- LGBTQ Health, Identity, and Policy
- Posttraumatic Stress Disorder Research
- Migration, Health and Trauma
- Substance Abuse Treatment and Outcomes
- Racial and Ethnic Identity Research
- Suicide and Self-Harm Studies
- Child Abuse and Trauma
- HIV/AIDS Research and Interventions
- Gender Roles and Identity Studies
- Sexual Assault and Victimization Studies
- Sexuality, Behavior, and Technology
- Sex work and related issues
- Adolescent Sexual and Reproductive Health
- Global Cancer Incidence and Screening
- Health disparities and outcomes
- Resilience and Mental Health
- Mental Health Treatment and Access
- Homelessness and Social Issues
- Smoking Behavior and Cessation
- Healthcare professionals’ stress and burnout
- Psychotherapy Techniques and Applications
- Food Security and Health in Diverse Populations
- Intimate Partner and Family Violence
- Prenatal Substance Exposure Effects
- Social and Intergroup Psychology
University of Washington
2015-2024
VA Puget Sound Health Care System
2014-2023
United States Department of Veterans Affairs
2019-2023
Health Services Research & Development
2015-2021
Center for Innovation
2020-2021
Behavioral Tech Research, Inc.
2021
Essays on Canadian Writing
2020
Mental Illness Research, Education and Clinical Centers
2013-2019
University of Wisconsin–Madison
2019
Institute of Behavioral Sciences
2017
We examined the direct and indirect impact of minority stress on mental health substance use among sexual women.
National health initiatives emphasize the importance of eliminating disparities among historically disadvantaged populations.Yet, few studies have examined range outcomes lesbian, gay, bisexual, and transgender (LGBT) people.To stimulate more inclusive research in area, we present Health Equity Promotion Model-a framework oriented toward LGBT people reaching their full mental physical potential that considers both positive adverse health-related circumstances.The model highlights (a)...
Peers have intervened to promote health since ancient times, yet few attempts been made describe theoretically their role and interventions. After a brief overview of the history variety peer-based interventions, 4-part definition peer interveners is presented here with consideration dimensions involvement in promotion. Then, 2-step process proposed as means conceptualizing interventions health. Step 1 involves establishing theoretical framework for intervention's main focus (i.e.,...
To remedy the notable gap in evidence-based treatments for sexual minority women, this study tested efficacy of a minority-stress-focused cognitive-behavioral treatment intended to improve population's mental and behavioral health.
Posttraumatic stress disorder (PTSD) and alcohol dependence (AD) frequently co-occur, although results of both cross-sectional longitudinal studies evaluating the nature their relationship have been mixed. There has varied support for competing models explaining how these conditions influence one another. To assess self-medication mutual maintenance models, as well examine potential moderating role drinking motives, current study used Generalized Estimating Equations to evaluate daily...
Prior research has established that lesbian, gay, and bisexual (LGB) people experience higher rates of childhood abuse than heterosexuals. However, there been little on the mental health impact these experiences or how race/ethnicity might influence prevalence in this population. The study's objective was to examine relationships between race/ethnicity, abuse, indicators a national sample LGB adults.
Background and Objectives Epidemiologic data on substance misuse prevalence among US Veterans are crucial to plan for Veterans’ future healthcare needs. We estimated age‐specific, overall, age‐adjusted of misuse, assessed whether differed between civilians, examined temporal trends in prevalence. Methods Substance‐related measures were obtained from the National Surveys Drug Use Health, 2002–2012 ( N = 24,210 Veterans; 338,556 civilians). Results Among women men past‐month heavy episodic...
Alcohol dependence (AD) and posttraumatic stress disorder (PTSD) are highly prevalent comorbid conditions associated with a significant level of impairment. Little systematic study has focused on gender differences specific to individuals both AD PTSD. The current examined gender-specific associations between PTSD symptom severity, drinking cope (i.e., reduce negative affect), for enhancement increase positive average alcohol use in clinical sample men (n = 46) women Results indicated that...
Abstract Background Access to transition-related medical interventions (TRMIs) for transgender veterans has been the subject of substantial public interest and debate. To better inform these important conversations, current study investigated whether undergoing hormone or surgical transition intervention(s) relates frequency recent suicidal ideation (SI) symptoms depression in veterans. Methods This included a cross-sectional, national sample 206 self-identified They self-reported basic...
Correlates of past‐year suicidal ideation and lifetime suicide risk among a national sample transgender veterans were examined. An online, convenience 212 U.S. participated in cross‐sectional survey February–May 2014. We evaluated associations between sociodemographic characteristics, stigma, mental health, psychosocial resources with plans attempts. Participants reported high rates (57%) as well history plan or attempt (66%). Transgender‐related felt stigma during military service current...
Prejudice against gay men and lesbians could be driven by at least two types of expectancy violations: those pertaining to sexual orientation per se, perceived violations traditional gender roles (e.g., the fact that are often inferred feminine masculine). However, it is unclear whether one or other (or both) these actually important in driving prejudicial reactions. In a completely crossed design, participants were asked evaluate target who varied with respect biological sex, orientation,...
Summary and Recommendations Self-disclosure is a broad term that includes psychotherapistsverbal nonverbal, intentional unintentional, avoidable andunavoidable disclosures about themselves their lives. Themeaning of self-disclosure can commonly be understood onlywithin the context psychotherapy, which client, setting,type psychotherapist factors. Self-disclosures are clinically appropriate in one may notbe another. Some treatment plans call for extensive while others minimal...
The pervasive use of Internet technologies has created new ethical dilemmas for psychology trainees andprofessionals. In particular, Web sites that allow users to post personal information have sparkedcontroversy regarding the amount freedom psychologists should in placing informationonline and how discovering such may impact professional relationships, including thetherapeutic relationship. Results from a graduate student survey ( N 302) address prevalence theuse online social networking...
Childhood sexual abuse (CSA) has several deleterious effects on health and well-being, including increased risk for rape in adulthood. Such revictimization experiences are linked to negative mental outcomes. The vast majority of literature prevalence impact focused heterosexual women. In an effort extend this research lesbians gay men, who known face higher rates both CSA adult rape, we conducted a study ( N = 871) comparing lesbians, women correlates revictimization. Results indicated that...
According to recent census reports, nearly a million veterans have same-sex partner, yet little is known about them or their use of Veterans Health Care Administration (VHA) services. Gay, lesbian, and bisexual (GLB) recruited from the community (N = 356) completed an on-line survey assess rates VHA utilization whether they experience specific barriers accessing Andersen's model health care was adapted provide analytic conceptual framework. Overall, 45.5% reported lifetime 28.7% past-year...