
Research Professor, Primary Care Research Institute
Jacobs School of Medicine & Biomedical Sciences
Behavioral Health; Community Health Research; Criminal Justice Involvement; Health Disparities Research; Health Services Research; Medical Anthropology; Program Evaluation; Substance Use Disorder; Translational Research
I am an applied medical anthropologist specializing in improving access to healthcare and recovery capital for marginalized individuals with substance use disorder (SUD), mental illness, and complex chronic medical conditions. I also provide teaching and mentorship to learners across the training continuum that includes postdoctoral fellows, medical students, residents, junior faculty, graduate, and undergraduate students.
My team and I conduct ethnographic, mixed-methods, and health services studies to identify contextual factors that shape care delivery and to inform interventions that reduce treatment barriers. A consistent theme in my work is uncovering how people navigate adversity and develop adaptive strategies. This includes how patients manage the treatment burden of diabetes and chronic kidney disease, as well as how people with SUD or justice-involvement access recovery capital. In recent work with justice-involved women with SUD, we integrated stigma theory with a resiliency framework to explore how some women developed coping strategies amid significant instrumental and personal challenges.
Throughout my career, I have advanced community-based research that supports sustainable academic–community partnerships aimed at improving care for high-risk populations. I have led research and evaluation efforts for several federally funded public health initiatives, including the Bureau of Justice Assistance–funded Buffalo Treatment Court Opioid Intervention Program (“Opioid Court”), an Office of Women’s Health–funded SBIRT implementation initiative in community OB-GYN practices, and a BJA-funded Opioid Overdose Outreach Enhancement Program designed to strengthen first-responder engagement and linkage to treatment. I also served as co-PI on a CDC-funded R01 (R01 CE003144-0) evaluating the processes and outcomes of opioid and traditional drug treatment courts. Findings from these projects continue to inform interventions that improve access to care for individuals with SUD and co-occurring chronic illnesses.
I am equally committed to training the next generation of researchers and clinicians. From 2017–2022, I directed a NRSA T32 institutional training program focused on primary care–related biomedical and behavioral health research (T32HP30035). Since 2023, I have served as lead evaluator and research lead for a $2.5 million Health Resources and Services Administration grant (TA248948) to enhance Family Medicine residency training in SUD and behavioral health. Currently I am co-PI with Dr. Michael Elliott on a $2.5 million 5-year HRSA grant (T35HP55304) to train physicians to provide care for people experiencing homelessness. Our goal is to develop a national model for integrating street medicine into graduate medical education that will also be a springboard for research.