Integrated Care Pathway Winter Journal Club Meeting & Newsletter
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Featured Faculty Member


Denise Chang, MD

Department of Psychiatry and Behavioral Sciences
UW Ravenna and Shoreline Neighborhood Clinics


Integrated Care Interests
I completed my psychiatry residency and fellowship in Psychosomatic Medicine here at the University of Washington. I have always had an interest in consult-liaison work and enjoyed working with other medical specialties, and spent much of my residency and fellowship working in clinics providing mental health care in medical settings. It was a natural fit for me to move into Collaborative Care, and as I joined the faculty I started working with the Behavioral Health Integration Programs (BHIP) at the UW Neighborhood clinics and at the General Internal Medicine Clinic, in addition to doing some Mental Health Integration Program (MHIP) work. More recently I have become involved in the Integrated Care Training Program (ICTP) Fellowship, helping to train fellows and residents in Integrated Care. I have also recently moved into a more administrative role, helping to manage the BHIP teams, and have become more involved in quality improvement work, especially within the realm of Collaborative Care. My major interests are promoting Collaborative Care within our UW system and supporting our BHIP teams in continuing to provide excellent care!

Highlighted Project

I have had the pleasure of working with an ICTP fellow at one of my BHIP sites and will soon be working with a psychiatry resident as well. I am also very excited to be working on quality improvement projects with my colleagues in psychiatry and primary care and supervising QI projects by the ICTP fellows.

Favorite Northwest Treasure
As a non-native to the Pacific Northwest,  I have now adopted Seattle as my home.  I have come to love the many outdoor activities available here, like hiking, camping and cross-country skiing. Though now with two little kids at home, I often find myself doing kid-friendly activities, but we still try to find time to enjoy the occasional dining out experience, as my husband and I love food and enjoy trying new restaurants!  

Contact Information

Area of Distinction for Residents

Residents who would like to graduate with formal recognition for their participation in integrated care training can apply to participate in the Area of Distinction Program in Integrated Care. Declaration of interest in the Area of Distinction recognition needs to be received by 2/28/17. Please see the Integrated Care Pathway site for more information or contact Anna Ratzliff, MD, PhD ( or Amy Bauer, MD, MS (
ICTP Website Launches

We are thrilled to announce the launch of the Integrated Care Training Program (ICTP) website ( We would love to hear your feedback about the site (email us at Additional pieces still to come are a Fellowship Portal that accesses the LMS as well as some additional content, information on Integrated Care Pathways, and patient stories.
New SPIRIT Study 

The Study to Promote Innovation in Rural Integrated Telepsychiatry (SPIRIT) is testing a telepsychiatry extension of the Collaborative Care model against a telepsychiatry specialty care model for patients with bipolar disorder or post-traumatic stress disorder (PTSD) in rural primary care clinics. SPIRIT was funded through the Patient-Centered Outcomes Research Institute in August 2015 and will become the largest treatment trial for patients with bipolar disorder and PTSD to date, with a plan to recruit 1000 participants from over 30 rural health centers across 3 states. John Fortney, PhD is the Principal Investigator with Jürgen Unützer, MD, MPH serving as Co-Principal Investigator. Enrollment for the SPIRIT study has just started in Washington, with 33 patients enrolled in the first 2 months! 

UW Faculty providing clinical services for Washington State are Amy Bauer, MD, MS; Joseph Cerimele, MD, MPH; David Harrison, MD; Ruth Kohen, MD; Ty Lostutter, PhD; and Mark Newman, MD.

Date: Monday, Feb. 6, 2017
Time: 5:00 - 6:30 PM
Location: UWMC BB1640

Attend the Integrated Care Pathway Journal Club Meeting! Network, enjoy a light dinner, and learn about a research article.

At the February meeting, we're delighted to have Ian Bennett, MD, PhD, join us for a discussion of a research article: 

From Our Practices to Yours: Key Messages for the Journey to Integrated Behavioral Health

You are welcome to join even if you have not read the article. We hope to see you there!

Save to your Outlook calendar!

The next Integrated Care Pathway Journal Club meeting will be on:
Monday, May 1, 2017
5:00 - 6:30 PM

Save to your Outlook calendar!

The Integrated Care Pathway (ICP) program received an award at the Academy of Psychosomatic Medicine (APM) annual meeting in December. The ICP program, started by Anna Ratzliff, MD, PhD and co-led by Amy Bauer, MD, MS was given the 2016 Alan Stoudemire Award for Innovation and Excellence in Psychosomatic Medicine Education on behalf of the Fellowship and Awards Committee. The Career Enrichment Pathway for psychiatry residents, one of the first of its kind, provides a rich array of experiences to learn about integrated care and to develop unique clinical skills.

Do you have questions about the Integrated Care Pathway at University of Washington? Are you interested in sharing a project or news? Please email co-leaders Anna Ratzliff ( or Amy Bauer (
The Division of Population Health is dedicated to improving the health of the public by developing, testing, and implementing effective behavioral health interventions across the entire spectrum of health care delivery.
Copyright © 2017 University of Washington, Department of Psychiatry and Behavioral Sciences, All rights reserved.

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