RESEARCH & EVIDENCE

Two decades of research.
Real-world results.

Supported by research from Johns Hopkins, McKinsey Institute of Health, and Google.org, CETA combines rigorous clinical research, real-world implementation, and clinically-responsible technology platforms, to bring evidence-based behavioral healthcare to more people.

With Support From

OUR FOOTPRINT - ADULT & YOUTH

Research and implementation snapshot.

CETA has been researched, adapted and implemented across diverse health systems and communities in the United States and around the world.

Public behavioral health Alabama · California · Illinois · Oklahoma · Utah · Washington
Tribal communities Michigan · New Mexico / Navajo Nation
Veteran-serving organizations Texas · Virginia
Workforce training North Carolina Training underway
Research expansion Maryland · Alaska · Arkansas · West Virginia Planned PCORI-funded work
Africa Ethiopia · Lesotho · Liberia · Malawi · Namibia · Rwanda · Sierra Leone · South Africa · Zambia
Asia & Oceania Myanmar · Papua New Guinea (Bougainville) · Thailand
Europe & Central Asia Germany · Kazakhstan · Moldova · Ukraine
Middle East Iraq · Lebanon · Syria
Latin America Colombia · Honduras

Locations include historical and ongoing research, implementation and training. Not all represent active clinical delivery.

UNITED STATES OUTCOMES

Better outcomes in U.S.public behavioral health.

Washington State · 2014–2015

A state-sponsored pilot introduced CETA across nine public behavioral health organizations, training clinicians and supervisors to deliver care for adults with complex mental health needs.

The published evaluation found significant reductions in PTSD and depression symptom scores, alongside improvements in provider confidence.

WASHINGTON STATE · IMPLEMENTATION PILOT

Published case study

35%
Lower PTSD symptom scores
Average reduction · 30 clients
44%
Lower depression symptom scores
Average reduction · 12 clients
9
Behavioral health organizations 58 providers initially trained

Percentage changes calculated from mean symptom scores reported in the study. Uncontrolled feasibility evaluation; improvements are not comparative treatment effects.

UTAH, UNITED STATES

More than a treatment, a transformation in care.

Weber Human Services, Utah integrated CETA across its clinical workflows, replacing fragmented treatment approaches with a coordinated model of care. In FY2026, its reported improvement and recovery rate exceeded the Utah statewide average by 15 percentage points.

WEBER HUMAN SERVICES · UTAH · FY2026

More people
getting better.

+334

Estimated additional people improved or reached recovery compared with the statewide benchmark.

ESTIMATED POSITIVE OUTCOMES FY2026
At Utah statewide average (43%)
957
At Weber's actual rate (58%)
1,291
334 additional estimated positive outcomes
15 percentage points above the statewide improvement/recovery rate

Based on 3,372 clients with OQ use. Estimated discharged subset: 2,226 clients. Counts are estimates derived from Weber's 58% rate and the statewide 43% rate, not individually verified outcome counts. Observational comparison; Weber implemented CETA across its system of care.

BEYOND THE UNITED STATES

Global implementation spotlight.

The CETA system of care has been implemented and studied in diverse settings around the world, adapted for local contexts and populations. Our global work demonstrates the effectiveness and scalability of CETA across cultures, languages and systems.

View our full global research publications ↗


CHILE CASE STUDY

Expanding the workforce via task sharing.

In Santiago, existing community professionals were trained and supervised to deliver CETA to youth in schools and to adults in other every day settings, increasing access to evidence based care for people experiencing mild symptoms, without the need to acquire a larger pool of licensed clinicians.

7-17x

Estimated social return on investment.

Read the Case Study ↗

With 1.1 billion people globally facing mental health challenges, Google.org's GenAI Accelerator is proud to support CETA Global. By using secure AI to provide culturally relevant role-play training, EBT-Sim empowers community-level workers to deliver vital care exactly where it is needed.
A tablet and a smartphone display a virtual interview and assessment interface. The tablet shows a video call with an interviewer and interviewee, with options to view the full manual or end the call. The smartphone shows a simulation evaluation screen with a progress report, competency score, and role play attempt button.

THE NEXT FRONTIER

Integrating an AI-powered simulator to accelerate skill development.

With support from Google.org

CETA is exploring how AI-powered simulation can make evidence-based clinical skills practice more accessible, repeatable, and scalable. giving providers opportunities to build confidence and attain mastery through simulated realistic conversations and structured feedback, before meeting real clients.

Explore more global research.

Read the peer-reviewed studies behind CETA's clinical evidence and real-world implementation.

Uganda: Building the foundation for CETA implementation Implementation research · 2026 South Africa: CETA for depression and PTSD among women living with HIV Randomized controlled trial, secondary outcomes · 2026 Uganda: Implementation, sustainability and impact of CETA Implementation research · 2025 Lebanon: Telephone-delivered CETA for Syrian refugee children Pilot randomized controlled trial · 2024
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Studies examine specific populations and delivery models. Clinical findings do not automatically establish results for every CETA offering or digital platform.


“CETA gives us a way to provide quality care to clients in an efficient manner that actually works for community mental health. ”

-- Vern
Outpatient Counseling Center

CETA | Common Elements Treatment Approach is facilitated by a multi-disciplinary team at Johns Hopkins School of Public Health exploring and addressing behavioral & mental health topics around the world.


© 2026 CETA Global | Johns Hopkins Bloomberg School of Public Health. All Rights Reserved.