Overview
At the Services Effectiveness Research Program, I am a co-investigator, analyst, and manager for projects on mental health/substance use services and policy research. Our group conducts longitudinal studies of criminal justice outcomes and crisis-driven service utilization to assess the effects of policies (e.g., mental health-based firearms disqualification) and services (e.g., medication-assisted treatment for substance dependence). As the Behavioral Health Core of the Wilson Center for Science & Justice at Duke School of Law, our research agenda focuses on reducing criminal justice contact among people with mental illness and substance use disorders. We also collaborate with community partners to study and promote the use of psychiatric advance directives. Currently, my research interests center on people with mental illness, substance use, and/or unmet social needs who are stuck in a 'revolving door' of incarceration, crisis care, and detox; I hope this work will make a positive difference in the lives of people in Durham and beyond. I am also interested in the conceptualization of illness and recovery by people with behavioral disorders, specifically the extent to which they endorse and identify with biologically-based explanatory models. My dissertation was on how women with eating disorders understand and interpret the idea that genes play a role in eating disorders.
Current Duke Appointments & Affiliations
Associate Professor in Psychiatry and Behavioral Sciences
·
2025 - Present
Psychiatry, Child & Family Mental Health & Community Psychiatry,
Psychiatry & Behavioral Sciences
Recent Scholarly Works
Do Children's Mental Health Symptoms Impact Their Access to Unlocked Guns at Home?
Journal article J Am Acad Child Adolesc Psychiatry · February 2026 OBJECTIVE: To test whether changes in children's and adolescents' mental health symptoms predict changes in their access to unlocked guns at home. METHOD: This study used data from a longitudinal cohort study of 1,420 youth and their parents in the southea ... Full text Link to item CiteJuvenile Records and Adult Gun Violence: Evidence From Three States With Divergent Firearm Age Policies.
Journal article J Interpers Violence · January 31, 2026 Young adults with a history of juvenile justice involvement are more likely than their peers to be arrested for a violent gun crime, but unlike felony convictions, juvenile adjudications are typically expunged and do not convey a federal firearm prohibitio ... Full text Link to item CiteFirearm Disqualification and Rights Restoration Among Adults with Mental Illness in Virginia.
Journal article J Am Acad Psychiatry Law · September 3, 2025 This study evaluated legal prohibitions on firearm possession in a population of 128,090 adults in Virginia with a serious mental illness and record of at least one psychiatric hospitalization between 1998 and 2015. Approximately half the study population ... Full text Link to item CiteRecent Grants
Assessing Network Adequacy for Persons Re-entering from Prison Seeking Community-Based Substance Use Disorder Treatment
ResearchCo Investigator · Awarded by NC DHHS · 2026 - 2028Involuntary inpatient and outpatient commitment in NC: exploring opportunities for reform.
ResearchInvestigator · Awarded by NC Policy Collaboratory · 2026 - 2027Predicting firearm suicide in military veterans outside the VA health system using linked civilian electronic health record data
ResearchCo Investigator · Awarded by National Institute of Mental Health · 2023 - 2027View All Grants
Education
University of North Carolina, Chapel Hill ·
2010
Ph.D.