Condition: Veterans
Russell McCann
Katherine Hoerster
Personal Statement
My research focuses on understanding and addressing the contextual factors like social support and policy that affect health and health behavior. I completed a VA Health Systems Research (HSR) Career Development Award focused on developing a behavioral weight management program for Veterans with PTSD called MOVE!+UP (2015-2020). We are currently testing MOVE!+UP in a VA HSR Merit-funded study using a hybrid effectiveness and implementation RCT design. I recently led another VA HSR Merit-funded study as Principal Investigator (PI) to test a self-directed behavioral weight management intervention among 500 Veterans with obesity; the findings were published in JAMA: https://jamanetwork.com/journals/jama/fullarticle/2799407. I am Co-PI for two additional VA HSR Merit-funded studies, both RCTs testing behavioral interventions that harness the power of social support. Last, I am Co-PI for a VA operations-funded project called MOVED By LOVE, a multi-method study that is partnering with Black Veterans to enhance how weight management care in VA serves Black Veterans. The first findings from the study were recently published in the Journal of General Internal Medicine: https://link.springer.com/article/10.1007/s11606-024-08628-7. I am fortunate to work with Veterans with PTSD as a staff psychologist in the VA Puget Sound-Seattle PTSD Outpatient Clinic. Lastly, I have an interest in maximizing research impact by communicating about science with Veterans, the public, institutions, and policymakers.
Tiffanie Fennell
Bradford Felker
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.
Greg Reger
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.
Erik S. Carlson
Personal Statement
I am a basic neuroscientist, a board-certified practicing psychiatrist, and an Assistant Professor of Psychiatry and Behavioral Sciences at the University of Washington Medical School. The goal of my research is to investigate the neural circuitry of cognitive, emotional and memory processing, particularly as it relates to the cerebellum, and illnesses affecting cerebellum including cognitive disorders, PTSD, TBI and dementia through the implementation of techniques in mouse behavioral genetics. In my clinical practice, I primarily see veterans with PTSD, mild cognitive impairment, and various forms of dementia in an outpatient clinic at the VAMC Puget Sound Geriatric Research, Education, and Clinical Center (GRECC) in Seattle. I have over 15 years of experience in basic science research with most of that time dedicated to the use of mouse models of neuropsychiatric disorders. Throughout my training prior to and during graduate school, I gained background in many contemporary molecular and biochemical lab techniques, such as molecular cloning, protein biochemistry, protein crystal production, fluorometric measurement of protein kinetics, in vivo NMR spectroscopy, gene targeting, microarray genomics, immunohistochemistry, and mammalian cell culture. I have a foundation in mouse genetics, neural development, and behavior which I developed in Michael Georgieff’s lab by investigating the role of iron in developing pyramidal neurons of the mouse hippocampus. During graduate training, I also received cross-training in child psychological development. In graduate school, I developed two mouse models of nonanemic neuron specific iron deficiency: 1) a conditional knockout of the Slc11a2 gene, encoding the iron transporter DMT-1 in forebrain neurons, including hippocampal pyramidal neurons, and 2) a transgenic mouse with a reversibly inducible dominant negative (nonfunctional) form of the transferrin receptor expressed only in hippocampal pyramidal neurons. I utilized and implemented different versions of the Morris Water Maze to study learning deficits in these mouse models of perinatal brain iron deficiency, a condition that is often a consequence of diabetes during pregnancy. During my residency training, I expanded my knowledge of neuropsychiatric disorders by directly evaluating and treating patients with neuropsychiatric disorders including PTSD, schizophrenia, Alzheimer’s disease, autism, major depression, substance abuse disorders, and personality disorders. I learned numerous pharmacological, neuromodulatory, and psychotherapeutic interventions and participated in the internally funded Neuroscience Research Track. I then received a NIMH career development award (K08) mentored by Larry Zweifel, Ph.D. In that position, I investigated interactions between catecholamines and the cerebellum in decision making, emotional and cognitive processing. In the 5 years I was in Dr. Zweifel’s lab, I learned many additional new techniques including use of viral vectors, in vivo electrophysiology, and several operant- and threat-based behaviors, and moved forward in my goal of becoming a physician scientist isolating important circuits underlying etiology of specific domains of behavioral function. This work culminated in my receiving an RO1 independent investigator award, without any gap in funding. My current research utilizes mouse behavior, in vivo electrophysiological recordings, gene targeting, viral vectors, translational profiling, chemo- and optogenetic tools, site-specific intracranial viral vector injection, and protein chemistry. I am now forging my path as an independent investigator, and my primary goal is to understand cerebellar circuits as they relate to psychiatric and neurodegenerative illnesses and utilize this knowledge to inform and improve current and novel psychiatric illnesses, primarily in cognitive and emotional domains. As such, I am pursuing a multidisciplinary approach combining genetic, electrophysiological, pharmacological, and behavioral techniques.
Ruth Varkovitzky
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.
Ty Lostutter
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.
