Condition: Caregivers

Rie Sharky

Rie Sharky, MD, is a board-certified child and adolescent psychiatrist at the Child Study and Treatment Center through the Behavioral Health Administration of the Washington State Department of Social and Health Services.  There she provides inpatient psychiatric care across developmental stages, with particular interest in working with the youngest youth and extensive experience caring for older children, adolescents, and transitional-age youth. She enjoys working with individuals of all ages and their families, especially in the context of complex medication regimens and significant psychosocial and systemic challenges.

Dr. Sharky is committed to improving outcomes for young people facing complex mental health needs and structural barriers to care. Her clinical approach emphasizes the development of meaningful, collaborative therapeutic relationships with youth and the caregivers and systems that support them.

Daina Tagavi

My work focuses on the development, dissemination, and implementation of tools for the assessment and treatment of autism spectrum disorder. I am also interested in transdiagnostic interventions for autism spectrum disorder to increase efficacy for individuals and families, as well as access to care. My clinical pursuits include conducting diagnostic evaluations for autism for youth of all ages, as well as running groups and classes for autistic individuals and their families.

Margaret Z. Wang

I am a practicing psychiatrist and health services researcher whose research has focused on system-level strategies to deliver high-quality care in settings with few clinical resources or available specialists. I am board certified in general adult psychiatry and geriatric psychiatry and my clinical work has included provision of psychiatric outpatient, inpatient, and emergency services care. I am interested in leveraging existing community infrastructure and adapting evidence based clinical practices to suit community contexts to reduce treatment gaps.

Sarah Danzo

My research broadly aims to better understand the etiology of depression and risk behaviors such as suicide and substance use across development, and translate findings to inform prevention and intervention strategies for youth and families.  My work focuses on partnering with communities and primary care clinics to improve access to and use of effective mental health services.

My current projects include studies focused on adapting and evaluating suicide prevention intervention and implementation strategies for use with adolescents and their families in primary care and outpatient medical settings, including developing and adapting brief, just-in-time, and digital interventions to expand access to services.

In addition to research, I am also a clinical psychologist in the Mood and Anxiety Disorders Program and the Crisis Care Clinic at Seattle Children’s Hospital.

Douglas Lane

I am a clinical psychologist with board certification in geriatric psychology.  I am based in the Geriatrics and Extended Care Service of the VA Puget Sound Healthcare System.

Nancy Lau

I am a clinical psychologist and researcher. My research focuses on pediatric psychology, intervention science, and leveraging digital technologies to disseminate and implement evidence-based psychosocial interventions for children, teens, and young adults with serious medical conditions and co-occurring anxiety, stress, and depression. Digital mental health care initiatives have the potential to scale-up interventions and overcome structural barriers and unequal access to psychosocial care. Current and future research investigations aim to help improve patient and family coping skills, psychosocial well-being, and quality of life by developing and implementing evidence-based mental health interventions.

Julia Ruark

Personal Statement

I am a board certified psychiatrist and work at Fred Hutchinson Cancer Center. I am a Clinical Assistant Professor of Psychiatry and Behavioral Sciences at the University of Washington.  I obtained a fellowship in consultation-liaison psychiatry, a specialty that focuses on providing psychiatric care for people with complex medical conditions.  My primary clinical focus is people with cancer. I love my work.  Being ill is a vulnerable time and my goal is to ease suffering and provide a sense of connection and understanding for all I work with.  I believe in working collaboratively with patients and families. We work together to identify what the goals of treatment are. I have expertise in diagnosis, psychopharmacology and psychotherapy and adapt my recommendations to best serve the goals of the person before me. I am also passionate about education. I am the site director at Fred Hutch Cancer Center for our Psycho-oncology Fellowship Program. I supervise Cl fellows, addiction fellows, psychiatry residents and provide education to social workers and psychology trainees.

Katherine Anne (Kate) Comtois

Personal Statement

My career goal is to give suicidal clients and their clinicians the best chance to succeed. I have been working in the area of health services, treatment development, and clinical trials research to prevent suicide for over 30 years. My graduate training was in community/clinical psychology and focused on achieving clinical ends through prevention and other systemic interventions in socio-culturally diverse populations. I have brought these perspectives into health services research.  I have developed or adapted interventions to improve care and clinician willingness to work with suicidal patients including Caring Contacts, Dialectical Behavior Therapy (DBT), Collaborative Assessment and Management of Suicidality (CAMS), and Preventing Addiction Related Suicide (PARS). I have developed an adaptation of DBT Next Steps, a program to assist psychiatrically disabled individuals find and maintain living wage employment. My research has been funded by NIMH, NIDA, the Department of Defense, American Foundation for Suicide Prevention, and the State of Washington.

I am the director of the Center for Suicide Prevention and Recovery (CSPAR) whose mission is to promote the recovery of suicidal individuals and the effectiveness and well-being the clinicians and families who care for them by conducting rigorous and ecologically valid research, developing innovative interventions, improving policies, systems and environments of care, and providing expert training and consultation. CSPAR faculty and staff seek a deep understanding of the cultures and settings in which we work that leads to meaningful and effective interventions ready for implementation.

I also direct the Suicide Care Research Center, an NIMH P50 funded research center focused on using Human Centered Design and MOST optimization methodology to improve the care of adolescents and young adults (age 13-30 years) in outpatient medical settings. We are conducting one fully powered trial, three R34s, and 4 pilot studies within UW Medicine and Seattle Children’s hospital to develop innovative interventions to support primary care, Collaborative Care, and specialty medical clinics care for patients experiencing suicidal thoughts and behavior. The center supports effort of over 20 faculty and 16 staff as well as 11 emerging and advanced collaborating scholars and funds 2 annual pilot grants (each $100,000 over two years).

In addition to clinical research, I founded the Society for Implementation Research Collaboration (SIRC) focused on disseminating and implementing innovative, evidence-based interventions in the systems that need them. Beyond my research, I directed the Harborview Dialectical Behavior Therapy program at Harborview Medical Center 1996-2019, co-lead the UWAnnual Comprehensive DBT Training Program and Suicide Care in Healthcare Systems: We Can Do Better Serving our Patients and Caring for our Clinicians, both of which meet the Washington State requirement for suicide prevention training.  I have a long history of training and mentoring junior faculty, post-doctoral scholars, psychiatry residents, pre-doctoral psychology interns, undergraduate students, and post-baccalaureate trainees. I provide psychotherapy and consultation at the UWMC Outpatient Psychiatry Clinic.