Scholarly Expertise: Community mental health

Jay Davidson

As a child and adolescent psychiatrist at the Child Study and Treatment Center, I am deeply inspired by the resilience of the youth we serve and by the collaborative spirit of our multidisciplinary teams. My work is grounded in curiosity, compassion, and respect for the complex systems that shape young people’s lives. My approach integrates evidence-based psychopharmacology with developmental and trauma-informed care, while always centering around the individual’s unique story and strengths. I value the relational and systemic dimensions of psychiatry: the interplay between family, community, and policy that influences recovery and growth. The multidisciplinary, relational model at CSTC reflects these values and continues to shape how I think about psychiatry: not only as a science, but as a deeply human endeavor.

Josh Walther

I am an Acting Assistant Professor in the Department of Psychiatry and Behavioral Sciences at the University of Washington, primarily working clinically at Harborview Medical Center. I work with the Recovery Clinic, Intake and Brief Intervention Services (IBIS), the Behavioral Health Integration Program (BHIP), and Addiction Consult Service.

I am fellowship-trained in Addiction Psychiatry, and board certified in both general and addiction psychiatry by the American Board of Psychiatry and Neurology. My passion is providing excellent, compassionate and comprehensive psychiatric care to my patients regardless of background or resources. I believe quality healthcare is a human right for all people and am excited help make that a reality as part of the Harborview system.

David Reed

I am a clinical psychologist by training and an Assistant Professor at the University of Washington, Department of Psychiatry and Behavioral Sciences. I am also a Health Service Research Scientist at the Seattle-Denver HSR&D Center of Innovation for Veteran-Centered and Value-Driven Care at the VA Puget Sound Health Care System. My research program broadly focuses on bringing a more holistic approach to healthcare (i.e., mind, body, and spirit) and centers around two interconnected areas of investigation: 1) meaning-making and meaning in life among individuals with chronic pain and psychological distress (in particular, PTSD) and 2) developing and testing mind-body interventions that improve physical and emotional health and well-being. I am particularly interested in improving health for those in rural settings. My work has been supported by the National Center for Complementary and Integrative Health and the U.S. Department of Veterans Affairs.

Tessa Frohe

I am a trained Behavioral Scientist with a PhD in Health & Human Performance. The main goal of my work is to reduce substance-related harms and improve quality of life for people experiencing problems related to their substance use. I work closely with community members who use drugs to inform my line of research and address key needs identified. My primary appointment is at the Harm Reduction Research and Treatment (HaRRT) Center within the UW School of Medicine and hold an Affiliate Faculty appointment within the School of Public Health.​ My aim is to adapt, refine, and disseminate harm reduction programs through digital health interventions to empower individuals and ameliorate substance-related harms.

Christina N. Clayton

Christina has been in the behavioral health field since 1993, primarily serving adults who live with severe mental health issues, substance use, experience chronic homelessness, suffer from poor physical health, trauma and any number of co-occurring issues.

Prior to joining UW, she spent 25 years working in and managing numerous clinical programs including: HIV/AIDS housing and health care, school-based mental health, substance use outreach and treatment, homeless mental health outreach, intensive case management, assertive community treatment, crisis respite, integrated care, housing first and other evidence-based practices.  She has provided licensure supervision, training and consultation, and has worked on multi-disciplinary teams in a number of settings.  She highly values her years of clinical direct service and program management experience.

She has also been involved with the UW School of Social Work since getting her MSW, working with dozens of graduate and undergraduate students, teaching courses and workshops, presenting on panels.  She has served as a Practicum Instructor, the Interim Assistant Dean and Director of Field Education, and is currently is a Clinical Associate Professor teaching in the MSW program.

Starting in fall 2024, Christina is Co-Director of the Pacific West HUB of the new national Center for Mental Health Implementation Support (CMHIS), led by Stanford’s Center for Dissemination and Implementation (CDI). The CMHIS project builds the capacity to select and implement evidence-supported practices and programs, sharing pragmatic, accessible guidance.

Since 2023, she has served as Co-Chair for the PBSCI Department’s Equity, Diversity and Inclusion Staff Committee, also having been a member since it’s inception in 2021.

From 2018-2024, Christina was the Co-Director of the Northwest MHTTC, a SAMHSA-funded regional training & TA center.  Christina co-directed the team and helped plan and oversee training for the mental health workforce in HHS Region 10 (AK/ID/OR/WA).  Activities include live webinars, research/practice briefs, online self-paced courses, learning communities and intensive cohort-based training. Most of this training was conducted virtually in collaboration with numerous faculty, instructional designers and presenters.

She is grateful to all the staff and faculty who choose to work in this field, as it is their collective energy, passion, dedication and commitment to social justice that supports the people we serve and brings real change to our communities.  Most importantly, she is honored to work with people who every day, live their experience and share their journey through advocacy as they strive for a world where behavioral health is adequately supported and everyone can thrive equitably.

Bill O’Connell

As part of my faculty appointment, I am Director of the Behavioral Health Support Specialist (BHSS) Workforce Development Project.  My responsibilities include oversight of curriculum development, practicum guidelines, development of community partnerships and advocacy for reimbursement pathways.

Behavioral Health Support Specialist Workforce Development Project

I am working with a talented project team to develop a competency framework and curriculum to prepare a bachelor level Behavioral Health Support Specialist (BHSS).  A BHSS will deliver brief, culturally responsive, evidence-informed interventions for common mental and behavioral health conditions under supervision in a team-based setting.  The BHSS will use a measurement-based care approach to ensure patients are receiving the right level of care at the right dose.  Crisis services, integrated care and specialty behavioral healthcare are examples of work environments that will benefit from a BHSS.  Our project goal is to support higher educational programs across the state implement the BHSS clinical training program in academic year 25-26. During my time working as a primary care behavioral health consultant, I frequently met with senior patients from diverse backgrounds who had never spoken with a behavioral health provider in their lifetime despite experiencing moderate to severe symptoms of a mental or behavioral health condition.  One reason I found unacceptable was lack of access to services.  The bachelor level Behavioral Health Support Specialist role is one solution of many to improving access to care and expanding the available workforce.

Scholarship

My current scholarship focuses on behavioral health workforce development and best practices in teaching and training bachelor level intervention specialists for behavioral health settings. In addition to my current role as BHSS project co-investigator, I served as principal investigator for a philanthropic gift from Robert Craves to expand access to school counseling services at Bailey Gatzert Elementary School in the Yesler Terrace neighborhood of Seattle. I also engaged in community-based research with Village Spirit Center for Community Change and Healing located in the Central District to produce a mental health needs assessment for residents who had experienced homelessness prior to obtaining secure housing. Previous peer reviewed publications focused on counselor preparation for employment in behavioral health agencies, best practices in counselor preparation and ethical dilemmas in counselor practice.

Certification and Licensure

I am a Licensed Mental Health Counselor (LMHC) in the State of Washington and a Licensed Professional Counselor (LPC) in Colorado.  Additionally, I am a National Certified Counselor (NCC), and an Approved Clinical Supervisor (ACS) through the National Board of Certified Counselors and the Center for Credentialing and Education.

Career Roles

  • Associate Professor (WOT), Psychiatry and Behavioral Sciences, University of Washington (2022-Present).
  • Regional Director of Behavioral Health and Primary Care Behavioral Health Consultant for One Medical Seniors (2018-2021)
  • Founding Chair of the Department of Leadership and Professional Studies at Seattle University (2014-2017)
  • Associate Professor of Clinical Mental Health and School Counseling at Seattle University (2010-2019)
  • Associate Professor of Clinical Mental Health and School Counseling at Xavier University in Ohio (2001-2010)
  • Past President of the Ohio Counseling Association (2006-2009)
  • Assistant Clinical Director for Talbert House Inc. (1998-2001)
  • *Private Practice Therapist and Consultant (1997-2010)
  • Adult Therapist for Clermont Counseling Center in Milford, Ohio (1994-1997)
  • Crisis Intervention Specialist for Talbert House Inc. (1990-1993)
  • Adult Therapist for Care Unit Chemical Dependency Hospital in Ohio (1988-1990)

*I owned a private practice in the Greater Cincinnati Area for twelve years providing behavioral medicine consultation in an integrated pain management practice, clinical consultation to behavioral health organizations, and training and education on ethical and professional issues for mental health providers.  Additionally, I provided individual, couple and family counseling in a group psychology practice with a special focus on serving the LGBTQI+ community and persons with trauma history.

Mary Hatch

Dr. Hatch is an Associate Professor at the Addictions, Drug & Alcohol Institute (ADAI), Department of Psychiatry & Behavioral Sciences, UW School of Medicine. Her research interests are in the development and testing of behavioral and pharmacologic interventions for substance use disorders and HIV prevention. In particular, her work has focused on the intersection of substance use and HIV-related sex and drug risk behaviors from both the consumer and workforce perspectives, and on implementation factors that affect uptake of interventions. She has held multiple and varied roles in research projects since 1994, and has long-standing experience developing, implementing, and overseeing large-scale multi-site clinical trials with community treatment providers. In addition to her work at the University of Washington, Dr. Hatch is a licensed clinical psychologist at UWMC Outpatient Psychiatry Clinic. Her clinical work specializes in the treatment of drug and alcohol addictions and co-occurring depression, anxiety and trauma.

Bryan Hartzler

In two decades at UW, Dr. Hartzler’s principal focus has been on the dissemination and implementation of empirically-supported health services for persons with substance use disorders. To date, this includes local, regional, national, and international collaborations, encompassing federally-funded work with diverse community-based settings (i.e., addiction care, mental health, primary and specialty medical care, criminal justice, HIV care, schools, faith-based organizations), including those affiliated with the NIDA Clinical Trials Network.  As director of the UW Center for Advancing Addiction Health Services (CAAHS), he oversees a broad portfolio, including:  1) the SAMHSA-funded Northwest Addiction Technology Transfer Center (Northwest ATTC), which provides universal, targeted, and intensive technical assistance to the addiction workforce in Alaska, Idaho, Oregon, and Washington 2) regional contribution to SAMHSA’s national Opioid Response Network (ORN), 3) a host of externally-sponsored implementation projects with single-state authorities as well as other organizations, and 4) contribution to NIH-funded and intramural health services research.  In professional endeavors that span a science-to-service continuum, Dr. Hartzler seeks to promote adoption and implementation of useful treatment and recovery practices in community settings where they may benefit persons with substance use disorders.

Beatriz Carlini

I am a Research Associate Professor at the Psychiatry Department,  Addiction, Drug & Alcohol Institute where I direct the Cannabis Education and Research Program, a team (CERP) that systematically interacts with state and county agencies and community coalitions, with the purpose of supporting the adoption of evidence-base policies and interventions. I have published extensively in peer-reviewed journals, secured research funds both as Principal Investigator and Co-Investigator, and have collaborated with colleagues from various U.S. universities and abroad. Besides cannabis, I have interest and research experience in tobacco control.

A little bit about my trajectory: I obtained my PhD in Social Psychology in my home country, Brazil. As a faculty in the University of Sao Paulo Preventive Medicine Department, my professional life was dedicated to research and service disparate populations, such as street kids and substance-using youth. As an academic of a developing nation, I had the honor to collaborate internationally and serve in various World Health Organization working groups and committees.

After moving to the United States in 2000, I obtained a Master of Public Health at UW, with an emphasis in Social and Behavioral Sciences. This second degree provided me with the skills and the contextual perspective to successfully transition my professional focus from health care disparities in developing nations to the inequities experienced by historically marginalized communities living in the richest and most powerful country on Earth, the U.S. As a dual citizen, I consider inequity, racism, discrimination and stigma as important determinants of addiction and substance use in an increased globalized world.

I prefer the pronouns she, her, hers.