My expertise is in implementation and services research related to evidence-based practices (EBPs) for adults with serious mental illness, particularly the Assertive Community Treatment (ACT) model. I am the lead author of the new ACT fidelity tool – the Tool for Measurement of Assertive Community Treatment (TMACT) – which has been widely disseminated nationally and in several other countries. I am also working to develop novel approaches to better addressing the needs of people with serious mental illness in the community. In 2010, I received a collaborative R34 from the National Institute of Mental Health (NIMH) to integrate another EBP, Illness Management and Recovery (IMR) within ACT. I am also working with a national team of clinicians, policymakers and researchers to develop better approaches to address the primary care needs of people with serious mental illness, including those served on ACT teams.
I have served as the Principal Investigator (PI) on several statewide implementation projects with the Washington State Division of Behavioral Health and Recovery, including the development, implementation, and fidelity assessment of 10 new ACT teams, and several IMR and Integrated Dual Disorder Treatment (IDDT) pilots across the state. I am also the PI of a statewide learning collaborative focused on implementation of cognitive behavioral therapy for psychosis (CBTp) for clinicians and supervisors across Washington State. I have an interest in implementation science and serve as a Co-Investigator of the Society for Implementation Research Collaboration (SIRC), an NIMH-funded grant focused on collaborative approaches to implementation research and the dissemination of those findings more broadly to those who implement and sustain EBPs. More recently, I began work collaboratively with a team of researchers to better address staff burnout prevention and the linkage to client outcomes.
I am interested in mood and anxiety disorders and the intersection of these with chronic medical illnesses. My approach to treatment is integrative. Working within a cognitive-behavioral framework, I use many traditional CBT methods, including hypnosis, mindfulness training, and concepts from third-generation cognitive and behavioral methods.
My research focuses on increasing the accessibility, efficiency, and effectiveness of community- and school-based interventions for children, adolescents, and families. I am particularly interested in (1) the identification and implementation of low-cost, high-yield practices – such as the use of measurement-based care – to reduce the gap between typical and optimal practice in schools; (2) development of individual- and organization-level implementation strategies to promote adoption and sustainment of evidence-based psychosocial interventions within a multi-tier systems of support (MTSS) framework; and (3) human-centered design (and redesign) of psychosocial and digital technologies to improve their implementability, accessibility, and effectiveness. I am the founder and Director of the School Mental Health Assessment, Research, and Training (SMART) Center, dually housed in UW’s School of Medicine and College of Education.
My passion for patient care is the core of who I am as a physician. As a consultation-liaison (C-L) psychiatrist, I have unique and broad teaching opportunities. The C-L role lets me teach non-psychiatrist peers, trainees from other specialties, and professionals from other disciplines. I particularly like helping providers to understand their patients’ psychiatric ailments, the complex interplay among psychiatric conditions and general medical problems, and the goals for recovery. Furthermore, I provide active support to patients and their families as they navigate our highly complex medical system with their illnesses and fears. Since the beginning of my tenure, I have been involved in the administrative aspects of medical student, resident and fellow training and curricular development. Education is the common thread that unites all of my academic activities. I have served as an Associate Program Director for 13 years at UWMC, Program Director of the Adult Psychiatry Residency program for 5 years and now work in CL psychiatry at the VA Puget Sound Health Care System. I am currently the Associate Program Director (APD) for the site and a core APD for Evaluation of our residency program.
I am the Psychiatry Chief of Service for both campuses of the University of Washington Medical Center. I also direct our Psychiatric Consultation and Telepsychiatry Program. My clinical focus is on patients who are hospitalized with simultaneous psychiatric and medical issues. Academically, I most often teach psychiatry trainees about psychopharmacology for refractory mood, anxiety, and psychotic disorders.
I am a Professor in the Department of Psychiatry and Behavioral Sciences at the University of Washington School of Medicine, and the Director of the Division of Population Health. I am also a Core Investigator at the HSR&D Center for Innovation for Veteran-Centered and Value-Driven Care at the VA Puget Sound Health Care System, and the Director of the VA Virtual Care QUERI Program.
For the last 35 years, my research has focused on access to care. I have published a framework for conceptualizing access to care in the digital age that incorporates virtual care technologies. I have conducted clinical trials to test the effectiveness of virtual care technologies to facilitate the delivery of evidence-based mental health services in rural primary care clinics. I have also conducted implementation trials to test the effectiveness of strategies to promote the uptake of virtual care technologies by primary care patients and providers. My research has been supported by NIMH, NIAAA, PCORI, and VA HSR/QUERI.
Douglas Zatzick, M.D. is currently a professor in the Department of Psychiatry and Behavioral Sciences at University of Washington School of Medicine. Over the past two decades, he has developed a public health approach to trauma-focused research and clinical work that has emphasized clinical epidemiologic, functional outcome, and early intervention studies of posttraumatic stress disorder (PTSD) and related co-morbid conditions. From 2009-2012, he served as Chairperson of the National Institute of Mental Health, Services in Non-specialty settings (NIMH, SRNS) Study Section. He served on the congressionally mandated United States Institute of Medicine four-year ongoing assessment of PTSD treatment, and the World Health Organization PTSD Guideline Development Group. He has participated in disaster relief and early intervention efforts after Hurricane Katrina and the January 2010 Haiti earthquake. He was medical director of the University of Washington’s Harborview Level 1 Trauma Center Psychiatric Consultation Liaison Service, and in this capacity provided front-line clinical services to ethno-culturally diverse acutely injured trauma survivors. As a part of multidisciplinary collaborative group that includes empiricist trauma surgical policy makers, he is working to use clinical trial results to influence policy for PTSD screening and intervention at trauma centers throughout the United States.
As a board-certified clinical health psychologist, I have primarily focused my clinical work on preventive medicine with special expertise in diabetes, weight management, and tobacco use cessation. I train clinicians in motivational interviewing and health coaching, and am currently a co-investigator on a research study examining an intervention with peer health coaches in the Veterans Health Administration (VHA). After nearly two decades of working in complex healthcare settings, like the VHA and serving in several leadership roles within and external to the VHA, I have grown a passion for supporting those who serve others and improving workplace well-being. I am an Associate Certified Coach and am enrolled in a Masters program in Leadership and Organizational Development. I coach leaders and individual contributors on their professional and personal goals, help teams work better together, engage clinics in identifying and implementing meaningful changes to improve workplace satisfaction.
