Dr. Charles Engel is Professor in the Department of Psychiatry and Behavioral Sciences at the University of Washington School of Medicine, Core VA HSR Investigator in the Seattle Center for Innovation, Co-Director of the Center’s Advanced Fellowship on Health Systems Research, and Adjunct Physician Policy Researcher at the RAND Corporation. Engel’s work focuses on trauma-informed health systems and strategies for improving the quality of primary care for chronic mental and physical health conditions. His research has covered traumatic injury and post-trauma syndromes ranging from blast injury, mild traumatic brain injury and Gulf War syndrome to PTSD and depression. Engel is experienced at mixed qualitative and quantitative methods and has led large pragmatic randomized trials, program evaluations, and implementation science studies. He has authored or coauthored nearly 200 scholarly papers, including in the New England Journal of Medicine, JAMA, and the American Journal of Psychiatry. Funding for his work has come from the National Institutes of Health, Centers for Disease Control, Department of Veterans Affairs, Department of Defense and other organizations. Before joining UW Psychiatry and the AIMS Center in 2021, Dr. Engel was Senior Physician Policy Researcher at the RAND Corporation from 2013 to 2020 and Associate Chair (Research) at Uniformed Services University’s Department of Psychiatry from 2001-2013. Engel has served on the board of directors of the International Society for Traumatic Stress Studies, has testified twice before Congress, received a number of awards, and delivered invited lectures in over 10 countries. He received both his MD and MPH from the University of Washington.
My primary areas of research include artificial intelligence, AI/machine ethics, behavioral health technologies, telemedicine, telehealth, forensic psychology, and military and Veteran population health. I’ve consulted widely on the topic of military and veteran health and technology in healthcare and have helped to develop national guidelines for telemental health, clinical best practices for technology-based treatments, and standards for human-AI interaction transparency. My vision is to build, and help others to build, technologies that help promote behavioral change and that improve the lives of people.
Personal Statement
Having always been interested in wholistic care, I completed a Med-Psych residency with board certification in both Internal Medicine and Psychiatry. My career has focused on integrating care to improve access to those who suffer from mental disorders. I have experience in developing, implementing, leading, and evaluating integrated Primary Care Mental Health programs. This work led to the development and national implementation of integrated care known in the VA as Primary Care Mental Health Integration (PCMHI).
At VA Puget Sound, I led a team that implemented and developed the first PCMHI program which has been rated as one of the top 10. It was through this integrated PCMHI work that I realized rural populations lacked access to mental health care and I became interested in how the emerging digital technologies could be leveraged to provide care. With the goal to improve mental health care for this population, I developed, implemented, and led the first Telemental Health Service at VA Puget Sound known as Promoting Access to Telemental Health (PATH). This program focused on implementing digital health into routine mental health care, evaluation of implementation efforts, and digital health curriculum design. PATH has been fully implemented into VA Puget Sound Mental Health Service Line.
As a researcher, I have served as a principal and co-investigator on numerous research projects that focused on the development and implementation PCMHI and Care Manager programs. More recently, my research has focused on evaluation and implementation of telemental health programs. Current work focuses on improving virtual integrated care in rural VA clinics, integrated care curricular design, evaluating mental health service delivery for the national VA Telehealth Clinical Resource Hubs, and supporting the UW Behavioral Health Institute to develop Digital Health Training programs. In addition, I am proud to serve as a Captain in the United States Navy Reserve and I am an Operation Iraqi Freedom Veteran.
I am a Professor in the Department of Psychiatry and Behavioral Sciences and I work as the Deputy Associate Chief of Staff for Mental Health at the VA Puget Sound Health Care System. I am a licensed clinical psychologist. My research is focused on studying mental health technologies to support Veterans, Service Members, their families, and the health care staff that treat them. I research mobile applications, virtual reality, virtual standardized patients, and other innovative approaches to improve mental health education and services. I have conducted DoD and VA funded research and focus on applied interventions that may have promise to make a difference in the lives of those we serve. I am an Army Veteran and current behavioral health officer in the Washington State Army National Guard.
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.
Thank you for your interest in learning more about me! My name is Dr. Ruth Varkovitzky (she/her) and I am a licensed clinical psychologist. I use a culturally sensitive evidence based approach in my clinical work; combining the best science while tailoring therapy to each individual. In the spirit of providing the highest quality of care possible, I am board certified in Behavioral and Cognitive Psychology by the American Board of Professional Psychology.
I specialize in providing therapy for trauma and sleep disorders, such as PTSD and insomnia. In addition, I offer a variety of treatments to address problems with depression, anxiety, and OCD. Supporting folks with these challenges is my passion; it’s an honor to work alongside my clients and see them heal and grow.
Public service has always been part of my journey, including collaboration with shelters for survivors of domestic violence, the Department of Veterans Affairs, the University of Washington Department of Psychiatry and Behavioral Sciences, and the Washington State Board of Psychologist Examiners. In addition to my passion for clinical work, I’ve enjoyed contributing to psychological science through academic and media publications. I established my private practice Renewal Psychology to offer my services to clients in Washington as well as the many state members of the Psychology Interjurisdictional Compact (PSYPACT).
I welcome being connected! Please reach out to me by email at: drruth@renewalpsych.com.
Personal Statement
I am a licensed clinical psychologist in Washington State. I am the Director of the University of Washington School of Medicine’s Psychology Internship Program which is accredited by the American Psychological Association’s Office of Program Consultation and Accreditation. And, I conduct research on health and risk behaviors across the lifespan. Specifically, I have conducted research in the areas of college student alcohol use, young adult gambling behavior, and co-morbidity of substance use and mental health/risk behaviors (i.e. risky sexual behaviors). I have extensive experience working with college students/young adults, military/veteran, and minority/diverse populations. I am also interested in mental health issues including depression, anxiety, and PTSD. I maintain an active clinical practice in the areas of mental health issues with patients diagnosed with hematological and oncological illness and have clinical responsibilities at the Fred Hutchinson Cancer Center. I also provide clinical supervision for psychology residents and psychology practicum students at Fred Hutchinson Cancer Center as well. Overall, my professional aspirations are to improve the public health through empirically-supported psychological interventions and providing mentorship to diverse trainees to expand the reach of psychology.
