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    • Epidemiology & Impact of Psychosis
    • Cognitive Behavioral Therapy for psychosis (CBTp)
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SPIRIT Center at the University of Washington
  • What We Do
    • Improving Health & Healthcare
    • Epidemiology & Impact of Psychosis
    • Cognitive Behavioral Therapy for psychosis (CBTp)
    • Early Psychosis
    • Family & Caregiver Support Programs
    • Assertive Community Treatment (ACT)
  • Who We Are
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    • What is Psychosis?
    • What Are the Evidence-Based Treatments for Psychosis?
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    • What Resources Can I Access Now?
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  • Research
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    • Cognitive Behavioral Therapy for psychosis (CBTp)
    • Family & Caregiver Support Programs
    • Early Psychosis
    • Assertive Community Treatment (ACT)
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Document Library

  • Assertive Community Treatment (ACT)
    • ACT Psychiatric Care Provider Series
      • Cardiovascular Health for Individuals with Serious Mental Illness - Dr. Martha Ward
      • Pharmacologic Considerations for ACT Team Prescribers: Focus on Clozapine and Long-Acting Injectable Antipsychotic Medications (LAIs) - Dr. Donna Rolin, Dr. Robert Cotes
      • Updating Substance Use Disorder Care in the Age of Fentanyl and Stimulants: Implementation of Harm Reduction and Treatment - Dr. Jeremy Weleff, Dr. Tumenta Terence
      • What Makes ACT Psychiatry the Best Job on the Planet! - Dr. Ann Hackman, Dr. Steve Harker
    • ACT Team Leader Series
      • “We are not going to fail”: ACT Team Leaders Focus on Team Well-Being - Lynette M. Studer PhD MSW LCSW, Maria Monroe-DeVita PhD, Mimi Choy-Brown PhD MSW
      • Keeping our ACT Together: Team Leader Challenges & Strategies in Sustaining ACT - Lynette M. Studer PhD MSW LCSW, Maria Monroe-DeVita PhD, Mimi Choy-Brown PhD MSW
      • The Pivotal Role of ACT Team Leaders - Lynette M. Studer PhD MSW LCSW, Maria Monroe-DeVita PhD, Mimi Choy-Brown PhD MSW
    • National ACT Consultation Call Presentations
      • ACT as part of the Crisis Response System: Upstream and Downstream Points of Intervention - Chris Fournier, MA, LCMHC
      • ACT Clients and High-Risk Behaviors: Our Role in Supporting Them Through the Their Recovery Journey - Melissa Maxey LISW-S LE
      • ACT Team Panel: Collaborative Engagement within ACT
      • ACT Team Panel: Giving and Celebrating During the Holidays
      • Being Too Assertive or Not Assertive Enough: Navigating an Important but Challenging Space within ACT - Lorna Moser PhD
      • Benchmarking ACT Service Recipient Circumstances and Experiences - – Lorna Moser PhD, Maria Monroe-DeVita, PhD
      • Building Engagement and Understanding through the ACT Comprehensive Assessment - Maria Monroe-DeVita PhD
      • Caring with intention: For yourself, your clients, and your coworkers - Michelle P. Salyers PhD
      • Cognitive Behavioral Social Skills Training (CBSST) - Eric Granholm PhD
      • Expanding Perspectives on Treatment: Community Participation Is Medical Necessity - Dr. Mark Salzer
      • Finding Stability: Navigating Cravings in the Midst of Psychosis - Amanda Kantaras
      • Forensic ACT (FACT) Panel Discussion - Liz Middleton, Randy Plante, Robyn Wheeler, Steve Harker
      • Let’s Talk ACT Peers -- Panel Discussion
      • More on Psychosis REACH: A Novel CBT-informed Care Approach for Working with Families and Natural Supports - Lorna Moser PhD, Maria Monroe-DeVita, PhD
      • OCEACT ACT Nursing Onboard Training - Heidi Herinckx MA, Juli Templeton RN BSN QMHP TTS
      • Person-Centered Planning as a Process and Not an Event with Dr. Lorna Moser
      • Principles and Practices of Risk Assessment: Introducing the Short-Term Assessment of Risk and Treatability (START) - Sarah Desmarais PhD
      • Psychosis REACH: A CBT-informed Care Approach for Families and Caregivers - Sarah Kopelovich PhD
      • Risk Assessment and Management in the Context of ACT - Sarah Desmarais PhD
      • Social Cognition and Interaction Training (SCIT) for Schizophrenia with David Penn
      • Tools and Strategies for Using Cognitive Behavioral Therapy for Psychosis (CBT-p) within ACT Teams - Sarah Kopelovich PhD
      • Using CBT to Collaboratively Improve Relapse Prevention Planning with your Clients - Jen Gottleib PhD
      • What Your ACT Daily Team Meeting May Reveal About Overall Practice - Lorna Moser PhD
  • Behavioral Health Supervisors & Leadership
    • Conscious Leadership and Advocacy in Mental Health Through a Polyvagal Lens - Rebekah Demirel, L.Ac, MPCC
    • From Coworker to Supervisor: Tips to transition effectively - Bianca Andrews
    • Grief, Exhaustion, and Finding Vitality in Behavioral Health Care For Supervisors & Leadership - Kira Mauseth, PhD
    • Holistic Leadership Mindset: Creating Cultures of Wellness, Compassion, & Growth - Lamarr Lewis, MA, LAPC, CPRP
    • Leader Kaleidoscope for Multicultural Supervisors: Supporting Our Teams - Aleks Martin, LSWAIC, SUDP
    • Organizational Culture Change: Facilitating the Development of Healthy Working Teams - Kira Mauseth, PhD
    • Staff Kaleidoscope for Multicultural Providers: Perspective on Our Field - Aleks Martin, LSWAIC, SUDP
    • Strengthening Clinical Supervision in Mental Health Care - Minu Ranna-Stewart, LICSW, & Naomi Leong, LMHC
    • Wisdom to Know the Difference: A Webinar for Supervisors - Rebekah Demirel, L.Ac, MPCC
  • Crisis Topics
    • "LEND A HAND": A Crisis Management, Triage and De-escalation Model - Kira Mauseth PhD
    • 988 in Washington State: Sharing the Journey - Lucilla Mendoza MSW CPP, Rochelle Williams MS, Tina Orwall MSW, Vicki Lowe
    • Behavioral Health Crisis Response Systems Webinar Series
      • Creating and Sustaining High Quality Crisis Services: Lessons from Arizona - Margie Balfour MD PhD
      • Designing and Implementing Ideal Behavioral Health Crisis Systems - Ken Minkoff MD
      • Implementing New Crisis Services: The View from the Ground Up - Michael Flaum MD
    • Culturally Informed Crisis Support: Themes for Behavioral Health Intervention - Kira Mauseth PhD, Salsabiel Alzubaidi MA
    • De-Escalation & Personal Safety Through a Trauma-Informed Lens - Martin Reinsel LMHC
    • De-escalation: How to Approach Volatile Behavior in a Clinical Setting - Lonnie Nelson PhD
    • Disaster Behavioral Health Team to Poland and Ukraine for Crisis - Kira Mauseth PhD
    • International Ties: Disaster Behavioral Health with a Global Lens - Kira Mauseth PhD
    • Mental Health Impacts of Climate Change: An Overview - Kristie Ebi PhD MPH, Susan Clayton PhD, Sherilee Harper MSc PhD
    • Psychological First Aid Webinar Series
      • Psychological First Aid for Leadership - Michele Bedard-Gilligan PhD & Emily Dworkin PhD
      • Psychological First Aid for Service Providers - Michele Bedard-Gilligan PhD & Emily Dworkin PhD
    • Responding to Disasters: Principles and Considerations for Behavioral Health - Kira Mauseth PhD
  • Cultural Considerations and Equity Topics
    • American Indian & Alaska Native Communities
      • Addressing Barriers and Highlighting Innovations in Telebehavioral Health - Chris Fore PhD, Melody McKee MS SUDP, Cara Towle MSN RN MA et al
      • Cultural Adaptation of a Suicide Prevention Trial for Indian Country - Lonnie Nelson PhD
      • Cultural Elements of Native Mental Health with a Focus on Rural Issues - Raymond Daw MA
      • Introduction to Telebehavioral Health - Chris Fore PhD, Melody McKee MS SUDP, Cara Towle MSN RN MA et al
      • It Takes a Village: Psychiatric Services at the Lummi Nation - George Van, MD, Jessica McLendon CMA, and Cedric Robertston
    • Anti-Racist and Equity Topics
      • Developing Anti-Racism Strategies in Behavioral Health Agencies - Ashley Stewart MSW PhD
      • Do You See Me? Moving from Intolerance to Acceptance - Sherronda Jamerson MA CDP
      • Do You See Me?: Silence vs. Voicelessness - Sherronda Jamerson MA CDP
      • Equity, Recovery, & Resilience - Ashley Stewart MSW PhD
      • Leadership and Hiring with a Culturally Appropriate and Affirming Lens - Bianca Andrews
      • Practical steps to address bias, privilege and discrimination as a behavioral health professional - Bianca Andrews
      • Reducing Racial and Ethnic Disparities in Mental Health Care - Pamela Collins MD MPH
      • So You Want to Be an Ally - Sherronda Jamerson MA CDP
      • Social Justice and Inclusion - Akansha Vaswani-Bye PhD and Sarah Fikre
      • Talking About Equity in Action - Ashley Stewart MSW PhD
      • Truth, Trauma and Equity-Informed Solutions - Ashley Stewart MSW PhD
      • When Race/Racism is the Elephant in the Room: How to Bring Up Race in Therapeutic Conversations and Not Come Undone - Sherronda Jamerson MA CDP
      • White Trauma - Sherronda Jamerson MA CDP
    • Culturally Responsive Practices
      • Cultural Humility and Responsiveness as a Mental Health Professional - Lamarr Lewis MA LAPC CPRP
      • Culturally and Linguistically Responsive Care for Early Psychosis - Jorge Ramirez Garcia, PhD
      • Integration of NCLAS in Health Services Delivery - Suganya Sockalingam PhD and Scott van Loo MA
      • South Asian America: Considerations for Mental Health Practitioners - Atrayee Mukherjee M.S.Ed. LMHCA
    • Hispanic & Latinx Communities
      • Amigas Latinas Motivando el Alma (ALMA): Addressing Mental Health Needs Among Latina Immigrant Women in Washington State - India Ornelas PhD
      • Increasing Cultural Connection with Hispanic and Latinx Clients: Assessing the Cultural Adaptation Needs of the Organization and Clinician - Michelle Evans, DSW LCSW CADC
      • Increasing Cultural Connection with Hispanic and Latinx Clients: Incorporating Strategies to Effectively Engage Hispanic and Latinx Clients - Michelle Evans, DSW LCSW CADC
      • Increasing Cultural Connection with Hispanic and Latinx Clients: Understanding the Cultural Needs of the Hispanic and Latinx Client - Michelle Evans, DSW LCSW CADC
      • Suicide-related risk in Latinx/Hispanic Youth - Lillian Polanco-Roman PhD
    • LGBTQIA+ Communities
      • LGBTQIA2S+ Inclusion in Clinical Practice - Li Brookens LCSW CGP, Virginia Sanford LPC, The Umbrella Collective
      • Navigating the Tough Stuff: LGBTQ Suicide Awareness for Families - Shawna Canaga Peer Family Support Specialist
      • Navigating the Tough Stuff: LGBTQ Suicide Prevention for Families - Shawna Canaga Peer Family Support Specialist
      • Queer and Trans Youth Mental Health: Trauma-Informed & Anti-Racist Co-Conspiratorship - Ryan Kim Tieu LCSWA
      • Queering Supervision - Leah Post LICSW MSW MPH
      • Substance Use: Working with Sexual and Gender Minority (SGM) Populations - Leah Post LICSW MSW MPH
      • Transgender Mental Health: Co-Conspiratorship - Ryan Kim Tieu LCSWA
  • Evidence-Based Psychotherapy for Psychosis
    • Brief Behavioral Skills Modules
      • Behavioral Activation - Kari Stephens PhD, Patrick Raue PhD
      • CBT for Anxiety (CBT-A) - Kari Stephens PhD, Patrick Raue PhD
      • DBT Distress Tolerance Skills - Kari Stephens PhD, Patrick Raue PhD
    • Cognitive Behavioral Therapy (CBT) and CBT for Psychosis (CBTp)
      • Clinical Innovations National Series: Telehealth and Cognitive Behavioral Therapy for Psychosis (CBTp) - Sarah Kopelovich PhD
      • Essentials of Care for Supporting Individuals with Serious Mental Illness - Jeffery Roskelley LICSW, Melvin LaBelle III LMHC, Sarah Kopelovich PhD, Shannon Stewart LMHC
      • Group CBTp by Teletherapy - Tania Lecomte PhD
  • Forensic Mental Health
    • Cognitive Behavioral Therapies for Serious Mental Illness in High Security Settings - Sarah Kopelovich PhD
    • Forensic Mental Health Practice and Training: Expanding Programming in Washington - Jennifer Piel MD JD
    • Your Role in Advancing Evidence-Informed, Behavioral Health Policymaking - Jennifer Piel MD JD
  • Integrated Care
    • Integrated Care Webinar Series
      • Achieving Healthy Weight for Mental Health Consumers - Gail Daumit MD
      • Advancing Equity in Cancer Care for People with Mental Illness - Kelly Irwin MD
      • Good News for Our Patients Who Smoke - A. Eden Evins MD MPH
      • It Takes a Village: Psychiatric Services at the Lummi Nation - Robertson, Vana and McLendon
      • Primary Care Behavioral Health Strategies Serving Rural Populations - Phillip Hawley PsyD
      • Reducing Racial and Ethnic Disparities in Mental Health Care - Pamela Collins MD MPH
      • Stigma Reduction Among People with HIV to Improve Health Outcomes - Deepa Rao PhD MA
    • Psychosis in Primary Care (UW PACC–ECHO)
      • Management of Psychosis in Primary Care Settings - Sarah Kopelovich PhD
      • Management of Psychosis in Primary Care Settings: Medical Management of Psychosis - Lydia Chwastiak MD MPH
    • Sexual Health: An Essential Part of Recovery
      • Discussing & Documenting Sexual Orientation and Gender Identity - Dayna Morrison BA MPH, Rachel Greim MPH
      • PrEP Talk: Enabling Mental Health Professionals to Lead in Prevention - Joanne Steckler MD MPH
      • Sexual Health: An Essential Part of Recovery Introduction - Laurie Sylla MHSA, Lydia Chwastiak MD MPH
      • The Syndemic of HIV, Sexually Transmitted Infections (STI) and Behavioral Health Disorders - Tim Menza MD PhD
  • Peer Support Topics
    • Additional Peer Support Topics
      • Listening to Voices of Lived Experience in Recovery - Ken Kraybill MSW, Racquel Garcia CEO HardBeauty
      • Peers Supporting People in Times of Crisis - Arianna Melinger, Heliana Ramirez, Kelechi Ubozoh, et al
      • Supervising Peer Recovery Support Professionals - Heath Hayes
    • In Partnership with Mental Health and Addiction Association of Oregon
      • Common Ground — Mental Health and Addiction Peers - Adrienne Scavera, Janie Gullickson MPA HA
      • Oral Health and the Peer-Supported Recovery Journey - Janie Gullickson MPA HA, Kevin Fitts, Reina Bower
      • Pandemic Pivots: Lessons Learned in Peer Suppor - Adrienne Scavera, Reina Bower, Terry Leckron Myers
      • Peer Delivered Services: A Broad Exploration - Adrienne Scavera, Janie Gullickson MPA HA
      • The Parallel Process: Trauma-Informed Considerations for Individuals and Organization - Kristin Griffey PSS PWS CRM
      • The Role of Peer Support and Pain Education in the Integrated Primary Care Team in Pain Treatment - Marikos, Stern
    • In Partnership with Oregon Family Support Network
      • Family Peer Support Series with Oregon Family Support Network - Candace Arnold, Shawna Canaga
      • More than a DSM Code: Addressing Stigma Experienced by Families - Carol Dickey MBA MS
      • Navigating the Tough Stuff: LGBTQ Suicide Prevention for Families - Shawna Canaga
      • Wraparound Family Partner Orientation - Candace Arnold
    • In Partnership with Pat Deegan and Associates
      • A Recovery-Oriented Approach to Professional Boundaries - Pat Deegan PhD
      • Navigating Risk: The Dignity of Risk and the Duty to Care - Pat Deegan PhD
      • Recovery-Oriented Practice Webinar Series Session 1: Navigating Risk: The Dignity of Risk and the Duty to Care - Pat Deegan PhD
      • Recovery-Oriented Practice Webinar Series Session 2: A Recovery-Oriented Approach to Professional Boundaries - Pat Deegan PhD
      • Recovery-Oriented Practice Webinar Series Session 3: The Journey to Use Meds Optimally to Support Recovery - Pat Deegan PhD
      • Recovery-Oriented Practice Webinar Series Session 4: The Journey to Use Meds Optimally to Support Recovery - Pat Deegan PhD
      • Supervising Peer Specialists: How supervision can help peer specialists remain peer when working on clinical teams - Pat Deegan PhD
      • The Journey to Use Meds Optimally to Support Recovery - Pat Deegan PhD
      • The Role of the Peer within a Clinical Team - Pat Deegan PhD
      • What does lived experience really mean and why is it important? - Pat Deegan PhD
    • In Partnership with Pathways Research and Training Center at Portland State University
      • Decision Points in Your Agency: What to Consider When Working with Youth Peers - Caitlin Baird, Maria Hermsen-Kritz
      • Youth Peer Support Webinar Series: Retaining and Growing the Youth Peer Support Workforce - Caitlin Baird, Maria Hermsen-Kritz
      • Youth Peer Support Webinar Series: Supporting Youth Peers During COVID-19 - Caitlin Baird, Maria Hermsen-Kritz
  • Provider Well-Being Recordings
    • Grief, Exhaustion, and Finding Vitality in Behavioral Health Care For Staff - Kira Mauseth PhD
    • Healthy Teams: Dynamics and Tactics for Successful Working Groups with Dr. Kira Mauseth - Kira Mauseth PhD
    • Living with Chronic Pain as a Healthcare Provider with Ahmad Bennett - Ahmad Bennett MA LMFTA MHP
    • Provider Well-being series with Aleks Martin
    • Provider Well-being series with C4 Innovations
    • Safe, Sane, and Stable in Turbulent Times - Rebekah Demirel L.Ac MPCC
    • Staff Kaleidoscope for Multicultural Providers: Perspective on Our Field - Aleks Martin LSWAIC SUDP
    • We Make The Path By Walking series with Rebekah Demirel
    • When is the crisis really over? Resilience for crisis line staff and teams - Kira Mauseth PhD
    • When is the crisis really over? Resilience for in-person crisis and first responder staff and teams - Kira Mauseth PhD
    • Wisdom to Know the Difference for Direct Service Providers - Rebekah Demirel L.Ac MPCC
    • Wisdom to Know the Difference: For Staff - Rebekah Demirel L.Ac MPCC
  • Substance Use and Co-Occurring Disorders
    • Co-occurring Disorders: Compassionate Care for Healing and Recovery - Elizabeth Black LADC
    • Harm Reduction 101 - Haven Wheelock
    • Healthy Connections to Overcome Addictions - Mike Grant LCSW, Yassine Diboun
    • Navigating the Tough Stuff: LGBTQ Suicide Awareness for Families - Shawna Canaga Peer Family Support Specialist
    • Opioid Overdose Prevention - Alison Newman MPH
    • Opioids, Overdose and Naloxone Administration - Sean Hemmerle
    • Supporting Caregivers in OUD Recovery and Promoting Prevention in Youth - Jim Leighty MSW LICSW, Margaret Kuklinski PhD
    • The More the Merrier? THC Potency in the Legalization Era (offered in collaboration with the Northwest PTTC) - Bia Carlini PhD MPH, Dr Michael McDonell, Liz Wilhelm CPP
  • Suicide Awareness, Intervention and Prevention
    • Maximizing Therapeutic Alliance in Suicide Risk Assessment, Management, and Treatment - Katherine Comtois PhD MPH
    • Navigating the Tough Stuff: LGBTQ Suicide Awareness for Families - Shawna Canaga Peer Family Support Specialist
    • Navigating the Tough Stuff: LGBTQ Suicide Prevention for Families - Shawna Canaga Peer Family Support Specialist
    • Suicide Prevention Training for Healthcare Professionals: Lessons from Idaho - Ali Shields LMSW, Ben Skaggs LCSW, Betsy Hammar MS, Jennifer Tachell M.Ed./Ed.S
    • The Impact of Mental Health First Aid - Breann Vandenberg
  • Tenants' Rights
    • Behavioral Health and Tenants’ Rights - Kranzler, Powell, Burton
    • Landlord Behavior and Behavioral Health: Dealing with Difficult Landlords - Elizabeth Powell, Kasey Burton
    • Making Room for Mental Health: Reasonable Accommodations and Modifications in Housing - Elizabeth Powell, Kasey Burton
    • Service Animals, Behavioral Health, and Housing - Kasey Burton
    • When Mental Health and Housing Subsidies Clash - Elizabeth Powell, Kasey Burton
  • Trauma-Informed Care
    • A Framework for Whole-Person Care in Behavioral Health - Ken Kraybill MSW
    • Lessons in Survival and Healing: Understanding the Difference and Why It Matters - Elaine Walters MS
    • Skills for Psychological Recovery (SPR) - Emily Dworkin PhD, Kristen Lindgren PhD, Michele Bedard-Gilligan PhD
    • Trauma-Informed Decision-Making for Mental Health Professionals - Rebekah Demirel L.Ac MPCC
    • Trauma-Informed Supervision & Resilience - Rebekah Demirel L.Ac MPCC
    • Trauma-Informed Systems of Care: How to See Your Setting Through a Survivor’s Eyes - Lonnie Nelson PhD
Training Library
Recent News
  • New Publication Alert: Cultural adaptation and preliminary evaluation of the psychosis REACH family intervention in Pakistan
  • Applying the Project ECHO Model to Support Implementation and Sustainment of Cognitive Behavioral Therapy for Psychosis
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