Robert Lee

Sutherland
Seminar XV

September 8-9, 2008

Austin, Texas
 About the Robert Lee Sutherland Seminar XV
Integrated Health Care: Connecting Body and Mind

Welcome to the Robert Lee Sutherland Seminar XV, Integrated Health Care: Connecting Body and Mind. Thank you for
taking part in this important discussion about the future of behavioral and physical health care in Texas. The seminar is
sponsored by the Hogg Foundation for Mental Health in honor of Sutherland, the foundation’s first director, who brought
people and ideas together for 30 years to promote innovation and collaboration for mental health initiatives in Texas.

This year’s seminar brings together 500 stakeholders from across Texas to explore the substantial research and emerging
practice that support integrated health care, a forward-thinking approach to improving physical and behavioral health.
Research shows that physical and behavioral health are interconnected. When the body and mind are treated separately,
people are less likely to achieve health – often at a significant cost to the individual, the health care system and larger
community. A strong body of evidence demonstrates that integrating, or systematically coordinating, physical and behavioral
health care to treat the whole person has important benefits, especially to consumers of services.

Integrated health is beginning to be recognized in Texas as a viable and beneficial way to improve physical and behavioral
health. This conference will address three key issues:
• Best practices in integrated health care and how providers in Texas and other states are using them.
• The benefits of integrating health care for Texas consumers, providers, employers and insurers.
• Next steps that stakeholders and communities can take to promote integrated health care in Texas.

The foundation’s efforts to promote integrated health care in Texas will continue after the conference through a new learning
community being launched this fall. The learning community’s goal will be to accelerate the adoption of best practices
and identification of financing and policy solutions to ensure the sustainability of integrated care in Texas. Conference
participants will find in their packets an informative, well-researched resource guide to integrated health care in Texas and
the United States and information about the learning community.

About the Hogg Foundation for Mental Health

The Hogg Foundation for Mental Health was founded in 1940 to promote improved mental health for the people of Texas.
The foundation originally was funded through a bequest by Will C. Hogg, son of former Texas Governor James Stephen
Hogg, and for many years was guided by his sister, Miss Ima Hogg.

Today the foundation provides grants to support mental health services, research, policy analysis and public education
projects in Texas. Current priority areas include integrating physical and behavioral health care, developing the state’s mental
health workforce, and promoting the use of evidence-based practices to deliver culturally and linguistically appropriate
mental health services to the diverse populations of Texas.

The foundation operates programs to support its priority areas and to promote mental health education and awareness. The
foundation also awards scholarships and fellowships to promote timely, innovative and beneficial advancements in mental
health education and research in Texas.

The foundation is part of the Division of Diversity and Community Engagement at The University of Texas at Austin. The
division includes 15 departments and several research and policy institutes that provide an educational pipeline spanning
from pre-college readiness to community engagement to efforts to diversify the university, its people and its ideas. Working
with students, faculty and staff, the division works to ensure that excellence knows no cultural or social boundaries.

To learn more about the foundation and its programs and services, visit www.hogg.utexas.edu. For more information about
the division, visit www.utexas.edu/diversity.
 AGENDA
Robert Lee Sutherland Seminar XV
Integrated Health Care: Connecting Body and Mind
September 8-9, 2008 Š Austin, TX

Monday, Sept. 8, 2008

7:00 – 8:00 Registration & continental breakfast

Texas Ballroom I-IV

8:00 – 8:30 Welcome

Texas Ballroom I-IV Laurie Alexander, Hogg Foundation for Mental Health
Octavio N. Martinez Jr., Hogg Foundation

8:30 – 10:00 Integrated health care: What do we know?

Texas Ballroom I-IV Jürgen Unützer, University of Washington
Ben Druss, Emory University
Moderator: Laurie Alexander, Hogg Foundation
Audience members will have a working definition of integrated health care and a basic
understanding of the research on integrated health care.

10:00 – 10:15 Break

10:15 – 11:15 Integrated health care: What’s in it for me?

Texas Ballroom I-IV Garry Souffrant, Su Clinica Familiar
Megan Zesati, People’s Community Clinic
Patricia Darden, People’s Community Clinic
Lucius Ripley, Lone Star Circle of Care
Moderator: Deborah Berndt, Hogg Foundation
Audience members will have an understanding of the challenges and benefits of integrated
health care.

11:15 – 12:00 Recovery and integrated care

Texas Ballroom I-IV Valarie Garza, Texas Health Institute
Luanne Southern, Texas Department of State Health Services
Moderator: Vicky Coffee-Fletcher, Hogg Foundation
Audience members will have a working definition of recovery and a basic understanding of
the key recovery principles that integrated systems can address.

12:00 – 1:00 Lunch – Putting it all in perspective

Texas Ballroom I-IV Joann Gilbert, Project Vida Health Center
Rachel Quintanilla, Project Vida Health Center
Moderator: Laurie Alexander, Hogg Foundation
Audience members will have a deeper awareness of the need for and impact of integrated
care.

Hogg Foundation for Mental Health Š 3

 AGENDA

Monday, Sept. 8, 2008 (continued)

1:00 – 2:00 Wellness promotion initiatives

Texas Ballroom I-IV Paolo del Vecchio, Substance Abuse and Mental Health Services Administration
Peggy Swarbrick, Collaborative Support Programs of New Jersey
William Peabody, North Central Health Center
Moderator: Rick Ybarra, Hogg Foundation
Audience members will have a working definition of wellness and a basic understanding of
approaches to promoting wellness in people with mental illnesses. They will have enough
information to seek out more information on those programs and to consider how the
approaches taken may apply to their own work.

2:00 – 3:15 National integrated health care initiatives – Part I

Texas Ballroom I-IV Jane Foy, Wake Forest University Baptist Medical Center
Gary Oftedahl, Institute for Clinical Systems Improvement
Kathleen Reynolds, Washtenaw Community Health Organization
Moderator: Cindy Patrick, Meadows Foundation
Audience members will have a good understanding of the range of integrated programs
currently underway around the country. They will have enough information to seek out
more information on those programs and to consider how the approaches taken may apply
to their own work.

3:15 – 3:30 Break

3:30 – 4:30 National integrated health care initiatives – Part II

Texas Ballroom I-IV Tina Runyan, Mid-State Health Center
Sally Smith, ICARE Partnership
Moderator: Mary Soto, Texas Department of State Health Services
Audience members will have a good understanding of the range of integrated programs
currently underway around the country. They will have enough information to seek out
more information on those programs and to consider how the approaches taken may apply
to their own work.

4 Š Robert Lee Sutherland Seminar XV

 AGENDA

Tuesday, Sept. 9, 2008

7:30 – 8:00 Continental breakfast

8:00 – 9:15 Texas integrated health care initiatives

Texas Ballroom I-IV Steve Pliszka, The University of Texas Health Science Center, San Antonio
Britta Ostermeyer, Baylor College of Medicine
Richard Peavey, People’s Community Clinic
Robin Rosell, People’s Community Clinic
Megan Zesati, People’s Community Clinic
Toni Watt, Texas State University
Moderator: Andrés Guariguata, Austin Travis County Mental Health Mental Retardation
Audience members will have a good understanding of the range of integrated programs
currently underway in Texas. They will have enough information to seek out more
information on those programs and to consider how the approaches taken may apply to
their own work.

9:15 – 9:30 Break

9:30 – 11:00 Concurrent Sessions I

Texas Ballroom V-VII Integrated care team roles

Richard Peavey, People’s Community Clinic
Rachel Quintanilla, Project Vida Health Center
Joann Gilbert, Project Vida Health Center
Robin May-Davis, Austin Travis County Mental Health Mental Retardation
Moderators: Carli Scales, Amarillo Area Mental Health Consumers; Vicky Coffee-Fletcher,
Hogg Foundation
Participants will have a good understanding of the roles of each integrated care team
member and how those roles differ from traditional service recipient and provider roles.
They will have a sense of the supports that help people transition to these new roles.

Foothills (17th floor) Eliminating the early mortality gap

Anita Everett, Johns Hopkins University
Paolo del Vecchio, Substance Abuse and Mental Health Services Administration
William Peabody, North Central Health Center
Peggy Swarbrick, Collaborative Support Programs of New Jersey
Moderators: Vicki Herndon, The University of Texas at San Antonio; Lynda Frost, Hogg
Foundation
Participants will have a good understanding of the range of approaches to eliminating
early mortality in people with mental illnesses. They will have a basic understanding of the
funding mechanisms for such programs, the relevant workforce issues, and the need for
data to track mortality trends.

Hogg Foundation for Mental Health Š 5

 AGENDA

Tuesday, Sept. 9, 2008 (continued)

Texas Ballroom I Paying for integrated care

Richard Frank, Harvard University
Gary Oftedahl, Institute for Clinical Systems Improvement
Patricia Young Brown, Travis County Health District
Tania Colón, Texas Health and Human Services Commission
Eduardo Sanchez, Blue Cross Blue Shield of Texas
Moderators: Valarie Garza, Texas Health Institute; Laurie Alexander, Hogg Foundation
Participants will have a good understanding of the financing barriers that interfere with the
implementation of integrated health care, as well as strategies that can be taken to address
those barriers and pay for integrated health care.

Texas Ballroom II-IV Organizational change in behavioral health and primary care organizations
Charlie Boone, Center for Health Care Services
Camis Milam, Center for Health Care Services
Lisa Glenn, City of Austin Community Care Services Department
Andrés Guariguata, Austin Travis County Mental Health Mental Retardation
Gary Larcenaire, El Paso Mental Health and Mental Retardation
Richard Salcido, Family Service of El Paso
Bill Schlesinger, Project Vida Health Center
Kathleen Reynolds, Washtenaw Community Health Organization
Moderators: Richard Hansen, Advocacy, Inc.; Deborah Berndt, Hogg Foundation
Participants will have a good understanding of the ways that organizations can reconfigure
or partner to provide integrated care. They will have enough information to seek out
more information on those approaches and to consider how they may apply to their own
organization.

11:00 – 12:30 Concurrent Sessions II

Texas Ballroom II-IV Bridging the cultures of behavioral health and primary care
Dan Shuman, Lone Star Circle of Care
Garry Souffrant, Su Clinica Familiar
Andrés Guariguata, Austin Travis County Mental Health Mental Retardation
Megan Zesati, People’s Community Clinic
Lynda Williams, People’s Community Clinic
Moderators: Richard Hansen, Advocacy, Inc.; Laurie Alexander, Hogg Foundation
Participants will have a clear understanding of the differences in the behavioral health and
primary care fields’ cultures, as well as ways to bridge cultural differences.

Texas Ballroom V-VII Prevention and early intervention approaches

Prachi Shah, Baylor College of Medicine
Susan Winslow, Maine Medical Center
Alicia Ann Kowalchuk, Baylor College of Medicine
Moderators: Vicki Herndon, The University of Texas at San Antonio; Deborah Berndt, Hogg
Foundation
Participants will have a good understanding of a range of prevention and early intervention
approaches possible in integrated programs, including infant mental health promotion in
pediatric and community settings, early intervention for psychosis in young people, and
prevention of substance dependence through early intervention with problem substance use.

6 Š Robert Lee Sutherland Seminar XV

 AGENDA

Tuesday, Sept. 9, 2008 (continued)

They will have sufficient information to seek out more information on the approaches and
to consider how they may apply to their own work.

Foothills (17th floor) Health information

Sloane Cody, Superior Health Plan Network
Frank Vega, Integrated Mental Health Services
Gary Larcenaire, El Paso Mental Health and Mental Retardation
Carol Smallwood, El Paso First Health Plan
John Wadsworth, Intermountain Healthcare
Kathleen Reynolds, Washtenaw Community Health Organization
Moderators: Carli Scales, Amarillo Area Mental Health Consumers; Lynda Frost, Hogg
Foundation
Participants will understand the importance of information sharing for integrated programs,
barriers to sharing health information, and the range of potential approaches to overcoming
these barriers.

Texas Ballroom I Workforce issues

Sam Shore, Texas Department of State Health Services
Vince Fonseca, Texas Department of State Health Services
Tina Runyan, Mid-State Health Center
Jürgen Unützer, University of Washington
Moderators: Valarie Garza, Texas Health Institute; Vicky Coffee-Fletcher, Hogg Foundation
Participants will have a good understanding of the workforce shortages in Texas, workforce
training issues in integrating care, and ways to address the training needs of integrated
systems.

12:30 – 2:00 Lunch working session

Texas Ballroom I-IV
Concurrent session reports
Laurie Alexander, Hogg Foundation
Deborah Berndt, Hogg Foundation
Vicky Coffee-Fletcher, Hogg Foundation
Lynda Frost, Hogg Foundation
Valarie Garza, Texas Health Institute
Richard Hansen, Advocacy, Inc.
Vicki Herndon, The University of Texas at San Antonio
Carli Scales, Amarillo Area Mental Health Consumers

Opportunities for moving integration forward in Texas

José Camacho, Texas Association of Community Health Centers
Danette Castle, Texas Council of Community Mental Health and Mental Retardation Centers
Luanne Southern, Texas Department of State Health Services

2:00 – 2:30 Closing remarks

Texas Ballroom I-IV Octavio Martinez, Hogg Foundation for Mental Health
Lynda Frost, Hogg Foundation for Mental Health
Laurie Alexander, Hogg Foundation for Mental Health

Hogg Foundation for Mental Health Š 7

 Speaker Biographies
Laurie Alexander, PhD, is a program officer at the Hogg
Foundation for Mental Health, where she currently serves as the
project leader for the foundation’s Integrated Health Care Initiative.
She worked as a policy analyst for Mental Health America
of Texas prior to joining the foundation in 2004. Alexander is
licensed as a psychologist in Texas and New York. She is on the
board of directors of the American College of Mental Health
Administration and on the steering committee of the Substance
Abuse and Mental Health Services Administration’s Resource
Center to Promote Acceptance, Dignity and Social Inclusion
Associated with Mental Health. Alexander earned a bachelor’s
degree in psychology and Italian from Washington University in
St. Louis, a master’s degree in journalism from The University of
Texas at Austin, and a doctoral degree in clinical psychology from
the University of Massachusetts at Amherst. She also completed
postdoctoral fellowships in traumatic stress at Cornell Weill
Medical College and in public health at Columbia University.
Deborah Berndt, MEd, is a program officer at the Hogg
Foundation for Mental Health, where she leads the foundation’s
policy activities. Prior to joining the foundation in 2006, she
worked as a consultant in mental health policy development and
strategic planning to both public and private organizations. From
1998 to 2004, Berndt was director of children’s services for the
Texas Department of Mental Health and Mental Retardation, now
part of the Texas Department of State Health Services. As director,
she was responsible for policy and program development for the
public mental health system for children. Before her work at the
state agency, Berndt honed her mental health policy expertise as a
senior policy analyst with the Texas Commission on Children and
Youth and as the director of public policy for the Mental Health
Association in Texas. Berndt received a master of education in
counseling psychology and a bachelor of arts in psychology from
The University of Texas at Austin.
Charles H. Boone has served as chief operating officer for the
Center for Health Care Services in San Antonio since January 2005.
In this position he is responsible for all treatment, habilitation and
rehabilitation programs operated by the center, an organization
with a $55 million annual budget and 26 locations that serve over
25,000 people annually. Boone has spent over 30 years in the
public mental health field. He began working as an attendant at
the Austin State Hospital in the late 1960s as a way to pay for his
education at The University of Texas at Austin and found the work
important and rewarding. His professional career has included
direct services for people with mental illnesses, administrative
work running community mental health and mental retardation
centers, and system improvement work at the state and community
levels. He holds a bachelor’s degree from The University of Texas
at Austin and a master’s degree from the University of Iowa. His
years of service and the variety of professional experience have
given him a unique perspective on service delivery, organizational
development and public policy.
José E. Camacho is executive director and general counsel for the
Texas Association of Community Health Centers (TACHC), the
primary care association for the state of Texas. Camacho began his
professional career in 1973 in private practice. In 1979, he became
director of the Farmworker Policy Impact Project for Texas Rural
Legal Aid in Austin and in 1982 became general counsel for the
National Migrant Referral Project. In 1983, Camacho began his
career with the TACHC as the organization’s general counsel and
in 1984 became the association’s full-time executive director. As
executive director of TACHC, Camacho has been active in almost
all aspects of advocating for the indigent and other medically
under-served populations of Texas. His primary focus has been
to expand access and to provide high quality, economical primary
and preventative health care for patients, the majority of which are
either uninsured or receive federal assistance. Camacho earned his
undergraduate degree in sociology and government from Texas
A&I University in Kingsville and his doctor of jurisprudence from
The University of Texas School of Law. Camacho also is involved
with the Texas State Legislature, the United States Congress, and
local community action groups and is a member of the American
Health Lawyers Association.
Danette Castle is the chief executive officer of the Texas Council
of Community MHMR Centers. Castle advocates on behalf of the
39 community MHMR centers of Texas at the state and federal
levels on policy and legislative matters related to improving
services for Texans with developmental disabilities, mental illness
and substance addictions. The community MHMR center system
covers all 254 counties of Texas and provides services for more
than 250,000 people each year. Prior to joining the Texas Council,
Castle served as chief executive officer of the Lubbock Regional
MHMR Center, developing and managing a comprehensive
community-based service delivery system. Castle has a master’s
of education and a master’s in public administration from Texas
Tech University in Lubbock, Texas.
Sloane Cody has been in the Medicaid, SCHIP and Medicare
managed care industry for 10 years, working with state and federal
agencies and health insurers in four states to improve delivery and
continuity of care. Currently, Cody is director of data management
and the health passport electronic health information system at
Superior Health Plan. Superior is based in Austin, Texas, and
insures over 450,000 people with Medicaid, SCHIP and Medicare
in Texas. With an education and background in regulatory affairs,
technology infrastructure and operational leadership, Cody and
her team have worked closely with sister company Cenpatico
Behavioral Health, the Texas Health and Human Services
Commission, the Texas Department of Family and Protective
Services, and other partners to implement electronic health records
for approximately 30,000 foster children in the state.
Hogg Foundation for Mental Health Š 9
 Speaker Biographies
Vicky Coffee-Fletcher, MEd, is a program officer at the Hogg
Foundation for Mental Health. She leads the foundation’s
workforce initiative and oversees activities related to its
endowment for Harris County children’s mental health services.
A seasoned children’s mental health and social services expert,
Coffee-Fletcher joined the foundation in 2007 after having
served as division administrator for family focus at the Texas
Department of Family and Protective Services. In her two years
with the department, she was responsible for the agency’s policy
and programs associated with family group decision making,
kinship care, family based safety services, educational services,
transitioning youth and best practice initiatives for families. Over
the past 20 years, Coffee-Fletcher has demonstrated her strong
commitment to enhancing the lives of children and families
through her work in community-based social services. She has
held a variety of clinical and administrative positions in children’s
mental health, education and child welfare, primarily in Texas.
A licensed professional counselor, Coffee-Fletcher received a
master’s degree in education and a bachelor’s degree in family and
child development from Texas State University in San Marcos.
Tania Colón, CPC, is a senior policy analyst for the Texas Health
and Human Services Commission, Medicaid/CHIP Program. She
received her coding certification through the American Academy
of Professional Coders in Salt Lake City, Utah, in 2001 and has over
12 years of experience in the health care industry. She is versed in
Current Procedural Terminology and International Classification
of Diseases - 9 coding, with a background in medical coding,
billing and compliance. She previously served as the lead over
a team of reimbursement specialists, where her responsibilities
included conducting professional coding presentations and in-
service trainings for over 120 physicians and medical providers.
She has over five years of experience in Medicaid medical policy.
Her Medicaid experience includes work with the state’s Medicaid
claims processing contractor, Texas Medicaid and Healthcare
Partnership, for which she conducted research and prepared
Medicaid medical policy for the state of Texas, and her current
position in which she provides policy development and project
management for a number of Medicaid policy initiatives.
Patricia Darden is originally from Austin. She is a 12-year
survivor of breast cancer. She was an avid exerciser before being
diagnosed with rheumatoid arthritis, fibromyalgia and other
health problems. She is blessed with a daughter who has seen her
through it all.
Paolo del Vecchio, MSW, is the associate director for consumer
affairs in the Office of the Director at the Center for Mental Health
Services (CMHS) of the Substance Abuse and Mental Health
Services Administration in the U.S. Department of Health and
Human Services. Previously, del Vecchio was the CMHS acting
director for the Office of External Liaison, where he coordinated the
center’s communications and knowledge dissemination activities
and was a senior policy analyst assisting in the development of
national mental health policy and programs to improve the lives
10 Š Robert Lee Sutherland Seminar XV
of people with mental health problems. Del Vecchio was the first
consumer affairs specialist hired by this federal agency. A self-
identified mental health consumer/survivor, del Vecchio has been
involved in the consumer/survivor self-help movement for over
a decade. A published author and a national and international
speaker, he has been involved with many organizations and efforts
including the Mental Health Statistics Improvement Project Ad-
Hoc Advisory Committee and the Federal Advisory Planning
Board for the Surgeon General’s Report on Mental Health.
Benjamin Druss, MD, MPH, the first Rosalynn Carter Chair
in Mental Health at Emory University, is working to build links
between mental health and broader public health and health
policy communities. Prior to this position, he was on faculty in the
departments of psychiatry and public health at Yale University.
Druss has published more than 80 peer-reviewed articles largely
focusing on policy and systems issues at the interface between
primary care and mental health. He was a member of the Institute
of Medicine Committee on Improving the Quality of Health
Care for Mental and Substance-Use Conditions and serves on
a National Institute of Mental Health grant review panel. Druss
has received several national awards for his work, including
the 2000 American Psychiatric Association Early Career Health
Services Research Award, the 2000 AcademyHealth Article-of-
the-Year Award, and the AcademyHealth 2003 Alice S. Hersh
New Investigator Award. In 2006, he received the Midcareer
Investigator Award from the National Institute of Mental Health,
through which he pursued a program of research on improving
collaboration between community health centers and community
mental health centers in the United States.
Anita Smith Everett, MD, is section chief of Johns Hopkins
Bayview Community and General Psychiatry in Baltimore,
Maryland. She is on the faculty of the Johns Hopkins School
of Medicine and the Bloomberg School of Public Health,
Department of Mental Health. Her current area of research
is the health behavior of individuals with long-term mental
illnesses. Prior to joining the Johns Hopkins staff, Everett
served as the chief medical advisor to the Substance Abuse and
Mental Health Services Administration. There she worked on
a number of projects centering on the promotion of access to
quality services and appropriate medications for individuals with
mental disabilities. Everett received her medical degree from
the East Tennessee State University College of Medicine. She
completed her psychiatry and internal medicine residency in 1990
and became chief resident in 1991 at the University of Virginia.
Everett has published widely and is active in several professional
organizations including the American Psychiatric Association, the
Maryland Psychiatric Society and the American Association of
Community Psychiatrists. She is currently engaged in a number of
international projects including consultation with the Ministries of
Health, Department of Mental Health in Iraq and Afghanistan on
the implementation of mental health services in these countries.
 Speaker Biographies
Vince Fonseca, MD, MPH, has served as the Texas state
epidemiologist since May 2006. Before coming to the Texas
Department of State Health Services, he spent nine years at the
headquarters of the U.S. Air Force Medical Service and eight years
in the U.S. Army. His expertise is in worksite wellness, medical
informatics, and clinical quality improvement. He serves on the
Texas Medical Association’s Council on Scientific Affairs and on
the Population Health and Clinical Care Connection Workgroup of
the American Health Information Community, a federal advisory
body. Fonseca is board-certified in public health and general
preventive medicine. He received his medical degree from Boston
University, a master of public health in quantitative methods from
Harvard University, and a bachelor of arts in psychology from
Rice University.
Jane Meschan Foy, MD, is a professor of pediatrics at Wake Forest
University School of Medicine in Winston-Salem, NC. She is also
vice chair of District IV of the American Academy of Pediatrics
(AAP) and chair of the AAP Task Force on Mental Health. Her
special interests include enhancing mental health services in
primary care and school settings, financing mental health services,
and improving collaboration among mental health and primary
healthcare providers. The AAP task force she chairs has produced
the “Children’s Mental Health Chapter Action Kit: Strategies
for System Change” and will soon be publishing recommended
competencies for pediatric mental health practice and a variety
of resources for enhancing mental health practice in primary care
settings. She has co-authored articles on diagnosis and treatment
of mental health disorders in pediatric practice, development
of a community consensus on diagnosis and management of
attention deficit-hyperactivity disorder, co-location of mental
health professionals in primary care settings, and a process for
advocating with state Medicaid to support mental health services
of primary care providers.
Richard G. Frank, PhD, is the Margaret T. Morris Professor
of Health Economics in the Department of Health Care Policy
at Harvard Medical School. He is also a research associate with
the National Bureau of Economic Research. Recently he served
as vice-chair of the Citizen’s Health Care Working Group. He
advises several state mental health and substance abuse agencies
on issues related to managed care and financing of care. He also
serves as co-editor for the Journal of Health Economics. Frank was
awarded the Georgescu-Roegen prize from the Southern Economic
Association for his collaborative work on drug pricing, the Carl
A. Taube Award from the American Public Health Association for
outstanding contributions to mental health services and economics
research, the Emily Mumford Medal from Columbia University’s
Department of Psychiatry, and the John Eisberg Mentorship
Award from National Research Service Awards. Frank and Sherry
Glied recently published the book “Better but Not Well” through
Johns Hopkins Press.
Lynda E. Frost, JD, PhD, is the associate director of the Hogg
Foundation for Mental Health, overseeing program staff and
strategic planning. Prior to joining the foundation, she served as
director of the Forensic Evaluation Training and Research Center
at the University of Virginia’s Institute of Law, Psychiatry &
Public Policy, where she provided policy consultation to various
state agencies; taught mental health law to medical, psychology,
and law students; and organized and led training programs on
forensic mental health evaluations for attorneys, judges and mental
health professionals. Her various publications include a co-edited
volume, “The Evolution of Mental Health Law,” published by the
American Psychological Association Press.
Valarie Garza currently serves as the consumer coordinator for
the Texas Mental Health Transformation Grant. The oldest of
Garza’s three sons has bipolar disorder and is severely psychotic.
As a result, she and her son have been involved with many Texas
state agencies, including special education, the mental health
authority, health and human services, juvenile justice, child
welfare and the adult criminal justice systems. For many years,
Garza has advocated at the local, state and national levels for more
successful treatment and support for those suffering from mental
health challenges. Garza has held numerous appointments in the
area of mental health transformation, including mental health and
mental retardation representative on the Travis County Children’s
Partnership Board of Directors and care coordinator/wraparound
facilitator with a local school district. She has served on the
Travis County Federation of Families Board of Directors, Travis
County System of Care Team, and the Travis County School-
based Mental Health Initiative Core Team. Garza has participated
in various state-level groups, including the Texas Department of
Family and Protective Services Parent Collaborative Advisory
Group and the Texas Disproportionality Effort. Garza has served
on state legislative workgroups such as the SB 325 Seclusion and
Restraint Reduction Workgroup, the HB 2292 Provider of Last
Resort Workgroup, and the Texas Mental Health Transformation
Workgroup. She has assisted several school districts seeking to
combine the positive behavior supports program with systems of
care and the wraparound process for the success of children. Garza
also works as a consultant and trainer for many local and state
agencies, helping them work towards consumer-driven services
and supports focused on recovery and resiliency.
Joann Gilbert, originally from Los Angeles, moved to El Paso in
1970 and has lived there ever since. Since graduating from Socorro
High School in 1974, she has worked in a variety of settings,
including the El Paso Police Department, a security firm and a
local hospital. Her career has included jobs in human resources
and furniture making. Gilbert recently completed an intensive
training program for adapting to living with vision impairment.
This coming January, she is enrolling at The University of Texas
at El Paso to finish her bachelor’s degree. She intends to major in
social work and says she wants to use her degree to “give back”
to the community.
Hogg Foundation for Mental Health Š 11
 Speaker Biographies
Lisa B. Glenn, MD, received her undergraduate degree from
Texas A&M University and her medical degree from The
University of Texas Southwestern Medical School at Dallas. A
board-certified family medicine physician, she has worked for
the City of Austin since 1995 and is presently senior medical
director of the community care services department. She is also
the medical director of the Medical Assistance Program of the
Travis County Healthcare District.
Andrés Guariguata, LCSW, is a clinical social worker and
currently employed by Austin Travis County Mental Health
Mental Retardation Center as the director of the Integrated
Behavioral Health Program. In addition to his work with the
Integrated Behavioral Health Program, Guariguata maintains
a small private practice and consults with and trains clinicians
in cognitive behavioral therapy, intensive in-home therapy and
the Seven Challenges substance abuse intervention program.
Guariguata has over 27 years’ experience, including extensive
work with adolescents, adults and families with psychiatric and
chronic physical health issues and alcohol/drug problems. He has
developed programs and provided clinical services to youth with
mental health and alcohol/drug problems who are being served
through the juvenile justice system. In addition to his clinical
work, Guariguata has extensive experience in the development
of systems of care for children, youth and their families. He
served as director of children’s mental health services for the
Texas Department of Mental Health and Mental Retardation.
He worked for five years for Providence Services Corporation
– Texas as director of clinical services and chief of operations.
Guariguata also worked with Casey Family Programs as director
of operations for several programs focused on transitioning youth
from the foster care system into independent adult life.
Richard Hansen is a psychiatric survivor whose mental health
experience has included 12 involuntary institutionalizations,
inpatient and outpatient commitment, psychiatric drugs, coercive
and forced treatment, restraints and solitary confinement. As a
young adult, he was subjected to homelessness, drug addiction
and poverty. As a result of these experiences, he now advocates
for mental health consumers and family members at the local,
state and national levels, with the goal of creating systemic change
to the public and private mental health care system in Texas.
Hansen currently works as a PAIMI (Protection and Advocacy
for Individuals with Mental Illness) advocate for Advocacy,
Inc., working inside mental institutions, jails and Texas Youth
Commission facilities to secure civil rights for consumers. In
addition, he serves as co-chair of the Mental Health Planning
and Advisory Council and holds a chair on the Local Planning
and Network Development. He also served on the Provider of
Last Resort legislative work group (HB 2292). Hansen speaks at
conferences and events and is actively involved in various local
councils and committees. He was nominated for the Substance
Abuse and Mental Health Services Administration’s Consumer
Voice of the Year and for the Mental Health America of Greater
Dallas 2008 PRISM Award. After having lived in Chihuahua,
12 Š Robert Lee Sutherland Seminar XV
Mexico, Hansen returned to Texas five years ago to begin his
professional advocacy career. He has a bachelor’s degree in
philosophy from Southern Methodist University and was accepted
to do his master’s work at Columbia University in New York.
Vicki Herndon, MA, is a doctoral student at The University of
Texas at San Antonio in counselor education and supervision.
She is also a consumer of mental health services. Herndon has
worked for Hill Country Mental Health Mental Retardation
Center as a peer support facilitator/trainer, where she developed
a support group curriculum for the agency. She also has worked
as an advocate and licensed professional counselor intern for Hill
Country Cares, serving persons impacted by domestic violence
and sexual assault. Herndon developed “Empowering Recovery
for Dual Diagnosis,” a five-week psychoeducation program for
persons affected by substance abuse and mental illness. From
2004 to 2007, she operated the Kerrville Wellness Group, a non-
profit organization through which she taught the psychoeducation
program to over 100 participants. She has served as an expert panel
member for the GAINS Center on projects for persons with dual
diagnoses who are also involved with the criminal justice system,
and has had the opportunity to present at various conferences on
issues of mental illness and mental health.
Alicia Kowalchuk, MD, is medical director of InSight, the
Harris County Hospital District’s Screening, Brief Intervention
and Referral to Treatment (SBIRT) program. She is an associate
professor with Baylor College of Medicine’s Department of
Family and Community Medicine and is certified in addiction
medicine by the American Society of Addiction Medicine. She
has recently begun work with the KINDER Clinic at the Council
of Alcohol and Drugs Houston. The clinic provides primary care,
counseling and referral services to children from birth through age
20 who have been exposed in utero to HIV, alcohol or other drugs.
Kowalchuk graduated from the New York College of Osteopathic
Medicine and completed her internship at St. Clare’s Hospital in
Manhattan. She did her family medicine residency at Montefiore
Medical Center in the Bronx, then served three years with the
National Health Corps providing on-site prenatal, HIV, primary
care and addiction medicine services at a methadone clinic in the
South Bronx. She relocated to Houston in 2004 and joined the
Baylor faculty, working as a family physician in a community
health center before joining the InSight program. Her passion is
caring for families that have been affected by addiction.
Gary Larcenaire’s experience in behavioral health spans over
20 years. His professional career began as a caseworker serving
adults with severe and persistent mental illness for the center now
known as West Texas Centers for MHMR. He also served as chief
of quality management and chief operating officer at the Permian
Basin Community Center for MHMR. Larcenaire serves as chair
of the statewide Texas Council of Community MHMR Centers
Healthcare Integration Committee. He is an active member of the
El Paso Downtown Rotary Club, serving as chair of the Youth
Appreciation Committee, a committee that rewards top students
 Speaker Biographies
in El Paso County with scholarships. Larcenaire also is a Rotary
Youth Leadership Award Counselor, helping to leading high school
students for life after high school. He has a bachelor of arts in
psychology and a master’s in public administration from Angelo
State University. Larcenaire and his wife, Nicole, have been
married 15 years and have two daughters. He enjoys motorcycle
touring, mountain bike riding, music recording, weight training,
and is a certified high and low ropes instructor/facilitator.
Octavio N. Martinez, Jr., MD, MPH, MBA, is the executive
director of the Hogg Foundation for Mental Health. He also
holds an academic appointment in The University of Texas at
Austin’s School of Social Work. A native Texan, Martinez was
a clinical psychiatrist at the Albemarle Mental Health Center and
an affiliate associate professor at the Brody School of Medicine
in North Carolina prior to joining the foundation in August 2008.
He previously was an assistant professor and psychiatrist at
The University of Texas Health Science Center at San Antonio.
Martinez worked in commercial real estate, banking and finance in
Austin before entering medical school. He has a master’s degree in
public health from Harvard University’s School of Public Health,
a doctor’s degree in medicine from Baylor College of Medicine,
and master’s and bachelor’s degrees in business administration
with a concentration in finance from The University of Texas at
Austin. Martinez has extensive classroom and clinical teaching
experience in subjects related to psychiatry and medical practice.
His interests include minority health and health disparities and
education of medical students and residents. Martinez belongs to
the National Hispanic Medical Association, Harvard Faculty Club,
American Psychiatric Association and Reede Scholars, a network
of public health leaders who have completed The Commonwealth
Fund/Harvard University Fellowship in Minority Health Policy.
He holds medical licenses in Texas and North Carolina and is a
diplomate of the American Board of Psychiatry and Neurology.
Robin May-Davis, MD, completed her undergraduate education
at Occidental College and received a medical degree from
Harvard University. She returned to Los Angeles to attend a
residency program in psychiatry at the University of California,
Los Angeles’ Neuropsychiatric Institute. She is board-certified in
general psychiatry and has done a mix of clinical care, teaching
and administrative work. With a firm commitment to community
psychiatry, May-Davis has worked in various settings in the public
sector, including traditional mental health clinics, a methadone
program, the Los Angeles County Jail, and since April 2007, the
E-Merge program at Austin Travis County Mental Health Mental
Retardation Center. Her biggest accomplishment thus far is being
mom to her five-month-old son.
A. Camis Milam, MD, is a native of South Texas. She received
a bachelor of science in biology from Stanford University and a
medical degree from The University of Texas Medical Branch, and
was awarded a fellowship in women’s studies in psychiatry at the
Stone Center at Wellesley College. As an early career psychiatrist,
she was in private practice in Clear Lake in the Houston area.
There, Milam served as the psychiatric resource for the Astronaut
Office at NASA-Johnson Space Center and developed a program
to address family exit and re-entry issues resulting from long tours
of duty. She moved to San Antonio in 1988 and joined the Center
for Health Care Services in 2003. Since 2006 she has served as
the chief of staff for medical services and medical director. She
frequently contributes to community forums and is an advocate of
parity and integrated medical care.
Gary Oftedahl, MD, is chief knowledge officer for the Institute
for Clinical Systems Improvement (ICSI), a quality improvement
collaborative of 57 medical organizations in Minnesota and
immediate bordering areas. Its purpose is to accelerate improvement
in health care delivered by members. Oftedahl works as a content
expert, convener and facilitator of ICSI collaborative efforts in
coordination with national experts and member organizations. He
received a medical degree from the University of Wisconsin in
Madison, completed an internal medicine residency at Gundersen
Clinic/La Crosse Lutheran hospital in La Crosse, Wisconsin, and
is board-certified in internal medicine. Previously, he worked over
26 years at the Olmsted Medical Center in Rochester, Minnesota,
where he served as medical director for quality. He has been
involved in multiple state and local organizations, including
Blue Cross/Blue Shield of Minnesota, and has served as medical
director of multiple nursing homes.
Britta Ostermeyer, MD, completed her psychiatry residency at
The New York State Psychiatric Institute and Columbia University
College of Physicians & Surgeons in New York City after training
in neurology at Baylor College of Medicine. She then did a
fellowship in forensic psychiatry with Phillip Resnick at Case
Western Reserve University in Cleveland. Ostermeyer is chief of
psychiatry at Ben Taub General Hospital/Harris County Hospital
District, director of the psychiatric outpatient clinic at Ben Taub
General Hospital, and director and co-founder of the Harris
County Hospital District Community Behavioral Health Program.
In addition, she is medical director of the Texas Demonstration to
Maintain Independence and Employment Project, a $27 million
treatment demonstration project funded by the federal Centers
for Medicaid and Medicare and Harris County Hospital District.
Ostermeyer is also a board-certified forensic psychiatrist with a
special interest in suicide and violence risk evaluations and sanity
evaluations in criminal proceedings.
Cindy M. Patrick began her career in the nonprofit sector as a
Peace Corps volunteer in the Dominican Republic. After receiving
an MBA from The University of Texas at Austin, she served as
a field director for an international child welfare organization in
Guatemala and as executive director of a Texas nonprofit health
clinic and a child abuse prevention program before joining the
Meadows Foundation in 1999. As a senior program officer, Patrick
analyzes the programmatic, financial and managerial aspects of
grant proposals from nonprofits and public entities throughout
Texas primarily in the areas of mental health, violence prevention
and human services.
Hogg Foundation for Mental Health Š 13
 Speaker Biographies
William Peabody, MA, LMSW, is president and chief
executive officer of North Central Health Center, a not-for-
profit mental health and primary care clinic located in Detroit,
Michigan. This clinic treats 4,700 adults and children each year
in an environment of poverty, crime and chronic disease. North
Central Health Center is a designated training site for resident
physicians in the Psychiatric Training Program of Wayne State
University and Peabody is an active member of the Residency
Oversight Committee. Since 1994, Peabody and his staff have
been developing a simple but unique treatment system designed
to treat the whole patient – body, mind and spirit. A single site
incorporates primary care, psychiatry and a full-service pharmacy
to coordinate services and to assure optimal outcomes with timely
and appropriate interventions and a minimum of medication. All
patients have intensive follow-up. Outcome studies can be found
at the clinic Web site: www.northcentralhealthcenter.org. Peabody
is a 1966 graduate of Sacred Heart Seminary in Detroit. His
master’s work was completed at Eastern Michigan University and
his post-graduate studies were at the University of Detroit-Mercy
and the University of Michigan. He is a licensed mental health
practitioner and maintains an active treatment role in the clinic.
Peabody has provided consultation to the State of New York, the
State of Arizona, counties in Oregon and North Carolina, and
various locations in the State of Michigan.
Richard Peavey, MD, has over 30 years of professional experience
encompassing general practice, urgent care, occupational and
rehabilitation medicine, and coordination of medical staff. He has
served as a general medicine physician at People’s Community
Clinic in Austin, Texas, since 1999. Peavey received his medical
degree from The University of Texas Southwestern Medical
School, Dallas and completed his internship at the University
of Oklahoma, Tulsa Medical College. He is the director of adult
medicine at People’s and is the (oh-so-proud) physician champion
for the Integrated Behavioral Health Program directed by Megan
Zesati, LCSW.
Steven R. Pliszka, MD, is professor and vice chair of the
department of psychiatry at The University of Texas Health
Science Center at San Antonio. He also serves as chief of the
division of child and adolescent psychiatry. He conducts research
in neurobiology and psychopharmacology of attention deficit-
hyperactivity disorder. He serves as the psychiatric consultant
to two residential facilities for youth with severe mental illness
and teaches neuroscience and psychopharmacology to medical
students and residents.
Rachel V. Quintanilla, LMSW, is a clinical care manager for
Project Vida Health Center in El Paso. She earned a bachelor’s of
arts in psychology from The University of Texas at El Paso and a
master’s in social work from New Mexico State University. Her
social work and counseling focus has been with crime victims,
families served by Texas Child Protective Services, young
fathers, HIV-infected clients and domestic violence victims. She
first came to Project Vida as an Americorps volunteer working
14 Š Robert Lee Sutherland Seminar XV
with the Gang Task Force and El Paso Mental Health and Mental
Retardation adolescents. During her work with Family Service of
El Paso she counseled individuals, couples, families and children.
She also conducted psychosocial assessments for Child Protective
Services, adoption studies for family courts, crisis intervention,
Critical Incident Debriefing, grief counseling and community
awareness presentations on various social issues affecting the El
Paso community. In 2001 she was “deployed” by Family Service
of El Paso to Northern Virginia to help set up stress management
programs for people affected by the Sept. 11 attack on the Pentagon.
Prior to returning to Project Vida in 2006, Quintanilla worked with
the 388th Judicial District Court as parenting coordinator, helping
litigants in high-conflict divorce and custody cases learn the art of
co-parenting. As clinical care manager, Quintanilla’s career has
come full circle with the formation of an integrated health care
collaborative with the three agencies that shaped her professional
development. Her greatest contributions to the El Paso community
are her grandkids Cerienne, Sudsy and Atticus.
Kathleen Reynolds, MSW, ACSW, is director of the Washtenaw
Community Health Organization (WCHO) and an adjunct
clinical instructor in the University of Michigan Department
of Psychiatry. The WCHO is an integrated health system
that includes a community mental health services program,
a substance abuse coordinating agency and primary health
care capitation dollars for Medicaid and indigent consumers.
Reynolds has over 27 years’ experience in the mental health and
substance abuse field. For the past seven years Reynolds’ primary
emphasis has been developing integrated health care models
for Medicaid and indigent consumers. To support this work, the
WCHO has developed an integrated mental health, substance
abuse and primary care electronic medical record in addition to
an integrated care delivery model for public sector consumers.
Reynolds has presented at numerous conferences and conventions
on the innovative programming in Washtenaw County. She is the
author and co-author of several articles, as well as “Raising the
Bar: Moving Toward the Integration of Health Care, A Manual for
Providers.” Reynolds graduated from the University Of Michigan
School Of Social Work in 1982.
Lucius Ripley, MD, is a general adult psychiatrist at the
Georgetown Community Clinic, part of the Lone Star Circle
of Care in Williamson County, Texas. After medical school in
San Antonio, he completed a family practice internship and a
psychiatric residency program in Houston. He worked in private
practice in the Houston area for many years. Later he served
as a staff psychiatrist with Mental Health Mental Retardation
Authority of Harris County, where he was a participant in the
Texas Medication Algorithm Project. Intrigued by the opportunity
to work in a primary care setting, Ripley took a position with
Lone Star as its first psychiatrist. For the past two years he has
seen primarily uninsured patients who previously had little access
to psychiatric treatment.
 Speaker Biographies
Robin Rosell, LCSW, LMFT, is project lead for the Integrative
Behavioral Health Program at People’s Community Clinic in
Austin, Texas. The 38-year-old private, nonprofit primary care
clinic serves low-income, underinsured Central Texans. She also
serves as director of social services and project director for the
Tandem Teen Prenatal & Parenting Program, an interagency
effort that offers comprehensive medical, mental health and social
services to young parents. Prior to coming to People’s Community
Clinic 12 years ago, she had worked as a social worker/therapist
or manager in a variety of adolescent mental health settings,
including public and private inpatient psychiatric hospitals,
outpatient counseling centers and residential treatment facilities.
Rosell has over 25 years of post-graduate experience, including
over 18 years of developing and managing interdisciplinary and
interagency programs.
Christine (Tina) Runyan, PhD, is a clinical health psychologist
working as a behavioral health consultant at Mid-State Health
Center, a Federally Qualified Health Center Look-Alike primary
care clinic in Plymouth, New Hampshire. She spent six years in
the U.S. Air Force, where she was project developer and manager
for the Behavioral Health Optimization Project, the U.S. Air
Force Surgeon General’s initiative that defined integrated care
services for the Air Force Medical Service. Runyan spearheaded
the initiative and helped develop the training program and
practice manual, defining a model of integration that has been
a cornerstone for other uniformed and governmental agencies.
Since leaving the Air Force, Runyan has worked to promulgate
integrated care through a variety of activities, including writing
books and book chapters; presenting at local, state, and national
conferences; teaching; training graduate students; and serving
on panels and workgroups for the expansion of integrated care.
Runyan received a bachelor’s degree in biopsychology at the
University of Maryland and master’s and doctoral degrees in
clinical psychology from Virginia Tech.
Richard Salcido is executive director of Family Service of El
Paso, a private nonprofit agency whose purpose is to make mental
health services available to anyone in the El Paso community
regardless of their ability to pay. A licensed professional counselor
and an approved supervisor for licensed professional counselors,
Salcido’s career has revolved around providing mental health
services to the poor and disadvantaged. He has extensive clinical
experience in the areas of domestic violence, child sexual abuse,
child abuse/neglect and mental illnesses. As executive director,
his focus has been to eliminate access barriers to mental health
services and to help develop mental health professionals in the El
Paso community.
Eduardo J. Sanchez, MD, MPH, FAAFP is vice president and
chief medical officer at BlueCross BlueShield of Texas. Sanchez
previously served as director of the Institute for Health Policy and
Professor in the Division of Management, Policy and Community
Health at The University of Texas School of Public Health. He
was Texas Commissioner of Health from 2001 to 2006 and during
that time led the consolidation of Texas’ public health, mental
health and substance abuse agencies into a single agency, the
Texas Department of State Health Services. In 2005, he directed
the Texas health and medical response to Hurricanes Katrina and
Rita. He served on the Institute of Medicine (IOM) Committee
on Progress in Preventing Childhood Obesity and on the Centers
for Disease Control and Prevention (CDC) National Center for
Infectious Diseases Board of Scientific Counselors while state
health officer. From 1992 to 2001, Sanchez practiced family
medicine in Austin, Texas. In addition, he served as public health
officer and chief medical officer for the Austin-Travis County
Health and Human Services Department from 1994 to 1998.
He played a key leadership role in helping to create the Texas
Association of Local Health Officials (TALHO) in 1997, and he
served as TALHO’s first president. Sanchez currently serves as
chair of the Advisory Committee to the Director, CDC; chair of
the National Commission on Prevention Priorities; and a Food &
Society Policy Fellow. He also serves as co-chair of the National
Governors’ Association Childhood Obesity Advisory Council
and as a member of the IOM Standing Committee on Childhood
Obesity. He received his medical degree in 1988 from The
University of Texas Southwestern Medical School and completed
a family medicine residency at The University of Texas Health
Science Center at San Antonio. He holds master’s degrees in
public health from the University of Texas School of Public Health
and in biomedical engineering from Duke University. He also
holds bachelor’s degrees from Boston University in biomedical
engineering and chemistry.
Carli Scales has been active in peer support and advocacy for
over 15 years. She is executive director and a founding member of
Amarillo Area Mental Health Consumers, which runs the Agape
Center in Amarillo. She has been involved with Texas Mental
Health Consumers for many years and has served in different
positions on its board of directors, including her current role as
chair. Scales is a consumer advocate with strong convictions
about the importance of recovery and peer support. She believes
all consumers should have choice in the direction of their care and
a voice in mental health system policies.
Bill Schlesinger is chief executive officer of Project Vida Health
Center in El Paso. An ordained Presbyterian minister, he is also
co-pastor with his wife, Carol Schlesinger, of Faith Presbyterian
Church in El Paso. The Schlesingers have four children and six
grandchildren. Project Vida Health Center is a Federally Qualified
Health Center and is linked with permanent and transitional
housing, early childhood development, afterschool programs,
microenterprise technical assistance and other programs that are
part of Project Vida’s overall strategy for supporting the El Paso
community.
Hogg Foundation for Mental Health Š 15
 Speaker Biographies
Prachi Shah, MD, is a board-certified developmental and
behavioral pediatrician at Texas Children’s Hospital and an
assistant professor of pediatrics at Baylor College of Medicine
in Houston, Texas. She obtained her medical degree from Baylor
College of Medicine and completed her pediatric training at Texas
Children’s Hospital/Baylor College of Medicine. She received
further subspecialty training in behavioral and developmental
pediatrics at Boston University School of Medicine and in infant
psychiatry at Tulane University School of Medicine in New
Orleans. Shah was recently awarded a grant from the National
Institute of Child Health and Human Development to explore
the genetic and caregiving contributions to behavioral outcomes
of infants born prematurely. She was one of 26 early childhood
professionals awarded the Leaders for the 21st Century Fellowship
from ZERO TO THREE®: National Center for Infants, Toddlers
and Families in 2005-2007. Shah’s professional and research
interests include attachment, behavioral outcomes of preterm
infants, and the early identification and treatment of parent-child
relationship disturbances.
Sam Shore, MSSW, is the project director in Texas for Mental
Health Transformation, a multi-year initiative funded by the
Substance Abuse and Mental Health Services Administration.
Shore has a bachelor’s degree in psychology from Wichita State
University in Wichita, Kansas, and a master’s in social work from
The University of Texas at Austin. He has worked in the Texas
public mental health system for the past 28 years in various roles
at the community and state levels. Throughout his career in the
public mental health system, Shore has maintained a specialization
in psychiatric rehabilitation, managed a variety of system change
initiatives and federal grants.
Dan Shuman, DO, MCG, is a family physician from Texas.
He completed his residency with the U.S. Army at Fort Belvoir,
Virginia. After leaving the Army in 2004, Shuman and his
family moved to the Hawaiian island of Molokai to help start
a new community health center. Thanks to a collaboration with
clinical psychology training programs having a strong emphasis
in integrated behavioral health, the Molokai Community Health
Center employed a clinical psychologist with training in primary
care mental health. In this environment, he experienced a highly
integrated model, with the clinical psychologist sharing exam
rooms and utilizing joint visits on a regular basis. Upon his return
to Texas, Shuman felt strongly that it was important to continue
the model of integrated care delivered through community health
centers. At Lone Star Circle of Care in Georgetown, Texas,
he serves as the chief medical officer for an organization that
emphasizes a medical home model with integration of multiple
primary care services and mental health. Shuman completed
medical school at the Texas College of Osteopathic Medicine in
Fort Worth. He served in the Iraq War from 2003 to 2004 with the
2nd Armored Cavalry Regiment as officer in charge of a Level 2
Aid Station. He is married with five children between the ages
of four and nine. The youngest three are sisters whom he and his
wife were blessed to have adopted recently from Colombia.
16 Š Robert Lee Sutherland Seminar XV
Carol Smallwood joined the El Paso County Hospital District in
October 2006 as the chief executive officer of El Paso First Health
Plans, Inc. Smallwood earned her bachelor’s degree in community
health from New Mexico State University and her master of
public health degree from the University of Oklahoma. For much
of her professional life she worked in the Medicaid managed
care industry in Arizona, where she served as the executive in
charge of operations at various health plans. She also served as
the health analyst for the minority party in the Arizona House
of Representatives and as a regulator in the Arizona Department
of Health Services’ behavioral health program, as well as the
Arizona Health Care Cost Containment System, which is the state
Medicaid agency.
Sally Smith, RN, LCSW, began her clinical work as a nurse
in a private psychiatric hospital in Dallas called Timberlawn.
Since then, she has worked with adults and children in a variety
of inpatient and outpatient settings as both a clinician and an
administrator. Smith sees herself as a generalist. Through her
varied career, she has “learned a little about a lot of things…
just enough to be dangerous.” For the past five years, Smith has
worked in regional and statewide integrated health care projects.
Since April 2007, she has been the director of ICARE, a statewide
initiative to design and implement an infrastructure for integrating
behavioral health services into primary care practices.
Mary C. Soto, MSEd, received her bachelor’s of science degree
in community health education from the University of Wisconsin
and master’s of science in community health education from
Southern Illinois University. After many years of service in
local government, Soto joined the Texas Department of Health
in 1990. Soto has served in multiple management roles during
her tenure in state government, including director for the Office
of Public Health Practice, Regional and Local Health Services,
and the Center for Program Coordination. Soto currently serves
in the Commissioner’s Office at the Texas Department of State
Health Services, where she oversees priority initiatives including
the deputy commissioner’s project plan to integrate behavioral
health and public health, national policy for accreditation of state
and local health departments, and DSHS Educational Blueprint
Project. Soto also supports the agency’s planning and intelligence
function during emergencies. She participated in the Texas
response efforts for Hurricanes Katrina, Rita, Dean and Dolly.
Garry C. Souffrant, MD, is a native of Haiti. He is the medical
director of Su Clinica Familiar in Harlingen, Texas. He is also a
clinical associate professor of internal medicine at The University
of Texas Health Science Center, San Antonio and its Regional
Academic Health Center (RAHC) in Harlingen. Souffrant is a
strong patient advocate committed to preventative medicine and
health disparities. From 1994-1999, he was the director of the
National Tuberculosis Center in New York. While in New York,
he was nationally recognized for his work in implementing a
“Community Partnership to Eliminate Tuberculosis.” Souffrant
is board-certified in internal medicine as well as pulmonary and
 Speaker Biographies
critical care medicine. He trained in Mexico City and Guadalajara,
Mexico, and completed his internal medicine residency training
and pulmonary critical care fellowship at Harlem Hospital-
Columbia University in New York. In April 2008, Souffrant was
named “Physician of the Year” by Valley Baptist Medical Center
in Harlingen. He was also recognized by the UTHSCSA-RAHC
for his collaboration on a research study entitled “Identify Patients
with Inadequate Health Literacy in Spanish Speaking Patients,”
conducted at Su Clinica Familiar. Souffrant is married with two
sons and lives in Harlingen.
Luanne Southern provides leadership in formulating
and implementing the agency’s policy direction as deputy
commissioner of the Texas Department of State Health Services
(DSHS). She also oversees the DSHS Centers for Policy and
Innovation, Program Coordination, and Consumer and External
Affairs. Previously, Southern worked in Washington, D.C., as
senior director at Mental Health America and at the Georgetown
University National Technical Assistance Center for Children’s
Mental Health. Southern began her career in Texas as a social
worker at Austin State Hospital. She then served as division director
for children’s services at the Austin Travis County Mental Health
Mental Retardation Center, and as project director for a federal
Substance Abuse and Mental Health Services Administration
children’s mental health system reform grant. Southern has been
a national consultant on child and family health in many states,
working to improve programs and services. She earned a master’s
degree in social work from The University of Texas at Austin.
Peggy Swarbrick, PhD, OTR, CPRP, is director of the Institute
for Wellness and Recovery Initiatives, Collaborative Support
Programs of New Jersey, and a postdoctoral fellow in the
Department of Psychiatric Rehabilitation and Counseling at the
University of Medicine and Dentistry of New Jersey’s School of
Health Related Professions. Her early personal life challenges and
experiences led to a career focused on promoting wellness within
the mental health system. Swarbrick has worked many years as an
occupational therapist in a variety of settings providing wellness
and recovery-focused services. She has written numerous
publications and has lectured nationally and internationally on
consumer issues such as wellness, employment, peer-delivered
services and recovery.
Jürgen Unützer, MD, MA, MPH, is professor and vice-chair
of psychiatry and behavioral sciences at the University of
Washington (UW) and chief of psychiatric services at the UW
Medical Center. He is also an adjunct professor of health services
at the UW School of Public Health and an affiliate investigator at
the Group Health Cooperative Center for Health Studies. Unützer
works with national and international organizations to improve
care for common mental disorders and has published over 160
articles in peer-reviewed medical journals. His research focuses
on collaborative care programs that improve the capacity of
primary care practices to care for individuals with common mental
disorders such as depression, and on “translating” evidence-
based mental health treatments into effective clinical and public
health practice. He currently directs the IMPACT Implementation
Center (www.impact-uw.org), which supports diverse health care
organizations interested in integrating evidence-based depression
treatment into primary care.
Frank Vega is manager of training for Integrated Mental Health
Services (IMHS) and a licensed marriage and family therapist. His
primary work experience over the last 19 years has been in children’s
mental health and out-of-home placements. Prior to joining IMHS
he served as the children’s mental health representative for the
state of Texas. In his role at the Texas Department of State Health
Services, Vega was the liaison between the department and the
Texas Department of Family and Protective Services, and he was
involved in the level-of-care redesign. He also has held various
positions in foster care agencies in Texas and in Arizona.
John Wadsworth is a data architect for the Enterprise Data
Warehouse team with Intermountain Healthcare in Utah. He has
been with Intermountain for six years, supporting and building
clinical systems. Wadsworth is responsible for capturing and
reporting data used in chronic disease management of diabetes,
asthma and mental illness within the Primary Care Clinical
Program. Wadsworth also manages day-to-day operations as
well as strategic operations to maintain Intermountain’s data
warehouse. He is currently pursuing a master’s in biomedical
informatics from the University of Utah.
Toni Watt, PhD, is an associate professor of sociology at Texas
State University in San Marcos. She holds a doctorate in sociology
and a master’s degree in business administration. Her research
focuses on mental health with particular attention to issues of
child/adolescent health, substance abuse and race/ethnicity. She
has conducted evaluation research for businesses, government
agencies and foundations. She is currently conducting a three-year
evaluation of two Texas integrated behavioral health programs
funded by St. David’s Community Health Foundation.
Lynda Williams is a 44-year-old single mother of her seven-year-
old son. For 14 years she has worked as receptionist/secretary,
office manager and unofficial accountant for an Austin law office.
Williams grew up in Alice, Texas, and seven years ago brought
her aging mother to live with her in Austin. Her father joined them
two years ago. Both of her parents experience the physical and
mental challenges of advanced age, and Williams provides them
their daily physical care. Williams has been a patient of People’s
Community Clinic in Austin since 2000.
Hogg Foundation for Mental Health Š 17
 Speaker Biographies

Susan Winslow, RNC, LADC, is a psychiatric nurse and team
leader for the Portland Identification and Early Referral (PIER)
program at the Maine Medical Center. The PIER Program is
designed to reduce the incidence of psychosis in young people
through community education, early detection and treatment.
Winslow has been with the PIER Program since its inception in
December 2001 and has served as team leader for the past year
and a half. She brings to the program extensive experience in a
variety of areas of psychiatric nursing, including day hospital,
inpatient and outpatient treatment services. She has held several
nursing positions in the medical center’s psychiatry department
since beginning there in 1990. Although experienced in working
with all age groups, she finds it especially rewarding to work
with young people and their families. Along with another PIER
clinician, Winslow pioneered the first psychoeducational multi-
family group program for adolescents and their families in 1997.
Other areas of interest include addictive disorders, Motivational
Interviewing and Dialectical Behavioral Therapy.
Rick Ybarra, MA, is a program officer at the Hogg Foundation
for Mental Health, where he leads the foundation’s Cultural
Adaptation Initiative, a grant program focused on the culturally
competent delivery of evidence-based mental health services.
Ybarra came to the foundation in 2007 from ValueOptions of
Arizona, where he served as director of diversity initiatives
since 2004. In that role, he was responsible for the development,
implementation and monitoring of standards, policies and
procedures to promote cultural competency. From 1997 to
2003, Ybarra was director of multicultural services for the
Texas Department of Mental Health and Mental Retardation
(TDMHMR), now part of the Texas Department of State Health
Services. Prior to his work with TDMHMR, he held a variety of
clinical and management posts in the Texas public mental health
system. Ybarra has worked at the county, state and federal levels
to develop and promote public policy strategies to eliminate
mental health disparities in populations of color. He is an advisory
member of the Cultural and Linguistic Competence Coordinators
Network in Georgetown University’s National Center for Cultural
Competence and a professional member of the National Latino
Behavioral Health Association. Ybarra earned his master’s degree
in clinical psychology and his bachelor’s degree in psychology
from Saint Mary’s University in San Antonio, Texas.
Hospitals, formerly known as the Seton Healthcare Network, in a
variety of managerial capacities, including chief operating officer
of Seton Health Partners physician group, executive director of
medical management resources and director of Seton Healthcare
Network planning and network development. In addition, she
served as director of consulting for Research and Planning
Consultants, through which she provided health care service
demand projections, certificate of need applications and expert
witness services. Her early career began with Arthur Andersen
and Co., where she developed areas of expertise including oil and
gas and real estate industries, international taxation and health
care-related taxation of for-profit and not-for-profit entities,
joint ventures, financial forecasts and projections and alternative
delivery systems.
Megan Barnes Zesati, LCSW, is a licensed clinical social worker
and graduate of The University of Texas at Austin where she
received her bachelor’s degree in 1997 and her master’s in social
work in 2001. She completed her clinical internship in Oaxaca,
Mexico, where she worked at a home for adolescent girls. She
has received post-graduate training in play therapy and Eye
Movement Desensitization and Reprocessing therapy, and has
special interest in mindfulness-based therapies. She moved back
to Austin in 2006 after five years in Oakland, California, where
she worked with children and families, and one year abroad in
Valle de Bravo, Mexico, where she worked at a community health
clinic with adults and adolescents.

Patricia “Trish” Young Brown, CPA, is president/chief executive

officer of the Travis County Healthcare District. Previously, she
served for five years as chief executive officer of the City of Austin’s
Community Care Services Department, with responsibility for
the Austin/Travis County Community Health Centers, City of
Austin/Travis County Rural Medical Assistance Programs and
the Austin Women’s Hospital. In addition, Young Brown served
a four-year term as president of the Indigent Care Collaboration
(ICC), a regional collaboration of health care providers that serve
the uninsured and underinsured in the Central Texas region.
She now serves on the ICC in the role of past president. Prior
to her public service, Young Brown worked for Seton Family of

18 Š Robert Lee Sutherland Seminar XV

 Planning Committee Members
Wendy Andreades, Texas Department of State Health Services
Kinike Bermudez, Independence House
John Burruss, Baylor College of Medicine
Christy Calderon, El Paso Mental Health and Mental Retardation
Joann Gilbert, Project Vida Health Center
Andrés Guariguata, Austin Travis County Mental Health Mental Retardation Center
Laura McKieran, El Centro de Barrio
Lupe Morin, National Alliance on Mental Illness - San Antonio
Cindy Patrick, Meadows Foundation
Jen Rodosta, Lone Star Circle of Care
Betsy Schwartz, Mental Health America of Greater Houston
Mary Soto, Texas Department of State Health Services

Advisory Committee Members

Norma Almanza, Texas Department of Insurance
Matthew Barnes, Houston Endowment
Tom Best, Texas Department of State Health Services
Yolande Bestgen, Texas Department of Assistive and Rehabilitative Services
Jana Blasi, Texas Association of Community Health Centers
Charlie Boone, Center for Health Care Services
Danette Castle, Texas Council of Community Mental Health and Mental Retardation Centers
Tania Colón, Texas Health and Human Services Commission
Paolo del Vecchio, Substance Abuse and Mental Health Services Administration
Evelyn Delgado, Texas Department of State Health Services
Nnenna Ezekoye, Texas State Senate Committee on Health and Human Services
Kay Ghahremani, Texas Health and Human Services Commission
Mike Halligan, Texas Mental Health Consumers
Amy Herzog, Texas State Senate Committee on Health and Human Services
Gary Larcenaire, El Paso Mental Health and Mental Retardation
Lynn Lasky, Mental Health America of Texas
Barbara Lurie, Tides Center
Barbara Maxwell, Texas Association of Health Plans
Becky Pastner, St. David’s Community Health Foundation
Pete Perialas, Lone Star Circle of Care
Robin Peyson, National Alliance on Mental Illness - Texas
Corky Powell, Texas Department of Aging and Disability Services
Ann-Marie Price, Office of the Governor
Mary Rainwater, Tides Center
Kathleen Reynolds, Washtenaw Community Health Organization
Eileen Rosen, Depression and Bipolar Support Alliance - Texas
Carol Smallwood, El Paso First Health Plans
Marilyn Stanton, Methodist Healthcare Ministries of South Texas
Adolfo Valadez, Texas Department of State Health Services
Judy Willgren, Texas Health and Human Services Commission
 Hogg Foundation for Mental Health
Division of Diversity and Community Engagement
The University of Texas at Austin
P. O. Box 7998
Austin, Texas 78713-7998

(512) 471-5041
www.hogg.utexas.edu