- Maternal Mental Health During Pregnancy and Postpartum
- Prenatal Substance Exposure Effects
- Opioid Use Disorder Treatment
- Veterinary Pharmacology and Anesthesia
- Schizophrenia research and treatment
- Personality Disorders and Psychopathology
- Treatment of Major Depression
- Mental Health and Psychiatry
- Maternal and Perinatal Health Interventions
- Homelessness and Social Issues
University of Colorado Denver
2019-2024
University of Colorado Anschutz Medical Campus
2020
Denver Health Medical Center
2020
May Institute
2019
Abstract Unintentional overdose is a leading driver of maternal death in Colorado. The high volume deaths from preventable causes lends questions to failures our clinical and community‐based care for pregnant postpartum people. Colorado Maternal Mortality Review Committee identified 3 main contributors including stigma the community health system, fragmentation need more clinician training. Perinatal Care Quality Collaborative led 3‐pronged intervention address these challenges improve...
Initiating opioid use disorder treatment with buprenorphine conventionally requires the cessation of other medications, including tramadol. Tramadol's spectrum activity differs from most opioids, acting through serotonin and norepinephrine reuptake inhibition. Here, we report a case 45-year-old man who experienced complicated transition tramadol to buprenorphine. We believe there were similarities antidepressant discontinuation syndrome, which could be explained by tramadol's serotoninergic...
Patients with borderline personality disorder (BPD) represent a population increased care needs and high provider demand, even in the best cases of quality integrated primary care. The current article outlines complexities working patients BPD care, including when transition to specialty mental health sector may be warranted. Core factors around transitions (between sector) have been identified. These included suicidal ideations, psychiatric hospitalizations/conditions, physician...
Caring for pregnant people with substance use requires knowledge about specific substances used, treatment options, and an integrated, trauma-informed care team. This chapter will discuss crucial information clinicians regarding evidence-based practice screening, intervention, ongoing support their families impacted by use.