Stacy A. 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 a senior research scientist with the Division of Research and co-directs its Center for Addiction and Mental Health Research. She is part of DOR's Drug and Alcohol Research Team (DART) and its Behavioral Health Research Initiative.

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.

Dr. Sterling is a standing member of the National Institute of Alcohol Abuse and Addiction (NIAAA) Clinical, Treatment and Health Services Research study section.

She is principal investigator of a study funded by the Conrad N. Hilton Foundation to develop predictive models for adolescent substance use problem development, 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 is the Kaiser Permanente Principal Investigator of multiple studies including: 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; a NIAAA adolescent SBIRT trial in pediatric primary care; an NIAAA trial of an innovative alcohol telemedicine consultation intervention, studies of the implementation and outcomes of large-sclae alcohol screening and brief intervention, and an NIAAA survey of pediatrician attitudes toward and practices of adolescent behavioral-health risk screening and intervention.

Dr. Sterling was co-investigator of a cluster-randomized trial of SBIRT for unhealthy alcohol use in adult medicine in Kaiser Permanente Northern California.

She co-authored a widely disseminated issue brief, "Reducing Risky Alcohol Use: What Health Care Systems Can Do" and has developed nationally disseminated educational materials including NIAAA's "The Healthcare Professional's Core Resource on Alcohol, 'Promote Practice Change: Take Manageable Steps Toward Better Care'."

Dr. Sterling is the KPNC Training Director for an innovative hybrid National Institute of Mental Health T32 fellowship program and was recognized with DOR's Excellence in Mentoring Award.

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.

Current Position(s):

Research Scientist III, Division of Research, Kaiser Permanente Northern California
Co-Director, Center for Addiction and Mental Health Research, Division of Research
Member, National Scientific Council on Adolescence

Section Affiliations:

Behavioral Health and Aging

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

Studies

Virtual SBIRT for Pediatric Primary Care: Increasing Access to Screening, Brief Intervention and Referral to Treatment for Alcohol and Other Drug Use via Telehealth

This type I hybrid effectiveness-implementation pragmatic randomized clinical trial will examine how virtually-delivered Screening, Brief Intervention and Referral to Treatment (V-SBIRT) can be cost-effectively implemented in pediatric primary care to improve early identification and treatment for alcohol, other drug problems, and mood symptoms, among adolescents and compare its effectiveness with traditional SBIRT. KPNC pediatric primary care clinics will be randomized to Virtual-SBIRT vs. Traditional SBIRT modalities, and implementation and patient outcomes will be examined via electronic health record data.
Investigator: Sterling, Stacy
Funder: National Institute on Alcohol Abuse and Alcoholism

Embedded Mental Health Services Postdoctoral Research Training in Health Systems

This program, funded by a National Institute of Mental Health Institutional Research Training Grant (T32), has 2 Mental Health Research Network (MHRN) systems serving as postdoctoral training host sites: Henry Ford Health System (Michigan) and Kaiser Permanente Northern California. Each system recruits 2 new postdoctoral trainees per year. There are multiple mentorship opportunities from experienced local mentors at each host site, from the full network of MHRN investigators, and from an external advisory committee. The fellowship involves a combination virtual and on-site format, including 2 on-site sessions each year. The training program is interdisciplinary and expects to recruit PhD-level trainees from many disciplines, including psychology, epidemiology/public health, social work, medicine, nursing, economics, health services, economics, data science, and others.
Investigator: Sterling, Stacy
Funder: National Institute of Mental Health

Identifying Best Practices of Early Phase Pediatric Eating Disorder Care

This study examines associations between different degrees of adherence to components of the Family Based Therapy model of care for adolescent eating disorders and clinical quality outcomes among the outpatient programs in medical centers across Kaiser Permanente Northern California. We will also examine whether health disparities based on race/ethnicity exist in the outpatient treatment setting and explore system innovations and opportunities to address the needs of our patients from diverse backgrounds.
Investigator: Sterling, Stacy
Funder: TPMG Delivery Science Projects Program

Implementation of Alcohol Screening and Brief Intervention in a Health System: Sustainability, Fidelity and Patient Outcomes, Covid-19 Supplement

This study examines the increase in alcohol consumption during the Covid-19 pandemic and the major shift to virtual treatment modalities for alcohol problems, with a focus on potential disparities in treatment access, by race, ethnicity, age and gender. Understanding potential inequities in access is critical to improving quality of care and outcomes for underserved populations.
Investigator: Sterling, Stacy
Funder: National Institute on Alcohol Abuse and Alcoholism

Addiction Telemedicine Consultation in Primary Care: Increasing Access to Pharmacotherapy and Specialty Treatment for Alcohol Problems

A cluster-randomized trial of Addiction Medicine consultation (AMC) for primary care physicians (PCPs) and patients examining the effectiveness of a telehealth AMC intervention on initiation of alcohol use treatment, anti-craving medication and/or specialty addiction treatment initiation, and on patient alcohol use outcomes.
Investigator: Sterling, Stacy
Funder: National Institute on Alcohol Abuse and Alcoholism

Mental Health Research Network III

The Mental Health Research Network (MHRN) is a consortium of 13 health system research centers, embedded in large and diverse healthcare systems, dedicated to improving patient mental health through research, practice, and policy; with expertise in mental health research as well as disciplines such as epidemiology, health services, economics, disparities, outcomes and quality assessment, and pragmatic clinical trials. MHRN is the nation's preeminent source of population-based research on mental health, partnering with health systems that finance and provide care of a diverse population of over 12.5 million people in 15 states to: 1) Identify research questions that matter to patients, healthcare providers, and healthcare systems; 2) Efficiently answer those questions involving real-world patients and providers; and 3) Disseminate and implement research results.
Investigator: Sterling, Stacy
Funder: National Institute of Mental Health

Effects of Medical Products on Suicidal Ideation and Behavior: Real World Evidence

This study will provide a comprehensive program of infrastructure development, methods development, and innovative research to generate real-world evidence addressing critical gaps in the regulation of medical products. We will explore four related issues: Potential for existing medical products to precipitate suicidal ideation and behavior; potential for existing medical products to reduce risk of suicidal behavior; potential for anticipated new medical products to reduce risk of suicidal behavior; and individual variation in liability to both adverse and therapeutic effects.
Investigator: Sterling, Stacy
Funder: U.S. Food and Drug Administration

Expanding the Scope and Reach of Adolescent Substance Use Early Intervention Research

This study explores the enduring impact of screening, brief intervention, and referral to treatment (SBIRT) delivered in pediatric primary care, on young adults. We will examine substance use, mental health and medical outcomes, and health services utilization and cost over 7 years in a sample of young adults who had access to SBIRT services as part of a pragmatic, randomized trial of adolescent SBIRT originally funded by the National Institute on Alcohol Abuse and Alcoholism. A separate aim of this project involves collecting and analyzing focus group data from parents and clinicians to develop compelling strategies and usable formats for disseminating findings a study which developed machine learning models to predict the development of adolescent substance-use disorders.
Investigator: Sterling, Stacy
Funder: Conrad N. Hilton Foundation

Implementation of Alcohol Screening and Brief Intervention in a Health System: Sustainability, Fidelity, and Patient Outcomes

Using a theory-driven conceptual framework, this multimethod study examines factors that facilitate or impede the successful implementation and long-term sustainability of screening, brief intervention, and referral to treatment (SBIRT) for risky alcohol use in real-world health care settings. This study will use electronic health record data, qualitative physician and staff interviews, and patient surveys, to examine: 1) What factors predict alcohol SBIRT facility- and clinician-level implementation outcomes (rates of alcohol use screening, brief intervention, follow-up screening and intervention, referral to addiction treatment, specialty alcohol treatment initiation, and SBIRT sustainability); 2) How facility- and clinician-level implementation outcomes affect patient drinking outcomes; and 3) How brief intervention fidelity and quality is related to patient drinking outcomes. Key policy implications include improving health plan structures that facilitate alcohol SBIRT implementation and SBIRT best practices and sustainability.
Investigator: Sterling, Stacy
Funder: National Institute on Alcohol Abuse and Alcoholism

Evaluating the Impact of Changes in Opioid Prescribing Across Health Systems Implementing Zero Suicide

Henry Ford Health System, Kaiser Permanente Colorado, Kaiser Permanente Northern California, Kaiser Permanente Northwest, and Kaiser Permanente Southern California are implementing the National Zero Suicide Model (NZSM), and have received funding from the National Institute of Mental Health to evaluate fidelity and suicide outcomes. This presents a unique opportunity to study the NZSM within the context of large, diverse systems with defined patient populations, thus enabling measurement of suicide attempt and death outcomes. This mixed-methods project seeks to optimize metrics for measurement of specific care processes in each region using longitudinal electronic health records (EHRs) with discrete data fields that are easily extractable and generalizable to other systems. Parallel change in opioid prescribing across systems will be analyzed and its impact evaluated as a system-level means reduction approach within the context of NZSM implementation.
Investigator: Sterling, Stacy
Funder: National Institute of Mental Health

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

This study involves a partnership between Kaiser Permanente Northern California, Kaiser Permanente Colorado, Henry Ford Health System, and the University of Washington Social Development Research Group. The collaborators will conduct a pragmatic trial testing the feasibility and health impact of delivering an evidence-based, universal prevention program to parents of 11- and 12-year-olds in a pediatric primary care setting. Study objectives are to determine whether: 1) pediatric primary care clinics are a viable location for recruiting and engaging families in parent-focused prevention programs, 2) programs can be delivered with adequate fidelity, 3) stakeholders (parents, physicians and clinic staff, and program providers) are satisfied with the delivery of parent-focused prevention programs in pediatric primary care settings, and 4) program delivery is effective in preventing early initiation of substance use, depression and anxiety symptoms, delinquent behavior, and other risky behaviors common in adolescence.
Investigator: Sterling, Stacy
Funder: National Center for Complementary and Integrative Health

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

Highlighted Publications

No results found matching criteria

Publications

Cannabis use for medical reasons among patients in a large California health care system after legalization of non-medical use

Author(s): Karmali, Ruchir; Does, Monique B; Gordon, Nancy; Sterling, Stacy A; Young-Wolff, Kelly; Sidney, Stephen; Campbell, Cynthia I

J Stud Alcohol Drugs. 2023 Apr 20.

Current Position(s):

Section Affiliations:

Primary Research Interests:

Studies

Virtual SBIRT for Pediatric Primary Care: Increasing Access to Screening, Brief Intervention and Referral to Treatment for Alcohol and Other Drug Use via Telehealth

Embedded Mental Health Services Postdoctoral Research Training in Health Systems

Identifying Best Practices of Early Phase Pediatric Eating Disorder Care

Implementation of Alcohol Screening and Brief Intervention in a Health System: Sustainability, Fidelity and Patient Outcomes, Covid-19 Supplement

Addiction Telemedicine Consultation in Primary Care: Increasing Access to Pharmacotherapy and Specialty Treatment for Alcohol Problems

Mental Health Research Network III

Effects of Medical Products on Suicidal Ideation and Behavior: Real World Evidence

Expanding the Scope and Reach of Adolescent Substance Use Early Intervention Research

Implementation of Alcohol Screening and Brief Intervention in a Health System: Sustainability, Fidelity, and Patient Outcomes

Evaluating the Impact of Changes in Opioid Prescribing Across Health Systems Implementing Zero Suicide

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

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

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

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

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

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

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

Evaluation of SBIRT for Adolescents in School and Pediatric Health Settings

Highlighted Publications

Publications

Cannabis use for medical reasons among patients in a large California health care system after legalization of non-medical use

Cardiometabolic Monitoring and Sociodemographic and Clinical Characteristics of Youths Prescribed Antipsychotic Medications

Racial-Ethnic Differences in Treatment Initiation for New Diagnoses of Perinatal Depression

Performance of a Prediction Model of Suicide Attempts Across Race and Ethnicity

Disparities in the Receipt of Alcohol Brief Intervention: The Intersectionality of Sex, Age and Race/ethnicity

Influenza Vaccination Uptake and Associated Factors Among Adults With and Without HIV in a Large, Integrated Health Care System

Associations between alcohol brief intervention in primary care and drinking and health outcomes in adults with hypertension and type 2 diabetes: a population-based observational study

Effectiveness of a pharmacist-delivered primary care telemedicine intervention to increase access to pharmacotherapy and specialty treatment for alcohol use problems: Protocol for the alcohol telemedicine consult cluster-randomized pragmatic trial

COVID-19 pandemic-related changes in utilization of telehealth and treatment overall for alcohol use problems

Accuracy of ICD-10-CM encounter diagnoses from health records for identifying self-harm events

Predicting severe alcohol use disorders in primary care using number of heavy drinking days

Patterns of Health Care Use 5 Years After an Intervention Linking Patients in Addiction Treatment With a Primary Care Practitioner

Young Adult Substance Use and Healthcare Use Associated With Screening, Brief Intervention and Referral to Treatment in Pediatric Primary Care

Comparing the effectiveness of a brief intervention to reduce unhealthy alcohol use among adult primary care patients with and without depression: A machine learning approach with augmented inverse probability weighting

Characterizing Unhealthy Alcohol Use Patterns and Their Association with Alcohol Use Reduction and Alcohol Use Disorder During Follow-Up in HIV Care

Cost-Effectiveness of Motivational Interviewing to Reduce Alcohol and Cannabis Use Among Patients With Depression

Health Service Utilization Among Children and Adolescents with Posttraumatic Stress Disorder: A Case-Control Study

Alcohol brief intervention, specialty treatment and drinking outcomes at 12 months: Results from a systematic alcohol screening and brief intervention initiative in adult primary care

Substance use disorders among primary care patients screening positive for unhealthy alcohol use

Connecting Research and Practice: Implementation of Suicide Prevention Strategies in Learning Health Care Systems

Engaging patients in population-based chronic disease management: A qualitative study of barriers and intervention opportunities

Predictors of Early and Sustained Cessation of Heavy Drinking Over 5 Years Among Adult Primary Care Patients

Predicting adolescent alcohol and other drug problems using electronic health records data

Parent-focused prevention of adolescent health risk behavior: Study protocol for a multisite cluster-randomized trial implemented in pediatric primary care

Alcohol Use Among Young Adults in Northern California During the COVID-19 Pandemic-An Electronic Health Records-Based Study

Emergency Department Encounters Among Youth With Suicidal Thoughts or Behaviors During the COVID-19 Pandemic

Treatment for alcohol use disorder among persons with and without HIV in a clinical care setting in the United States

Adult Suicide-Related emergency department encounters during the COVID-19 Pandemic a Cross-Sectional study

Adult Suicide-Related emergency department encounters during the COVID-19 Pandemic: a Cross-Sectional study

Effectiveness of spironolactone dispensation in reducing weekly alcohol use: a retrospective high-dimensional propensity score-matched cohort study

Psychotropic medication prescribing during the COVID-19 pandemic

Patient and provider factors associated with receipt and delivery of brief interventions for unhealthy alcohol use in primary care

Physical, Mental Health and Developmental Conditions, and Sociodemographic Characteristics Associated With Adverse Childhood Experiences Among Young Children in Pediatric Primary Care

Engagement in perinatal depression treatment: a qualitative study of barriers across and within racial/ethnic groups

Screening for Gender Identity in Adolescent Well Visits: Is It Feasible and Acceptable?

Nicotine and cannabis vaping among adolescents in treatment for substance use disorders

Accounting for quality improvement during the conduct of embedded pragmatic clinical trials within healthcare systems: NIH Collaboratory case studies

Adverse Childhood Experiences and Early and Continued Breastfeeding: Findings from an Integrated Health Care Delivery System

The relationship of smoking and unhealthy alcohol use to the HIV care continuum among people with HIV in an integrated health care system

A Telemedicine Approach to Increase Treatment of Alcohol Use Disorder in Primary Care: A Pilot Feasibility Study

HIV Stigma and Its Associations with Longitudinal Health Outcomes Among Persons Living with HIV with a History of Unhealthy Alcohol Use

Premature mortality associated with severe mental illness or substance use disorder in an integrated health care system

Three-Year Outcomes After Brief Treatment of Substance Use and Mood Symptoms

An implementation evaluation of "Zero Suicide" using normalization process theory to support high-quality care for patients at risk of suicide

Health System-Based Unhealthy Alcohol Use Screening and Treatment Comparing Demographically-Matched Participants With and Without HIV

Associations Between Psychiatric Disorders and Alcohol Consumption Levels in an Adult Primary Care Population

Treatment for Anxiety and Substance Use Disorders During the COVID-19 Pandemic: Challenges and Strategies

Estimates of Workload Associated With Suicide Risk Alerts After Implementation of Risk-Prediction Model

Smoking and cessation treatment among persons with and without HIV in a U.S. integrated health system

The Kaiser Permanente Northern California Adult Alcohol Registry, an Electronic Health Records-Based Registry of Patients With Alcohol Problems: Development and Implementation

Remission From Unhealthy Drinking Among Patients With an Alcohol Use Disorder: A Longitudinal Study Using Systematic, Primary Care-Based Alcohol Screening Data

Associations Between Medical Conditions and Alcohol Consumption Levels in an Adult Primary Care Population

Addressing Problems With Alcohol and Other Substances Among Older Adults During the COVID-19 Pandemic

PROMIS® Pediatric Depressive Symptoms as a Harmonized Score Metric

The role of substance use disorders in experiencing a repeat opioid overdose, and substance use treatment patterns among patients with a non-fatal opioid overdose

Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness