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In the final installment of the Research in Practice series, Jason Luoma focuses on turning ideas into action. After establishing the organizational incentives in Part 1 and the financial infrastructure in Part 2, this episode provides a practical roadmap for launching and sustaining a research program within a clinical practice.
Jason walks through the minimum infrastructure needed to get started, from selecting an IRB pathway and building data management systems to hiring key research personnel and creating team routines that keep projects moving forward. He also shares a step-by-step 90-day pilot plan designed to help clinics complete their first practice-based research study while laying the foundation for a long-term research program.
Many of the concepts discussed throughout this series build upon Jason Luoma and Jennifer LeJeune's work on the integrated scientist-practitioner model and using social enterprise principles to sustainably fund research within fee-for-service clinical settings.
In this episode, you'll learn…Research Matters Podcast is hosted by Jason Luoma, who can be found on Twitter @jasonluoma or Facebook at: facebook.com/jasonluomaphd. You download the podcast through iTunes, Stitcher, or Spotify. Reach out with suggestions, questions, or comments to [email protected].
In Part 1 of this series, we explored why research often disappears from fee-for-service clinical settings despite clinicians valuing scientific inquiry. In this episode, Jason Luoma moves from theory to implementation by outlining the financial and organizational systems that make research sustainable over the long term.
Rather than relying on leftover time or grant funding, Jason explains how to build a clinic where research is intentionally supported through budgeting, compensation structures, and organizational policies. He introduces the concept of the "research line"—a standing budget allocation dedicated to research—and discusses practical strategies for protecting research time, designing compensation systems that align with organizational values, and growing revenue ethically to support scientific work.
Many of the concepts discussed in this episode build upon Jason Luoma and Jennifer LeJeune's work on the integrated scientist-practitioner model and using social enterprise principles to sustainably fund research within fee-for-service clinical settings.
In this episode, you'll learn…Research Matters Podcast is hosted by Jason Luoma, who can be found on Twitter @jasonluoma or Facebook at: facebook.com/jasonluomaphd. You download the podcast through iTunes, Stitcher, or Spotify. Reach out with suggestions, questions, or comments to [email protected]
Most clinicians are trained in research, yet very few clinical practices consistently produce it. Why? In this special solo episode, Jason Luoma steps away from the interviewer role to explore one of the biggest structural barriers to clinician-led research: incentives. Traditional fee-for-service models reward billable hours, often leaving little time for the deep thinking, writing, and collaboration that meaningful research requires.
Drawing on the experience of building Portland Psychotherapy as a clinical research social enterprise, Jason shares a practical framework for designing organizations where research is not an afterthought but a core function. He explains how changing financial structures, organizational policies, and workplace culture can create protected time for scientific discovery while maintaining a thriving clinical practice.
Whether you're leading a private practice, directing a research clinic, or simply wondering how to better integrate science into clinical work, this episode offers concrete ideas that can be adapted to organizations of many sizes.
In this episode, you'll learn…Research Matters Podcast is hosted by Jason Luoma, who can be found on Twitter @jasonluoma or Facebook at: facebook.com/jasonluomaphd. You download the podcast through iTunes, Stitcher, or Spotify. Reach out with suggestions, questions, or comments to [email protected]
Dr. Mary Alvord is a clinical psychologist with over four decades of experience, known for her innovative work integrating cognitive-behavioral therapy with resilience training for youth. As founder of Alvord, Baker & Associates and the nonprofit Resilience Across Borders, Dr. Alvord has led a groundbreaking effort to merge clinical practice, research, and social impact.
In this episode, she shares how her early experiences as the daughter of immigrants shaped her mission to provide equitable mental health support for underserved communities. We explore her transition from private practice to conducting research in school-based and low-resource settings, her challenges navigating the grant and IRB systems, and her founding of a nonprofit to ensure long-term sustainability and scale.
Dr. Alvord discusses her emphasis on team collaboration, ethical imperatives for outcome research, and how she's helping bridge the gap between evidence-based practice and community-based application.
In this episode, you'll learn…
Why Dr. Alvord created a nonprofit to sustain mental health research and services
How early training in behavioral psychology inspired her lifelong research values
The logistical and ethical challenges of conducting practice-based research in schools
Strategies for integrating outcome research into clinical practice
The importance of cultural responsiveness in designing and delivering mental health interventions
How to create a team culture of collaboration and perseverance in the face of rejection
Tips from the episode:
On building resilient communities:
Start with prevention and reach youth early — ideally within school settings
Empower underserved communities by removing barriers to access
Cultural relevance and linguistic inclusivity are essential in outreach materials
On sustaining research in real-world settings:
Private practices can support research — if values and resources align
Building partnerships with universities offers mutual benefits in research
Establishing a nonprofit can open doors to grants and expand your impact
On leading a mission-driven team:
Weekly research meetings foster continuity and shared vision
Advisory boards and community members can help shape programs
Perseverance is key — most grant applications and papers will face rejection, but the impact is worth it
Links from this Episode: https://alvordbaker.com/
Louis Castonguay, Ph.D., is a professor of psychology at Penn State University and a leading figure in contemporary psychotherapy research. With a career spanning decades, Dr. Castonguay has focused on what truly makes psychotherapy work—examining the variables that shape client outcomes, therapeutic relationships, and the process of change.
But perhaps what sets him apart most is his leadership in Practice Research Networks (PRNs), collaborative research communities that unite clinicians, researchers, and stakeholders to study therapy as it actually happens in real-world settings. In this episode, we talk about how these networks got started, what keeps them going, and why Dr. Castonguay believes collaboration across differences isn't just productive—it's essential.
We also explore the balance between research rigor and clinical relevance, the hidden power of motivation and respect in research partnerships, and how his counterphobic drive led him to take on big challenges others avoided. This is a rich, behind-the-scenes look at a man who's helped change the culture of clinical research by running toward the hard stuff—with humility and heart.
In this episode, you'll learn…
• What Practice Research Networks are and why they matter • How clinicians and researchers can work together effectively without burnout • Why studies that are "clinically syntonic" are more sustainable and valuable • What makes Louis Dr. Castonguay run—not walk—to a meeting • How to navigate power dynamics and avoid "empirical invasions" • Why flexible participation and shared ownership are key in PRNs • How humility, curiosity, and a love of process shape good science
Tips from the episode:
Tip 1: On sustaining clinician involvement in research: • Design studies that serve both scientific and clinical purposes • Let clinicians co-create the research questions and methods • Be transparent about power and open to hearing doubts • Participation should be flexible, not all-or-nothing
Tip 2: On what makes a successful PRN: • Shared goals with diverse expertise • Mutual respect between all team members • Freedom for each member to contribute in the way that fits them • A culture where research and practice grow each other
Tip 3: On Louis's personal approach: • Counterphobic drive means he runs toward hard problems • Collaboration isn't a tactic—it's a value • Being a generalist helps bridge gaps between orientations and settings • Excellence and perfectionism can be double-edged—learn to aim "imperfectly right"
Links from this Episode:
Fostering collaboration between researchers and clinicians through building practice-oriented research: An introduction
Faculty homepage
Lab
Publications
Dr. Jacqueline (Jackie) Persons is a distinguished clinician, researcher, and Clinical Professor at the University of California, Berkeley. She served as president of the Association of Cognitive and Behavioral Therapies (ABCT) in 1999 and currently works in private practice at the Oakland Cognitive Behavior Therapy Center. With over 35 years of experience, Dr. Persons is recognized globally for her pioneering work in integrating research into private practice, particularly in the areas of case formulation and measurement-based care.
In this insightful conversation, we dive into Dr. Persons' unique journey, exploring how she built a thriving private practice while contributing significantly to scientific research. She shares practical strategies for clinicians interested in research, the importance of data collection in therapy, and how she navigates collaboration with graduate students and academic institutions. Dr. Persons also talks about balancing her clinical and research roles and why she continues to find research personally rewarding.
In this episode, you'll learn…
How Dr. Persons integrates cutting-edge research into her private practice
The benefits of measurement-based care and data-driven therapy in Cognitive Behavioral Therapy (CBT)
Practical steps for clinicians who want to combine private practice with research
How to collaborate with academic institutions and bring research skills into a clinical setting
Tips from the episode:
On integrating research and practice:
Set up systems that allow seamless data collection during therapy sessions to improve clinical outcomes and generate research data.
Use measurement-based care not only to inform treatment but also to guide research questions.
On balancing multiple roles:
Collaborating with students and academic institutions can expand your research capabilities without overwhelming your practice.
Creating structured time set aside for research—such as a dedicated day per week—can help maintain a balance between clinical and research work.
On clinical and research success:
Stay involved in professional organizations like the Association of Cognitive and Behavioral Therapies to maintain your network and stay updated on new developments.
Regularly attend and present at conferences to contribute to and learn from the wider scientific community.
Links from this episode:
Oakland CBT Center - Jacqueline B. Persons, Ph.D
Oakland CBT Center - Research at the Oakland CBT Center
Behavioral Health Research Collective (BHRC) - Resources
Research Matters Podcast is hosted by Jason Luoma, who can be found on Twitter @jasonluoma or Facebook at facebook.com/jasonluomaphd. You can download the podcast through iTunes, Stitcher, or Spotify. Reach out with suggestions, questions, or comments to [email protected].
Dr. Patricia Arean is is the Director of the Division of Services and Intervention Research at the National Institute of Mental Health (NIMH), as well as a clinical researcher and former professor at the University of Washington's Department of Psychiatry and Behavioral Sciences. With over 30 years of experience, Dr. Arean has focused her career on increasing access to mental health services for underserved communities. She has led multiple research initiatives, including the UW Alacrity Center, which aims to redesign psychosocial interventions for underserved populations, and the Creative Lab, which explores digital mental health solutions using mobile technology.
In this insightful conversation, Dr. Arean shares how her early experiences in public hospitals and community mental health centers shaped her passion for working with underserved communities. She discusses her journey of developing partnerships with community organizations and navigating the challenges of research in marginalized populations. Dr. Arean also delves into her groundbreaking work in integrating technology with mental health services and how she has managed to conduct large-scale studies in underserved communities using innovative digital tools. This episode provides valuable lessons for researchers interested in social justice, technology, and community-based research.
In this episode, you'll learn…
How Dr. Arean's early work experiences influenced her commitment to underserved communities
The steps she took to build trust and partnerships with community organizations
Why understanding the unique needs of marginalized populations is crucial for effective research
Strategies for navigating the challenges of recruitment and participation in underserved communities
The role of technology in expanding access to mental health services for populations with limited resources
How Dr. Arean approaches collaborations with technology companies to create evidence-based mental health solutions
Tips from the episode:
On Building Partnerships with Underserved Communities:
Approach community organizations with a genuine desire to understand their needs and challenges.
Be prepared to adapt your research goals based on the community's priorities.
Establish relationships with key gatekeepers or champions within the community to facilitate trust and access.
On Developing Effective Research Practices:
Accept that working with underserved populations may involve messy samples and unexpected challenges.
Engage with clinicians, staff, and community members to ensure your research is relevant and respectful.
Incorporate community input when designing research protocols and collecting data.
On Leveraging Technology in Mental Health Research:
Digital tools can significantly improve recruitment and engagement in underserved communities.
Flexibility is key when working with technology partners, as their products and services may evolve.
Maintain a focus on developing solutions that work for marginalized populations, even if it means overcoming technological barriers like limited broadband access.
Links from this Episode:
Article on Dr. Patricia Arean's Position at the National Institute of Mental Health
UW Alacrity Center
The Creativ Lab Homepage
Tony Biglan, Ph.D., is a Senior Scientist at Oregon Research Institute and Co-Director of the Promise Neighborhood Research Consortium. For the past thirty years, he has conducted research in the development and prevention of child and adolescent problem behavior. He is a former president of the Society for Prevention Research and was a member of the Institute of Medicine Committee on Prevention. As a member of Oregon's Alcohol and Drug Policy Commission, he has helped to develop a strategic plan for implementing comprehensive evidence-based interventions throughout Oregon.
Dr. Biglan is the founder of Values to Action, an organization dedicated to evolving more nurturing societies. He has helped to identify effective family, school, and community interventions to prevent the most common and costly problems of childhood and adolescence around the world. Working to advance the reforms called for in his most recent book, Rebooting Capitalism: How We Can Forge a Society That Works for Everyone, Dr. Biglan advocates for the creation of "Action Circles," small groups of like-minded people who devote as little as 15 minutes a day to come together to study a problem in an effort to devise a solution.
In this episode, you'll learn…
Tips from the episode
On the weight of the opinions of others, even older mentors and those in leadership positions…
On participatory democracy…
On gaining funding while holding on to personal passions and what's important …
On making use of idleness…
On implementing reform and Values to Action…
Website Nurture Effect: http://www.nurtureeffect.com/
Website Values to Action: https://www.valuestoaction.org/
Dr. Biglan's books on Amazon
Twitter: https://twitter.com/ABiglan
LinkedIn: https://www.linkedin.com/in/anthony-biglan-093b7710/
French and Raven Bases of Social Power
Bertrand Russell Essay
Psychological Bulletin Article on Stress
Research Matters Podcast is hosted by Jason Luoma, who can be found on Twitter @jasonluoma or Facebook at: facebook.com/jasonluomaphd. You download the podcast through iTunes, Stitcher, or Spotify. Reach out with suggestions, questions, or comments to [email protected]
Dean McKay, Ph.D., A.B.B.P. is Professor of Psychology at Fordham University where he is a member of the clinical psychology doctoral program. His lab, Compulsive, Obsessive, and Anxiety Program (COAP) provides instruction to undergraduate, masters, and doctorate levels. Dr. McKay's expertise is in anxiety and obsessive-compulsive behavior, with his current focus being on Covid-19 related stress and anxiety. He has further interest in anxiety pertaining to political conditions, and he has a passion for clinicians to receive ongoing continuing education. Dr. McKay conducts some private practice and does some consultation as well. He has published over 200 peer-reviewed articles and book chapters, and he is the editor or co-editor of 19 books. He is board-certified in Clinical and Cognitive-Behavioral Psychology from the American Board of Professional Psychology.
Today Dr. McKay shares his thoughts about the obligation of people in academia having to do work that "may potentially raise some uncomfortable questions and allow us to advance topics that maybe people in other settings don't have the luxury of doing." Dr. McKay addresses the types of things mentors look for in students who are applying to their programs and offers tips on identifying and screening good candidates. It could be surprising to hear that a major thing he asks about in an interview is how they manage to relax. In a day when being accepted to programs is increasingly difficult, Dr. McKay sees this ability as an indicator of how the student will manage in the future. He addresses the intense struggles with stress that come from the benchmarks of performance students must achieve. His compassion for students and sound advice to regularly disconnect from work stem from personal experiences where he actually found himself bedridden from stress and at one point needing surgery for gastrointestinal issues at a very young age. While he is quite serious about his counsel to take vacations and guard weekend time for rest and non-work activities, he admits that during the past COVID-year the lines between work and home have become increasingly difficult to maintain. As he jokes with his colleagues, "every day is Blursday." Time has little meaning, and schedules and organized events are difficult to maintain. Dr. McKay wishes to be a good example to his students and believes that, as a psychologist, it is important to do the things he would advise his clients to do. Protecting his down time in an environment where work is constantly in his space is vital.
In addition to his recommendations to take time out for self-care, Dr. McKay discusses the tricky territory of defining what a "co-author" actually is. In a world where everyone needs to be published, he sees a need for mentors to be careful with balancing the desire to be generous with credits and making sure there is legitimate call to cite names. Allowing a student recognition is important, but the students must be able to defend work they contributed. Dr. McKay shares a personal anecdote in which he worked on a project with a litany of co-authors and two of the credited authors contributed only two sentences to the work. He sees situations like this as doing a disservice to students who, when faced with the real-world demands, won't have the knowledge to back up their claims on their resumes.
Finally, Dr. McKay shares some of his personal methodology for balancing writing time to make it more productive and his thoughts on taking stock of the "50,000 foot overview" of his future plans. He concludes with his ideas about his personal clinical work and suggests that, "researchers do themselves a little bit of a disservice by not actually seeing clients periodically."
In this episode, you'll learn…
Tips from the episode
On finding good candidates for a research program…
On finding a mentor …
On the balance of work and relaxation …
On co-author credit…
On maintaining productivity in writing while balancing work and home…
On maintaining a clinical practice while doing research …
Links from the episode:
Dr. McKay's Fordham profile: https://www.fordham.edu/info/21660/psychology_faculty_and_staff/5430/dean_mckay
Research Lab: https://www.fordham.edu/homepage/2789/coap
Psychology Today profile and list of books: https://www.psychologytoday.com/us/contributors/dean-mckay-phd
Twitter: https://twitter.com/docmckay?lang=en
LinkedIn: https://www.linkedin.com/in/dean-mckay-71b14310/
P.E. Meehl Article: http://www.dgapractice.com/documents/meehl_case_conferences_adapted.pdf
Research Matters Podcast is hosted by Jason Luoma, who can be found on Twitter @jasonluoma or Facebook at: facebook.com/jasonluomaphd. You download the podcast through iTunes, Stitcher, or Spotify. Reach out with suggestions, questions, or comments to [email protected]
Dr. Hayes is a Nevada Foundation Professor of Psychology in the Behavior Analysis Program at the University of Nevada, Reno. An author of 46 books and nearly 650 scientific articles, he is especially known for his work on Acceptance and Commitment Therapy, which is one of the most widely used and researched new methods of psychological intervention in the last 20 years. Dr. Hayes has received many national awards, such as the Lifetime Achievement Award from the Association for Behavioral and Cognitive Therapy. His popular book Get Out of Your Mind and Into Your Life was, at one point, the best-selling self-help book in the United States, and his new book A Liberated Mind has been recently released to wide acclaim. His TEDx talks have been viewed by over 600,000 people, and he is ranked among the most cited psychologists in the world.
In this wide ranging conversation, we discuss how Dr. Hayes started his work life as a political organizer and how this has influenced him to work behind the scenes to organize coalitions to get things done. We talk about how he has built his lab culture throughout the years. We discuss his tendency to get involved in important controversies in psychology, such as the prescription privileges debate, and how he has learned to navigate those subjects and attendant criticisms. We discuss the importance of acknowledging those who have helped you along in your life and career, including those critics who have helped you grow. Finally, we talk about he works with his students, including how he encourages an atmosphere of questioning each other with good humor and supporting students to seek after what brings them vitality and meaning.
In this episode, you'll learn…
Tips from the episode
On politics and where change happens…
On micro steps...
On the role of mentors and what they offer…
On lab philosophy…
Links from the episode:
Research Matters Podcast is hosted by Jason Luoma, who can be found on Twitter @jasonluoma or Facebook at: facebook.com/jasonluomaphd. You download the podcast through iTunes, Stitcher, or Spotify. Reach out with suggestions, questions, or comments to [email protected]
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