Community Engagement and Commitment

Fostering community partnership provides a foundation for the commitments that are essential to the department including clinical innovation, educational excellence, translational research, and professionalism and leadership development. By integrating community engagement strategies throughout the department’s efforts, we create opportunities for co-learning and collaboration within the Department, across Stanford University, and beyond. Our partners have years of experience developing a wide variety of treatment, educational and ingenious services for those they serve. Faculty and trainees in the department feel privileged to have the opportunity to contribute to their ongoing efforts. Community engagement effectively aligns the mission of the department with the surrounding area, our nation and the world thereby reinforcing opportunities for partnership for decades to come.

Regional Work

• PACE (Partners in AIDS Care and Education) Clinic, Santa Clara Valley Medical Center
  The PACE Clinic is the largest provider of comprehensive HIV care in Santa Clara County.  The patient population represents the diversity of the community it serves, including over 50% Hispanic and significant numbers of Asians and immigrants from Africa.  Dr. Lawrence McGlynn serves as the PACE Clinic’s Director of Mental Health Services.  In addition to primary and psychiatric care, the clinic also offers substance abuse counseling and treatment, pain management, Hepatitis C treatment, case management, and outreach. 
• Ravenswood Family Health Center
  RFHC is a nonprofit federally qualified community health center based in East Palo Alto where residents and community-track child and adolescent psychiatry fellows can have the experience of rotating. RFHC provides healthcare for the underserved, uninsured and most vulnerable low-income residents of communities in southeastern San Mateo County.  Dr. Daryn Reicherter is the Clinical Director of Integrated Behavioral Health at Ravenswood Family Health Clinic.
• Project Safety Net (PSN)
  PSN is a community coalition that was created in 2010 after the local community lost several teens to suicide. Since then a number of community partners, including LPCH, the Palo Alto Unified School District, Palo Alto Medical Foundation, the City of Palo Alto, and several others have maintained the urgency for the promotion of youth well being and the prevention of suicide. Ms. Sami Hartley, Dr. Shashank Joshi, and Dr. Steven Adelsheim represent the Department on this coalition, which invites new participants at any time.
• The HEARD Alliance
  (Healthcare Alliance in Response to Adolescent Depression and related conditions) The HEARD Alliance’s mission is to increase collaboration among primary care, mental health and educational professionals to enhance the community’s ability to respond to adolescent depression. The website is a place for primary care, mental health, school professionals, and families to access and use resources created or compiled by the HEARD Alliance. Although the HEARD Alliance is focused on the peninsula region in the San Francisco Bay Area, the vast majority of our resources posted here are relevant for users anywhere. Ms. Sami Hartley, Dr. Shashank Joshi, and Dr. Steven Adelsheim represent the Department on HEARD, which invites new participants at any time.
• Tipping Point Mental Health Initiative
  The Tipping Point Community Mental Health Initiative began in 2012 through a partnership between the Tipping Point Community and Dr. Victor Carrion and Dr. Daryn Reicherter, of the Early Life Stress and Pediatric Anxiety Program at Stanford University School of Medicine. Initial goals of this program included developing a comprehensive Wellness Services program led by a mental health clinician, or Wellness Educator, at two Tipping Point grant-funded sites: Aspire East Palo Alto Charter School (EPACS) in Ravenswood City Unified School District in East Palo Alto, California, and JobTrain in Menlo Park, California.   
• The California Student Mental Health Policy Workgroup
  State Superintendent of Public Instruction (SSPI) Tom Torlakson convened the Student Mental Health Policy Workgroup (SMHPW) to bring together individuals with diverse expertise to develop innovative policy recommendations to address the mental health challenges facing vulnerable youth. This work group is composed of teachers, school counselors, school social workers, school psychologists, school nurses, and school administrators, as well as state and county mental health professionals. This diverse group of experts has reviewed the current mental health needs of California students as well as the existing student mental health practices, and its first recommendation is that educators—including administrators and teachers—need more training in the area of student mental health. Dr. Shashank Joshi and Dr. Steven Adelsheim are members of this policy workgroup.
• Center for Youth Wellness
  The Center for Youth Wellness (CYW) is an innovative, public-private initiative working to provide a full spectrum of services under one roof for San Francisco’s most vulnerable children.  Dr. Victor Carrion is a founding member and Chair of the Scientific Advisory Committee.
• AchieveKids
  AchieveKids is a community-based organization, with sites in Palo Alto and San Jose, that provides special education services to Bay Area children, aged 5 to 22, with emotional and/or developmental disabilities including intellectual disability, autism spectrum disorder, mood, disruptive behavior, anxiety, and psychotic disorders. Drs. Grace Gengoux and Scott Hall provide training and clinical consultation at each site, and it is also a rotation site for the Child and Adolescent Psychiatry Fellowship.
  
• Abilities United
  Abilities United is a community-based organization in Palo Alto that supports children and adults with disabilities, their families and the community, with aquatic activities, classes for children and parents, after-school care and family support, and support for adults with disabilities that help them to fully participate in their community through employment, educational, recreational, social, and volunteer activities.  The agency also has an inclusive preschool which offers developmentally-focused early childhood education to help children build strong relationships. Dr. Grace Gengoux provides training in naturalistic behavioral interventions to staff at this site.
• Puente, the Community Resource Center for the South Coast
  Puente is a nonprofit organization, its mission is to provide vital services for men, women, children, and families living in the rural San Mateo South Coast communities of Pescadero, La Honda, Loma Mar, and San Gregorio. Dr. Steven Adelsheim provides consultation and support for the development and expansion of home visiting services for the communities within their South Coast area.
• Stanford Early Life Stress and Pediatric Anxiety Program at Lucile Packard Children's Hospital -- Mindfulness Program
  The Mindfulness program began in 2012 with a Stanford University Office of Community Health Seed Grant awarded to the ELSPAP to conduct a pilot mindfulness intervention in the Ravenswood City School District (RCSD). Dr. John Rettger is the Director of the Mindfulness Program.
• California's Mental Health Services Oversight and Accountability Commission
  The role of the Mental Health Services Oversight and Accountability Commission (MHSOAC) is to oversee the implementation of the Mental Health Services Act (MHSA).   The MHSOAC is also responsible for developing strategies to overcome stigma.  In 2011, Dr. Victor Carrion was appointed by Attorney General Kamala Harris to the Mental Health Oversight and Accountability Commission of the State of California, where he co-chairs the Evaluation Committee. 
• Santa Clara County Methamphetamine Task Force
  The Stanford/Santa Clara County Methamphetamine Task Force is a multidisciplinary organization founded in 2004 with the mission of reducing methamphetamine use and related HIV transmission in Santa Clara County.  The Task Force has been funded to conduct community-based research, education, and training. Dr. Lawrence McGlynn serves on the Task Force.
• Santa Clara County Suicide Prevention Oversight Committee (SPOC)
  This group oversees the county’s Suicide Prevention Initiative, which develops activities to educate, train and facilitate suicide prevention efforts throughout the county. The mission of the SPOC is to bring community awareness to the issue of suicide and to engage the community in an effort to prevent deaths by suicide. Dr. Shashank Joshi is a member of this group, and Chairs the Data Committee, which tracks the location, means, and demographics of suicide in Santa Clara County.
• California School-Based Health Alliance - Mental Health Committee
  The California School-Based Health Alliance is the statewide nonprofit organization helping to put more health services in schools. Dr. Steven Adelsheim provides consultation and technical assistance to the state School-Based Health Alliance on school mental health program development. 
• California Prodrome/Early Psychosis Prevention Network  (CA-PEPPNET)
  In partnership with the Prodrome and First Episode Psychosis Programs across California, Dr. Steven Adelsheim worked with these unique programs to develop structures for communication and coordination.
• San Jose AIDS Education and Training Center
  The SJ AETC, under the medical directorship of Dr. Lawrence McGlynn, provides training, clinical consultation and technical and capacity building assistance for health care professionals at no cost utilizing expert faculty on topics related to HIV/AIDS and Hepatitis C prevention and care in the counties of Santa Clara, Santa Cruz, San Benito, Monterey and San Luis Obispo. SJ AETC provides customized presentations tailored to specific provider audiences and is able to offer capacity building support for the development and implementation of routine HIV testing in primary care practices. Training and coaching services are also available for primary care clinics interested in transforming into a Patient Centered Health/Medical Home.
• Center for Survivors of Torture, Asian Americans for Community Involvement
  Since its inception in 2000, CST has provided specialized services, including individual and group psychotherapy, psychiatry, psychological and medical evaluations for political asylum cases, medical, social and legal services to more than 800 victims of torture and family members from 64 countries. Dr. Daryn Reicherter provides clinical services for victims of political torture from around the world.  He also helped develop rotations there to enhance exposure to community psychiatry for education at Stanford School of Medicine. 
• Arbor Free Clinic: Stanford Medicine’s Free Clinic
  Founded in 1990, the ongoing mission of Arbor Free Clinic is to provide culturally appropriate, high quality transitional medical care for an underserved patient population and to educate and empower a new generation of healthcare leaders to proactively address health disparities and improve access to care in their communities. Dr. Daryn Reicherter is Faculty Advisor and an Attending Physician for the Mental Health Chapter of the Arbor Free Clinic.  This serves as a training experience for Resident Psychiatrists, Medical Students, and Pre-medical Undergraduates.
• Gardner Family Health Network
  Dr. Daryn Reicherter is a Consulting Psychiatrist working to develop Integrated Behavioral Health for Gardner Primary Care.  Two of Gardner’s 7 sites have operational behavioral health, with expansion to Packard/Gardner Children’s Health Center expected in the near future.

National Work

• American Psychiatric Association Minority HIV Fellowship
  The APA offers fourth year medical students the opportunity to spend one month at Stanford’s Positive Care Clinic and Santa Clara Valley Medical Center’s PACE Clinic working with Dr. Lawrence McGlynn in HIV psychiatry.  The fellowship provides a stipend for housing, as well as a fully-funded 3-day HIV training program in Washington D.C.
• American Psychiatric Association’s Office of HIV Psychiatry
  The APA Office of HIV Psychiatry, co-chaired by Dr. Marshall Forstein and Dr. Lawrence McGlynn, coordinates the many HIV/AIDS-related educational, training, and support activities within the American Psychiatric Association and the American Psychiatric Foundation. The office provides information on the spectrum of clinical, neuropsychiatric, and psychosocial aspects of HIV disease and AIDS, and offer a myriad of trainings and services for various audiences including psychiatrists, psychiatric residents, physicians, physician assistants, nurses, social workers, substance abuse professionals, mental health providers, case managers and individuals living with HIV. 
• Resources for Enhancing Alzheimer Caregiver Health (REACH)
  These are two distinct evidence-based programs to reduce stress and improve coping in family caregivers of older adults with Alzheimer’s disease or another form of dementia. Originally funded by the National Institute on Aging, both programs are now self-sustaining and offered in a variety of community locations.
  
  • REACH I uses a psychoeducational small group approach to teach cognitive and behavioral skills for mood management, as well as communication skills so that the caregiver can get the extra help needed. Locally, Dr. Dolores Gallagher-Thompson has partnered with Rosener House’s Adult Day Services program in Menlo Park, where this class series is offered annually. 
  • REACH II uses a combination of home visits and telephone coaching to develop a more individualized approach to the problems faced by dementia family caregivers who are in significant distress. Dr. Dolores Gallagher-Thompson has partnered with an agency called the Southern Caregiver Resource Center - a program that won an award from the Rosalynn Carter Institute for its ability to take this evidence-based program and adapt it for successful use in a community setting.
• At-Home Group Video Calling
  The Sierra Streams Institute in Nevada City, CA is collaborating in research with a group in the Stanford Department of Psychiatry & Behavioral Sciences led by Dr. Cheryl Koopman on the feasibility and acceptability of providing at-home breast cancer support groups using on-line video calling software that allows synchronous audio and visual communication among participants living in rural communities.
• National Prodrome/Early Psychosis Prevention Network (National-PEPPNET)
  In partnership with the Robert Wood Johnson Foundation, NIMH and SAMHSA, Dr. Steven Adelsheim works with prodrome and first episode psychosis programs across the country in the development of a national network to link training efforts, evidence-based treatment and outcomes tracking.
• Mental Illness and Addictions Policy Work
  Dr. Keith Humphreys leads the mental health policy section in Department, whose faculty work with local, state and national policymakers to support public policies that improve the health and well-being of families facing mental illness and/or addictions.
• Mental Health Screening for Early Detection- Through a recent agreement with Columbia University, Stanford’s Department of Psychiatry and Behavioral Sciences has been given access and shared rights to the screening tool and other components of the Columbia TeenScreen program. Through the Stanford Center for Youth Mental Health and Wellbeing, collaboration is underway with colleagues at sites that still use the screening tool and interested others to plan for how to best utilize the TeenScreen resources in developing and expanding appropriate mental health screening models for early detection. The Stanford Center for Youth Mental Health and Wellbeing will continue to partner with existing sites using the TeenScreen tool to support their ongoing efforts while we all work together to build on and improve early mental health screening tools and processes.  

International Work

• TeachAIDS
  TeachAIDS is an interdisciplinary social venture that develops rich-media, culturally appropriate research-based learning applications to promote HIV/AIDS prevention education. Dr. Cheryl Koopman serves as the Psychological and Behavioral Studies Advisor. 
• Global Caregiving: iSupport for Dementia Family Caregivers
  Dr. Dolores Gallagher-Thompson and colleagues are teaming up with the World Health Organization to develop an interactive web-based caregiver support tool (iSupport) that is accessible via computer, tablet and mobile phone. The team hopes to conduct a trial with 430 users in Bangalore, India where internet penetration is high and collaboration is secured with the NIMHANS Alzheimer's research center. The researchers will compare the iSupport interactive tool to more traditional caregiver education materials.
• The Documentation Center of Cambodia
  The DCCam is an independent research institute and has gained a reputation as an international leader in the quest for memory and justice.  Dr. Daryn Reicherter works with the DCCam to support victim mental health.  Dr. Reicherter has worked with Khmer agencies supporting survivors involved with the “Khmer Rouge Tribunal.”   His book “Cambodia’s Hidden Scars: Trauma Psychology in the Wake of the Khmer Rouge” was created with partners in Cambodia and used as advocacy for victim rights and was also accepted as evidence in the Extraordinary Chambers in the Courts of Cambodia.  He is a Visiting Scholar at the Sleuk Rith Institute and will offer a Stanford Seminar in Cambodia; Summer 2015. 
• Humanitarian Parole Project: Represented by Reed Smith International Law Firm
  Dr. Daryn Reicherter works with Human Rights Attorneys to perform psychiatric assessment for the cause of Humanitarian Parole for victims of political violence and severe traumatic experience.  This project has involved travel to Haiti, but now relies on the use of tele-health technology.  It is a Child Psychiatry Fellow and Adult Psychiatry Resident training experience.

Increasing Awareness

• Mental Health Awareness Media Collaboration
  Along with the MidPeninsula Community Media Center, our department is collaborating on the development of media productions highlighting successful behavioral health program partnerships.  Dr. Steven Adelsheim is leading this effort. 
• NAMI  Support Group for Family and Friends
  NAMI sponsors a family and friends support group in the Stanford Psychiatry and Behavioral Sciences Building; for the schedule, please visit the link above.