with 58 providers, including a 2-day workshop and 6 months of consultation. Outcomes included provider-perceived skill in CETA delivery, training and consultation completion rates, and perceived appropriateness of CETA for clients. Thirty-nine (67%) providers completed requirements for training and consultation, and delivered CETA to a total of 56 clients. Perceived competence in delivering CETA improved over time, as well as client symptom scores. CETA shows promise for feasible and effective implementation within US-based PBH systems.

Original languageEnglish (US)
Pages (from-to)249-266
Number of pages18
JournalJournal of Behavioral Health Services and Research
Issue number2
StatePublished - Apr 15 2019



  • Adult public behavioral health
  • Cognitive-behavioral psychotherapy, evidence-based practices
  • Comorbid disorders
  • Transdiagnostic treatment

ASJC Scopus subject areas

  • Health(social science)
  • Health Policy
  • Public Health, Environmental and Occupational Health

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