Overview
My major research interest is in examining the effectiveness of services for severely mentally ill individuals, including factors that improve or impede good outcomes. Current research includes: the effectiveness of involuntary outpatient commitment, psychiatric advance directives, criminal justice outcomes for persons with mental illnesses, violence and mental illness and antipsychotic medications.
I also served as member of the MacArthur Foundation Research Network on Mandated Community Treatment. In this and related work we are examining the role legal tools such as Psychiatric Advance Directives may play in improving outcomes for persons with severe mental illness. In this regard, I served as Co-PI with Jeffrey Swanson of a NIMH study examining the effectiveness of Psychiatric Advance Directives and a MacArthur Foundation grant supporting their dissemination. We are also evaluating New York's Assisted Outpatient Treatment Program (Kendra's Law) and estimating the cost of criminal justice involvement in severely mentally ill individuals.
I am also involved in clinical trials in schizophrenia and served as Co-PI of the NIMH funded Clinical Antipsychotics Trials of Intervention Effectiveness study investigating the role of antipsychotics in treatment outcomes in schizophrenia and Alzheimer’s Disease.
I also served as member of the MacArthur Foundation Research Network on Mandated Community Treatment. In this and related work we are examining the role legal tools such as Psychiatric Advance Directives may play in improving outcomes for persons with severe mental illness. In this regard, I served as Co-PI with Jeffrey Swanson of a NIMH study examining the effectiveness of Psychiatric Advance Directives and a MacArthur Foundation grant supporting their dissemination. We are also evaluating New York's Assisted Outpatient Treatment Program (Kendra's Law) and estimating the cost of criminal justice involvement in severely mentally ill individuals.
I am also involved in clinical trials in schizophrenia and served as Co-PI of the NIMH funded Clinical Antipsychotics Trials of Intervention Effectiveness study investigating the role of antipsychotics in treatment outcomes in schizophrenia and Alzheimer’s Disease.
Current Appointments & Affiliations
Professor of Psychiatry and Behavioral Sciences
·
2021 - Present
Psychiatry, Child & Family Mental Health & Community Psychiatry,
Psychiatry & Behavioral Sciences
Recent Publications
Psychiatric advance directives: challenges emerging from implementation and possible steps forward.
Journal Article World Psychiatry · February 2026 Full text Link to item CiteState Laws on Law Enforcement Custody and Transportation in the Process of Involuntary Civil Commitment.
Journal Article Psychiatr Serv · May 1, 2025 OBJECTIVE: Involuntary civil commitment statutes codify the process of involuntary admission to a health care facility. Many statutes assign law enforcement to preside over custody and transportation during the commitment process, which can be traumatizing ... Full text Link to item CiteImpact of insurance type on outpatient mental health treatment of US adults
Journal Article Plos Mental Health · May 1, 2025 The mental health treatment gap in the US continues to be a major public health challenge. Even individuals with health insurance face substantial barriers to care, including high costs, insufficient coverage and inaccurate provider directories. Policies t ... Full text CiteRecent Grants
Involuntary inpatient and outpatient commitment in NC: exploring opportunities for reform.
ResearchCo-Principal Investigator · Awarded by NC Policy Collaboratory · 2026 - 2027NC Medicaid 1115 Waiver Evaluation Implementation
ResearchPrincipal Investigator · Awarded by University of North Carolina - Chapel Hill · 2021 - 2026AHEC MSSAG / HEALTH CAREERS FY26
Public ServicePrincipal Investigator · Awarded by University of North Carolina - Chapel Hill · 2022 - 2026View All Grants
Education, Training & Certifications
Tufts University ·
1980
M.D.