My research broadly aims to better understand the etiology of depression and risk behaviors such as suicide and substance use across development, and translate findings to inform prevention and intervention strategies for youth and families. My work focuses on partnering with communities and primary care clinics to improve access to and use of effective mental health services.
My current projects include studies focused on adapting and evaluating suicide prevention intervention and implementation strategies for use with adolescents and their families in primary care and outpatient medical settings, including developing and adapting brief, just-in-time, and digital interventions to expand access to services.
In addition to research, I am also a clinical psychologist in the Mood and Anxiety Disorders Program and the Crisis Care Clinic at Seattle Children’s Hospital.
I am a clinical psychologist with board certification in geriatric psychology. I am based in the Geriatrics and Extended Care Service of the VA Puget Sound Healthcare System.
Personal Statement
I am a Clinical Assistant Professor in the Department of Psychiatry and Behavioral Sciences at the University of Washington. I received my MD from New York University and completed my adult residency at the Harvard Massachusetts General Hospital/McLean Hospital program where I was chief resident. I then went on to complete a fellowship in psychosomatic medicine at the University of Washington. I am currently on faculty at Harborview Medical Center on the inpatient psychiatry consult service.
I have a longstanding interest in the intersection between medicine and psychiatry, and am the author of numerous published articles on topics ranging from the neuropsychiatric effects of steroids to managing borderline personality disorder in the primary care setting. I have a particular interest in the use of electroconvulsive therapy, including in the treatment of catatonia. I am currently involved in research projects in conjunction with the division of nephrology and the neurosurgery department. In addition to my clinical and research interests, I am also an associate program director for the UW Adult Psychiatry Residency at Harborview Medical Center.
Personal Statement
My work focuses on education and training in the areas of suicide prevention and suicide care. Particular interests include supporting clinicians who have experienced the loss of a patient to suicide and building knowledge among health care professionals about cultural aspects of firearm ownership and use.
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 20 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, Accepting the Challenges of Employment and Self-Sufficiency (DBT-ACES), 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, the Department of Veteran Health Affairs, 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.
In addition to clinical research, I founded the Society for Implementation Research Collaboration (SIRC) and am the PI and Director of the Military Suicide Research Consortium Dissemination and Implementation core. These organizations focus 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 UW DBT Training Program and have a long history of training and mentoring junior faculty, fellows, psychiatry residents, pre-doctoral psychology interns, undergraduate students, and post-baccalaureate trainees. I provide psychotherapy and consultation at the UWMC Outpatient Psychiatry Clinic.
