Personal Statement
I work in the Psychiatric Intensive Care Unit where we care for the most psychiatrically and medically compromised patients in the region.
I work in the Psychiatric Intensive Care Unit where we care for the most psychiatrically and medically compromised patients in the region.
I am a child and adolescent psychiatrist with experience in delivering guideline-based care for child and adolescent psychiatric disorders. I am the Medical Director of the Outpatient Psychiatry Clinics at Seattle Children’s, and have experience with training of staff to deliver guideline-based care. I also have health services training, including having obtained a Master of Public Health (MPH) in Health Services and participation in a Primary Care-Psychiatry Research Fellowship funded by the National Institutes of Health.
My clinical work includes treatment of outpatients and inpatients with a variety of mental health needs, and I provide telepsychiatry in our outpatient clinics. I have experience with collaboration with primary care providers to deliver care to pediatric patients, including serving as a consulting psychiatrist on the Partnership Access Line, which provides psychiatric consultation regarding mental health assessment and treatment to pediatricians and other primary care physicians throughout the state of Washington. I have expertise in the treatment of common mental health problems in a pediatric population.
My research has focused on mental health care for common psychiatric illnesses including depression and ADHD, and has included utilization of collaborative models of care and testing of interventions for youth with psychiatric diagnoses. I have been a co-investigator, with R01 PI Kathleen Myers, MD, for a study of guideline-based care provided by telepsychiatry for youth in rural communities with a diagnosis of Attention Deficit Hyperactivity Disorder.
My clinical interests are delirium, women’s mental health and behavioral heath integration in primary care settings.
My work focuses on education and training in the areas of suicide prevention and suicide care. Particular interests include supporting clinicians who have experienced the loss of a patient to suicide and building knowledge among health care professionals about cultural aspects of firearm ownership and use.
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.
Helping individuals in the time of their personal crisis, whether emotional, psychological or behavioral, is what feeds my passion for psychiatry.