Sign In

Stacy Sterling, DrPH, MSW, MPH

People

Kaiser Permanente Division of Research
2000 Broadway
Oakland, CA 94612

(510) 891-3614 (phone)


 
Stacy Sterling, DrPH, MSW, MPH, is with the Drug and Alcohol Research Team (DART) and the Behavioral Health Research Initiative. She received her doctoral training at the University of North Carolina Gillings School of Global Public Health, and her Master's degrees in Public Health and Social Welfare at the University of California, Berkeley. Her research interests include developing systems for implementing evidence-based, integrated, behavioral health services into primary care, adolescent behavioral health prevention and early intervention, and alcohol and drug and mental health treatment outcomes and access. She is the Principal Investigator of a study funded by the Conrad N. Hilton Foundation to develop predictive models for adolescent substance use problem development; the Kaiser Permanente Principal Investigator on a trial funded by the Hilton Foundation of single vs. multisession screening, brief intervention and referral to treatment (SBIRT) for adolescents and parents in pediatric primary care; the Kaiser Permanente Principal Investigator of an National Institutes of Health National Institute of Alcohol Abuse and Addiction adolescent SBIRT trial in pediatric primary care and of an NIH/NIAAA survey of pediatrician attitudes toward and practices of adolescent behavioral-health risk screening and intervention; and of studies funded by the Robert Wood Johnson Foundation and Center for Substance Abuse Treatment of adolescents in drug and alcohol treatment in Kaiser Permanente. She has overseen the implementation of region-wide alcohol SBIRT in Kaiser Permanente Northern California adult primary care.

Current Position(s):

  • Research Scientist I, Division of Research, Kaiser Permanente Northern California

Section Affiliations:

Primary Research Interests:

  • Adolescent behavioral health (risk behavior prevention and early intervention)
  • Integrated behavioral health care
  • Implementation science
  • Alcohol and drug services research: outcomes, access and cost and utilization
  • Behavioral health policy
  • Childhood trauma and toxic stress

    A Pragmatic Trial of Parent-Focused Prevention in Pediatric Primary Care: Implementation and Adolescent Health Outcomes in Three Health Systems

    ​A Pragmatic Trial of Parent-Focused Prevention in Pediatric Primary Care: Implementation and Adolescent Health Outcomes in Three Health Systems


    Investigator: Sterling, Stacy
    Funder: 

    Evaluation of a Clinical Quality Improvement Pilot of Adverse Childhood Experiences Screening and Brief Intervention in Pediatric Primary Care

    This study will evaluate a quality improvement pilot project being conducted at pediatrics departments in the greater Kaiser Permanente Southern Alameda County area. The pilot project involves screening children at 1-to-5-year-old well child visits for adverse childhood experiences or trauma exposure and providing clinical follow-up and information and referral services for those who screen positive. This project aims to 1) evaluate the acceptability to clinicians of screening for adverse childhood experiences, 2) measure screening rates for adverse childhood experiences following the change in workflow, 3) evaluate the acceptability of such screening to parents, and 4) examine overall prevalence of adverse childhood experiences or trauma exposure among parents of patients receiving pediatric care. The study will test how demographic characteristics (race and ethnicity, age, gender, socio-economic status, insurance type) and clinical factors, including medical and psychiatric diagnoses, relate to prevalence and number of adverse childhood experiences and examine associations between such experiences and health and mental health comorbidities, as well as care services utilization.
    Investigator: Sterling, Stacy
    Funder: The Permanente Medical Group

    An Evaluation of the National Zero Suicide Model Across Learning Health Care Systems

    This study seeks to develop metrics for evaluation of the Zero Suicide model across five integrated health care systems. These metrics will be used to investigate model fidelity and suicide behavior outcomes across sites. More specifically, this project aims to: 1) Collaborate with health system leaders to develop electronic health record metrics to measure specific quality improvement targets and care processes tailored to local National Zero Suicide Model implementation, 2) Examine the quality and fidelity of the specific National Zero Suicide Model care processes implemented in each system, and 3) Investigate suicide attempt and suicide mortality outcomes within and across systems.
    Investigator: Sterling, Stacy
    Funder: National Institute of Mental Health

    Population-Based Screening and Brief Intervention in Primary Care: Health and Drinking Outcomes, Cost and Utilization

    In June 2013, Kaiser Permanente Northern California incorporated alcohol screening, brief intervention, and referral to treatment (SBIRT) into the clinical workflow of its Adult Medicine program, alongside other preventive health measures (e.g., smoking screening, exercise, cancer screening, etc.). SBIRT has demonstrated effectiveness in improving drinking outcomes among primary care patients. However, these patients frequently have comorbid conditions that also require management by primary care physicians. Beyond drinking outcomes, what if any additional beneficial health outcomes can be attributed to SBIRT for primary care patients who drink above recommended guidelines? Using population-level data, this observational, prospective cohort study will examine the effects of system-wide implementation of alcohol SBIRT in adult primary care within Kaiser Permanente Northern California, with a focus on health and drinking outcomes, as well as health care utilization and costs, over time.
    Investigator: Sterling, Stacy
    Funder: National Institute on Alcohol Abuse and Alcoholism

    Detection, Treatment and Follow-up of Unrecognized Behavioral Health Problems in the Emergency Department

    Behavioral health (BH) problems frequently exacerbate medical conditions of emergency department (ED) patients and contribute to ongoing suboptimal healthcare utilization. Because non-crisis BH problems are often undetected in the ED, we evaluate an innovative model of care that incorporates a BH resource person in the ED to address the BH concerns of non-critical ED patients. This evaluation study examines the feasibility and impact of this model of care on patients’ service utilization patterns in a before/after interventional study design. We characterize the types and scope of BH problems among all adult (18+ years old) patients with non-critical medical conditions presenting for care in the San Leandro Medical Center ED during a 16-month period (8 months pre-implementation of the BH resource person and 8 months post). Our research questions are: (1) To what extent does this model of care improve the detection, brief treatment, and follow-up of ED patients with non-crisis BH conditions? (2) What is its impact on ED patient flow as well as care team attitudes toward behavioral problems? We will use the electronic health record to characterize BH diagnoses and symptomatology among the non-critical ED population as well as to measure rates of specialty BH treatment (Psychiatry and Chemical Dependency) referral, initiation and engagement, ED and primary care utilization, and use of KPNC electronic resources, such as the patient portal. We also examine the feasibility of embedding a BH resource person in the ED.
    Investigator: Sterling, Stacy
    Funder: Northern California Community Benefit Programs

    Video Consultation to Increase Integration of Primary Care and Addiction Medicine and Improve Alcohol-Related Health Outcomes

    KPNC has been a leader in implementing alcohol SBIRT as part of routine primary care with its Alcohol as a Vital Sign initiative, which involves medical assistants (MAs) screening all patients in Adult Medicine and Family Practice for alcohol problems, and primary care providers (PCPs) delivering brief advice to patients who screen positive. However, brief primary-care interventions have been less successful at addressing the needs of patients with more severe alcohol problems. For this pilot study, we will utilize existing technologies to develop and pilot the use of KPNC secure video consultations by Addiction Medicine clinicians with patients and physicians in primary care. The team has already formed strong working relationships with key stakeholders in KPNC Primary Care, Addiction Medicine, and Information Technology.
    Investigator: Sterling, Stacy
    Funder: Garfield Memorial Fund

    Development of Predictive Models for the Development of Adolescent Substance Use Problems

    The objective of this study is to develop models to predict the development of substance use disorders (SUDs) among adolescents in four health systems: KPNC, KPHI, Henry Ford and Geisinger. We will focus on EHR data available during study period from birth cohorts with dates of birth occurring during 1997-2003 to examine the predictors of developing a SUD between the ages of 12-18. We will use the data infrastructure and resources of the Addiction Research Network of the HCSRNs VDW to develop predictive models for the development of adolescent SUDs. The four systems offer significant geographic, demographic, delivery design, and socioeconomic and epidemiological diversity, enhancing the generalizability of findings while also providing significant coverage of the national population. The goal is to identify high risk children for feasible, cost-effective, targeted prevention and intervention.
    Investigator: Sterling, Stacy
    Funder: Conrad N. Hilton Foundation

    Evaluation of SBIRT for Adolescents in School and Pediatric Health Settings

    This study examines the effectiveness of a group intervention (“Teen MPower”) for adolescents with behavioral health problems at improving patient outcomes and increasing specialty behavioral health treatment access, and examining barriers to and facilitators of implementation. Behavioral health problems – depression, anxiety, stress and alcohol and drug use – are highly prevalent among adolescents, nationally and within KPNC. These problems are associated with costly utilization, cause significant distress and morbidity, and if left unaddressed, often require specialty psychiatric or chemical dependency treatment. This group intervention offers a potentially cost-effective alternative to individualized interventions. We use a randomized controlled trial design to implement two study arms, Teen MPower Groups and Individual Brief Intervention sessions. We assess patients at intake, immediately post-intervention, and at 6 months to collect patient outcomes (e.g. substance use, mood and anxiety symptoms, and related problems stressors). We use Health Connect data to compare specialty treatment engagement. We closely observe the implementation process to examine the factors which may facilitate or impede implementation. This study will take place in two settings: KP Oakland Pediatrics and high schools in Minnesota, and the two study components are conducted completely independently, aside from regular collaborative calls between the study teams. The study will compare effectiveness of different aspects of the model by site.
    Investigator: Sterling, Stacy
    Funder: Conrad N. Hilton Foundation
    No results found matching criteria

    Adverse Childhood Experiences and Mental and Behavioral Health Conditions During Pregnancy: The Role of Resilience

    Author(s): Young-Wolff KC; Alabaster A; McCaw B; Stoller N; Watson C; Sterling S; Ridout KK; Flanagan T

    J Womens Health (Larchmt). 2018 Sep 05.

    PubMed abstract

    Depression Screening Rates and Symptom Severity by Alcohol Use Among Primary Care Adult Patients

    Author(s): Hirschtritt ME; Kline-Simon AH; Kroenke K; Sterling SA

    J Am Board Fam Med. 2018 Sep-Oct;31(5):724-732.

    PubMed abstract

    Medical and non-medical marijuana use in depression: Longitudinal associations with suicidal ideation, everyday functioning, and psychiatry service utilization

    Author(s): Bahorik AL; Sterling SA; Campbell CI; Weisner C; Ramo D; Satre DD

    J Affect Disord. 2018 Dec 01;241:8-14. Epub 2018-07-17.

    PubMed abstract

    Association of behavioral health factors and social determinants of health with high and persistently high healthcare costs

    Author(s): Sterling S; Chi F; Weisner C; Grant R; Pruzansky A; Bui S; Madvig P; Pearl R

    Prev Med Rep. 2018 Sep;11:154-159. Epub 2018-06-27.

    PubMed abstract

    Pediatrician and Behavioral Clinician-Delivered Screening, Brief Intervention and Referral to Treatment: Substance Use and Depression Outcomes

    Author(s): Sterling S; Kline-Simon AH; Weisner C; Jones A; Satre DD

    J Adolesc Health. 2018 Jan 23.

    PubMed abstract

    Adverse impact of marijuana use on clinical outcomes among psychiatry patients with depression and alcohol use disorder

    Author(s): Bahorik AL; Campbell CI; Sterling SA; Leibowitz A; Travis A; Weisner CM; Satre DD

    Psychiatry Res. 2017 Oct 19;259:316-322. Epub 2017-10-19.

    PubMed abstract

    CREATE Wellness: A multi-component behavioral intervention for patients not responding to traditional Cardiovascular disease management

    Author(s): Miller-Rosales C; Sterling SA; Wood SB; Ross T; Richardson MC; Samayoa C; Charvat-Aguilar N; Vo M; Whelan K; Uratsu CS; Grant RW; et al.

    Contemp Clin Trials Commun. 2017 Dec;8:140-146. Epub 2017-10-04.

    PubMed abstract

    Specialty addiction and psychiatry treatment initiation and engagement: Results from an SBIRT randomized trial in pediatrics

    Author(s): Sterling S; Kline-Simon AH; Jones A; Satre DD; Parthasarathy S; Weisner C

    J Subst Abuse Treat. 2017 Nov;82:48-54. Epub 2017-09-10.

    PubMed abstract

    Alcohol brief intervention in primary care: Blood pressure outcomes in hypertensive patients

    Author(s): Chi FW; Weisner CM; Mertens JR; Ross TB; Sterling SA

    J Subst Abuse Treat. 2017 Jun;77:45-51. Epub 2017-03-22.

    PubMed abstract

    Socioeconomic differences in adolescent substance abuse treatment participation and long-term outcomes

    Author(s): Lui CK; Sterling SA; Chi FW; Lu Y; Campbell CI

    Addict Behav. 2017 May;68:45-51. Epub 2017-01-06.

    PubMed abstract

    Patterns of marijuana use among psychiatry patients with depression and its impact on recovery

    Author(s): Bahorik AL; Leibowitz A; Sterling SA; Travis A; Weisner C; Satre DD

    J Affect Disord. 2017 Apr 15;213:168-171. Epub 2017-02-14.

    PubMed abstract

    Marijuana use and service utilization among adolescents 7 years post substance use treatment

    Author(s): Campbell CI; Sterling S; Chi FW; Kline-Simon AH

    Drug Alcohol Depend. 2016 Aug 23;168:1-7. Epub 2016-8-23.

    PubMed abstract

    The role of hazardous drinking reductions in predicting depression and anxiety symptom improvement among psychiatry patients: A longitudinal study

    Author(s): Bahorik AL; Leibowitz A; Sterling SA; Travis A; Weisner C; Satre DD

    J Affect Disord. 2016 Jul 19;206:169-173. Epub 2016-7-19.

    PubMed abstract

    Examination of the Effects of an Intervention Aiming to Link Patients Receiving Addiction Treatment With Health Care: The LINKAGE Clinical Trial

    Author(s): Weisner CM; Chi FW; Lu Y; Ross TB; Wood SB; Hinman A; Pating D; Satre D; Sterling SA

    JAMA Psychiatry. 2016 Jun 22.

    PubMed abstract

    Physician versus non-physician delivery of alcohol screening, brief intervention and referral to treatment in adult primary care: the ADVISe cluster randomized controlled implementation trial

    Author(s): Mertens JR; Chi FW; Weisner CM; Satre DD; Ross TB; Allen S; Pating D; Campbell CI; Lu YW; Sterling SA

    Addict Sci Clin Pract. 2015;10(1):26. Epub 2015-11-19.

    PubMed abstract

    Implementation of Screening, Brief Intervention, and Referral to Treatment for Adolescents in Pediatric Primary Care: A Cluster Randomized Trial

    Author(s): Sterling S; Kline-Simon AH; Satre DD; Jones A; Mertens J; Wong A; Weisner C

    JAMA Pediatr. 2015 Nov 2;169(11):e153145. Epub 2015-11-02.

    PubMed abstract

    Motivational interviewing to reduce hazardous drinking and drug use among depression patients

    Author(s): Satre DD; Delucchi K; Lichtmacher J; Sterling SA; Weisner C

    J Subst Abuse Treat. 2013 Mar;44(3):323-9. Epub 2012 Sep 19.

    PubMed abstract

    12-step participation and outcomes over 7 years among adolescent substance use patients with and without psychiatric comorbidity

    Author(s): Chi FW; Sterling S; Campbell CI; Weisner C

    Subst Abus. 2013;34(1):33-42.

    PubMed abstract

    Integrating Substance Use Treatment Into Adolescent Health Care

    Author(s): Sterling S; Valkanoff T; Hinman A; Weisner C

    Curr Psychiatry Rep. 2012 Oct;14(5):453-61.

    PubMed abstract

    Screening for adolescent alcohol and drug use in pediatric health-care settings: predictors and implications for practice and policy

    Author(s): Sterling S; Kline-Simon AH; Wibbelsman C; Wong A; Weisner C

    Addict Sci Clin Pract. 2012;7(1):13. Epub 2012-08-16.

    PubMed abstract

    Patterns of alcohol and drug use among depressed older adults seeking outpatient psychiatric services

    Author(s): Satre DD; Sterling SA; Mackin RS; Weisner C

    Am J Geriatr Psychiatry. 2011 Aug;19(8):695-703.

    PubMed abstract

    The time is now: missed opportunities to address patient needs in community clinics in Cape Town, South Africa

    Author(s): Sorsdahl K; Flisher AJ; Ward C; Mertens J; Bresick G; Sterling S; Weisner C

    Trop Med Int Health. 2010 Oct;15(10):1218-26.

    PubMed abstract

    Access to treatment for adolescents with substance use and co-occurring disorders: challenges and opportunities

    Author(s): Sterling S; Weisner C; Hinman A; Parthasarathy S

    J Am Acad Child Adolesc Psychiatry. 2010 Jul;49(7):637-46; quiz 725-6. Epub 2010 May 8.

    PubMed abstract

    Cognitive functioning is related to physical functioning in a longitudinal study of women at midlife

    Author(s): Ford K; Sowers M; Seeman TE; Greendale GA; Sternfeld B; Everson-Rose SA

    Gerontology. 2010;56(3):250-8. Epub 2009 Oct 10.

    PubMed abstract

    Medical Conditions of Hazardous Drinkers and Drug Users in Primary Care Clinics in Cape Town, South Africa

    Author(s): Mertens JR; Flisher AJ; Ward CL; Bresick GF; Sterling SA; Weisner CM

    J Drug Issues. 2009 Oct;39(4).

    PubMed abstract

    Three-year chemical dependency and mental health treatment outcomes among adolescents: the role of continuing care

    Author(s): Sterling S; Chi F; Campbell C; Weisner C

    Alcohol Clin Exp Res. 2009 Aug;33(8):1417-29. Epub 2009 Apr 30.

    PubMed abstract

    Twelve-Step affiliation and 3-year substance use outcomes among adolescents: social support and religious service attendance as potential mediators

    Author(s): Chi FW; Kaskutas LA; Sterling S; Campbell CI; Weisner C

    Addiction. 2009 Jun;104(6):927-39. Epub 2009 Mar 13.

    PubMed abstract

    Self-initiated tobacco cessation and substance use outcomes among adolescents entering substance use treatment in a managed care organization

    Author(s): Campbell CI; Chi F; Sterling S; Kohn C; Weisner C

    Addict Behav. 2009 Feb;34(2):171-9. Epub 2008 Oct 10.

    PubMed abstract

    Prevalence and correlates of substance use among South African primary care clinic patients

    Author(s): Ward CL; Mertens JR; Flisher AJ; Bresick GF; Sterling SA; Little F; Weisner CM

    Subst Use Misuse. 2008;43(10):1395-410.

    PubMed abstract

    Adolescents entering chemical dependency treatment in private managed care: ethnic differences in treatment initiation and retention

    Author(s): Campbell CI; Weisner C; Sterling S

    J Adolesc Health. 2006 Apr;38(4):343-50.

    PubMed abstract

    Translating research findings into practice: example of treatment services for adolescents in managed care

    Author(s): Sterling S; Weisner C

    Alcohol Res Health. 2006;29(1):11-8.

    PubMed abstract

    Adolescents with co-occurring substance use and mental conditions in a private managed care health plan: prevalence, patient characteristics, and treatment initiation and engagement

    Author(s): Chi FW; Sterling S; Weisner C

    Am J Addict. 2006;15 Suppl 1:67-79.

    PubMed abstract

    Adolescents in private chemical dependency programs: who are most at risk for HIV?

    Author(s): Ammon L; Sterling S; Mertens J; Weisner C

    J Subst Abuse Treat. 2005 Jul;29(1):39-45.

    PubMed abstract

    Chemical dependency and psychiatric services for adolescents in private managed care: implications for outcomes

    Author(s): Sterling S; Weisner C

    Alcohol Clin Exp Res. 2005 May;29(5):801-9.

    PubMed abstract

    Substance abuse and HIV risk behaviours amongst primary health care service users in Cape Town

    Author(s): Ward CL; Mertens JR; Flisher AJ; Bresick GF; Sterling S; Distiller GB; Weisner CM

    S Afr Psychiatry Rev. 2005;8:160-5.

    PubMed abstract

    Pathways to chemical dependency treatment for adolescents in an HMO

    Author(s): Sterling S; Kohn C; Lu Y; Weisner C

    J Psychoactive Drugs. 2004 Dec;36(4):439-53.

    PubMed abstract

    Adolescents with substance diagnoses in an HMO: factors associated with medical provider referrals to substance abuse and mental health treatment

    Author(s): Scott M; Parthasarathy S; Kohn C; Hinman A; Sterling S; Weisner C

    Ment Health Serv Res. 2004 Mar;6(1):47-60.

    PubMed abstract

    Services integration and cost-effectiveness

    Author(s): Hilton ME; Fleming M; Glick H; Gutman MA; Lu Y; McKay J; McLellan AT; Manning W; Meadows J; Mertens JR; Moore C; Mullahy J; Mundt M; Parthasarathy S; Polsky D; Ray GT; Sterling S; Weisner C

    Alcohol Clin Exp Res. 2003 Feb;27(2):271-80.

    PubMed abstract