Scholarly Expertise: Collaborative Care / Integrated Care
Erin Schoenfelder Gonzalez
Personal Statement
My clinical work and research are focused on helping youth with ADHD and their families be resilient and successful. Specifically, I am interested in creating and disseminating behavioral treatments for ADHD and disruptive behavior that are accessible and engaging for families. I enjoy consulting and training with providers in a variety of settings, including integrated primary care, to offer treatments that provide immediate help to their patients. My current research focuses on improving family relationships and health outcomes for youth with ADHD, including preventing risk behaviors and improving active and healthy lifestyles.
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.
Douglas Russell
Dr. Russell’s professional interests include ADHD, integrated/collaborative care, prevention and complementary/integrative approaches to child and adolescent mental health. He takes a holistic approach to psychiatric well-being that extends beyond medications and psychotherapy to include other evidence-based practices shown to improve brain health including regular exercise, time in nature, supportive social interactions, mind-body activities, good nutrition and sleep hygiene.
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.
Jesse Fann
Personal Statement
I am a consultation-liaison psychiatrist and health services researcher in the Department of Psychiatry and Behavioral Sciences and Adjunct Professor in the Departments of Rehabilitation Medicine and Epidemiology. I am also Medical Director of the Department of Psychosocial Oncology at Fred Hutchinson Cancer Center. My research interests are in psychiatric epidemiology, health services research, psychiatric oncology, and neuropsychiatry. In my clinical practice, I use a comprehensive, multifaceted approach that may include medications or counseling to help patients achieve their goals. My primary interest is helping people who are coping with medical illness. I am particularly interested in developing better approaches to delivering person-centered psychiatric care to these populations.
Mark Duncan
Personal Statement
I have pursued a career at the intersection of mental health and primary care, training in both family medicine and addiction psychiatry. I currently practice in various integrated care settings as a consulting psychiatrist and in the outpatient adult psychiatry clinic. I am the co-medical director for the University of Washington Psychiatry and Addiction Case Conference (UW PACC), a weekly online learning collaborative to help community providers across the state improve their psychiatric and addiction clinical skills. My area of interest is focused on improving addiction and psychiatric treatment to primary care settings. I also spend a significant amount of time training both family medicine and psychiatry trainees and fellows on integrated treatments for substance use disorders.
Christos Dagadakis
Personal Statement
I have had a career long interest and focus on crisis and stress management, and assessment of disability. My 19 years as director of emergency psychiatry initially at UW Medical Center and later Harborview Medical Center and current work as an attending psychiatrist and past 20 years as Medical Director of the Harborview Mental Health Services intake and Brief Intervention Service have been where I have worked with families and individuals with acute stress , mental illness , and/or both together( usually these are together) have been my source of knowledge and practical experience. Thirty one years of doing consultation and assessments about disability have given me an appreciation for the severe impact of mental disorder on function and relationships. Teaching stress management classes and doing workshops and consultation with multiple companies and organizations have focused me on efforts to prevention whenever possible. Initial prevention is almost always preferable to needing to do stabilization and reconstitution and subsequent preventive efforts. in summary, prevention efforts whether initially or after crisis have been and are a major focus and value for me.
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.
