The Brief Intervention for School Clinicians (BRISC) has been the subject of two research studies funded by the Institute for Education Sciences (IES). In the most recent study, 48 high schools in three states (WA, MD, MN) were recruited and assigned to BRISC (n=23) or school-based services as usual (SAU; n=25). Clinicians working in schools assigned to BRISC gave positive ratings of BRISC feasibility, learnability, and acceptability. Students receiving BRISC (n=259) were more likely to receive SMH services at 2 months, more likely to have discharged from SMH by 6 months, and less likely to have received other MH services at 6 months. BRISC students showed greater rates of resolution of their self-reported problems and were more likely to move out of the clinical range for anxiety.
Targeted Condition: Substance use disorders/misuse
Workforce for Student Well-being Initiative (WSW)
In 2023, Washington state was awarded $6 million from the U.S. Department of Education to create a pipeline from Washington state’s five accredited Masters in Social Work training programs to K-12 schools. Called the Workforce for Student Well-being Initiative (WSW), 100 aspiring school social workers will receive conditional scholarships based on their financial need so the cost of getting an education is not a barrier to their getting an advanced degree and then committing to working in a high-need public or tribal school. The goal of the WSW is to help all K-12 students in Washington to thrive by advancing the careers of skilled school social work professionals through training and mentorship.
Washington State Behavioral Health-Student Assistance Program
The Washington State Behavioral Health Student Assistance Program (BH-SAP) is a research-based, statewide model that places trained Student Assistance Professionals (SAPs) in schools to deliver prevention, early intervention, and referral support within Washington’s Multi-Tiered System of Support (MTSS) framework. Through our collaboration with the Assocation for Educational Service Districts, the UW SMART Center’s Training and Technical Assistance Core supports this project through program evaluation efforts including overseeing collection of student, school, and district outcome data, analyzing data, and producing reports to inform continuous improvement.
Global Health Experiential Fellowship
The Global Health Experiential Fellowship (GHEF) is a Global South–North simultaneous training program that prepares students and early-career professionals to become global health researchers. Based in rural Uganda, the fellowship offers immersive, mentored experience in study design, data collection, implementation science, and interdisciplinary collaboration. Fellows contribute to ongoing community-based research alongside local partners, gaining practical skills in ethical engagement, cross-cultural research, and field-based methods. GHEF provides a distinctive opportunity to build research capacity, strengthen career development, and contribute to locally led global health initiatives through Empower Through Health.
Raising Washington
A partnership to provide comprehensive perinatal mental health and parenting support for the first 1,000 days
The Raising Washington Initiative seeks to develop an evidence-based fully integrated perinatal support program that will offer mental health care, parent training and support services for the first 1,000 days of a baby’s life (conception through child’s 2nd birthday) for every high-risk baby born in Washington. This will include creating care pathways informed by the needs of patients and providers, navigators to help guide families through the many care transitions in the perinatal period and accessible information to keep parents and babies healthy.
To learn more this work, please contact Project Manager Lori Ferro, MHA at ljf9@uw.edu.
Empower Through Health
Empower Through Health (ETH) is a healthcare, research, and education 501c3 organization operating in rural eastern Uganda. ETH runs a health center that provides general medical care for surrounding communities and delivers psychiatric and neurological services across Buyende District (population >400,000). ETH’s research focuses on reducing demand-side barriers to care and partnering with existing community structures to improve mental health outcomes and support recovery after mental health crises. ETH hosts the Global Health Experiential Fellowship (GHEF), a hands-on training program that pairs Ugandan and U.S. trainees on community-engaged research. ETH is also expanding its education mission by launching a primary school to strengthen long-term community wellbeing.
Developing person-specific signatures of momentary risk for alcohol use
Alcohol use disorder remains a major public health concern, with persistent disparities in treatment outcomes. Traditional interventions often fail to account for the heterogeneity of drinking triggers, limiting their effectiveness. This study aims to develop and evaluate an idiographic, mobile-based clinical tool to identify personalized triggers for alcohol use. Idiographic methods allow for individualized assessments of momentary risk factors, providing tailored insights into when a person is most vulnerable to drinking.
The study will allow for customization of a given participant’s data collection process, such that individuals can track what is clinically meaningful to them (e.g. one individual may track feelings of loneliness following divorce, while another may track experiences of racial microaggressions) through diverse data collection techniques including ecological momentary assessment (EMA), audio diaries, and GPS. We will evaluate the feasibility and acceptability of this approach by pilot testing the data collection process, analyzing each participant’s data, and providing personalized feedback on the momentary conditions that influence one’s drinking.
This approach leverages current advances in mobile monitoring and precision idiographic machine learning analysis to pilot a novel clinical tool. If successful, this tool could enhance treatment equity and effectiveness by empowering individuals to recognize their unique drinking triggers.
How fentanyl changes the brain: assessing mood, cognition, and withdrawal using animal models of addiction and brain-wide neural activity markers
Fentanyl overdose is responsible for nearly 75,000 deaths each year in the U.S. and causes severe psychological, physical, financial, and social harm. Despite existing treatments, fentanyl addiction remains difficult to overcome due to the chronic and complex nature of fentanyl addiction which contributes to patterns of chronic use and high relapse rates. This is partly due to fentanyl’s ability to rewire the brain’s reward and executive cognitive system to cause lasting changes in mood and cognition while also triggering intense withdrawal symptoms that drive continued use. To better understand the widespread impact of fentanyl on the brain, this project uses mouse models of addiction to explore the effects of fentanyl on various brain regions and neural populations involved in reward, motivation, mood, and cognition. Using artificial intelligence-guided behavioral and cellular analyses, we then correlate these neural signatures to mouse behaviors during withdrawal and a cognitive working memory task. We will then test whether two promising emerging treatments, semaglutide and ketamine, can improve cognition, withdrawal symptoms, or mood in mice exposed to fentanyl. Through this, we will contribute to our understanding of how fentanyl exerts its negative effects which can inform the development of more effective therapies for its devastating impact.
Substance Use Disorder assessment tools in jails & prisons: a systematic review
Over 65% of people who are incarcerated have a substance use disorder (SUD). Many jails and prisons provide substance use treatment, including behavioral and pharmacotherapy, and SUD identification is the first step. Prisons and jails are a distinct setting for SUD assessment, and tools used for SUD screening in community settings may not perform the same way in carceral settings. This systematic review will identify psychometric evaluation studies in carceral settings of screening and diagnostic tools for SUDs, generally, or specific SUDs (excluding alcohol and nicotine). Additionally, will use and adapt an existing clinical usability scale and develop new metrics to assess acceptability of screening tool use in carceral settings for a person-centered evaluation. This will be guided by further analysis of interviews with prison staff and people with lived experience of incarceration. The additional assessments will capture potential barriers and facilitators to SUD assessment in jails and prisons as they represent resource-limited settings with unique challenges compared to other health systems. The goals for the study are: 1) to help carceral facilities make informed decisions about SUD assessment, 2) to reveal key gaps in the literature, and 3) to inform the development and testing of future tools.
Brain, Environment, and Alcohol Research (BEAR) Study
This project examines how brain responses to alcohol cues interact with everyday social contexts to shape drinking in young adult heavy drinkers. We pair multimodal neuroimaging (fMRI, EEG) with a 2-week ecological momentary assessment including transdermal alcohol monitoring and photo-based context capture. We test whether neural incentive salience predicts real-life intoxication, how social features (group size, familiarity, gender mix) influence drinking, and how perceived norms mediate these effects. We further assess whether incentive salience moderates context and norm influences. Findings will refine models of alcohol use disorder etiology and inform prevention and intervention strategies by linking precise brain markers with ecologically valid, context-rich assessments.
