Briefings is published bi-monthly by the Mid-Atlantic (VISN 6) MIRECC’s Education Core

BriefingsVol 14 Issue 2 April 2018

Director’s Update In This Issue:

JJoohhnn AA.. FFaaiirrbbaannkk,, PPhh..DD.. Director, Mid-Atlantic (VISN 6) MIRECC

1

999

78

444

2,32

3,44256

Director’s Update ................................

Focus on the VISN

Education & Other Resources

DisseminationSuicide Prevention Initiatives ...................Veterans Speak ..........................................In the News .............................................Invited Lectures .........................................Webinars ...................................................Conferences ...............................................Publications ...............................................

EvolutionsHonors & Awards .......................................Transitions .................................................New Personnel ............................................

Leadership ...................................................Fellowships ..................................................Research ......................................................

For Veterans ...............................................For Providers ..............................................

Contact Information

IMPROVING ACCESS AND ENGAGEMENTSelf-Management Cognitive-Behavioral Therapy

for Insomnia (Clinical) Christi Ulmer

A Pilot Telehealth Clinic to Improve Outcomes for VeteransTransitioning from Inpatient to Outpatient Mental Health Care Courtney Goodman

OPTIMIZING ASSESSMENT AND TREATMENTEffects of Competing Cognitive Demands on Performance Validity

(Research) Robert Shura

Improving Pain Education and Treatment for Veterans (Clinical) Jennifer Naylor

Combined Treatment for Alcohol Use Disorder and PosttraumaticStress Disorder (Research) Eric Dedert

Cognitive Behavioral Therapy for Suicidal Ideation andSelf Injury (Research)

KatherineCunningham

Effects of the Four-Sesson Mind Freedom Plan on Substance Use,Depression, and Treatment Retention (Research) Kathryn Polak

Increasing Knowledge and Utilization of Safety Planning DuringInpatient Psychiatric Care (Education)

SummerAnderson

Advancing Dyadic Sleep Intervention (Education) Nicole Dutta

FUTURE OF HEALTHCARESpontaneous Brain Activity in the Angular Gyrus Dissociates Moral

Injury from PTSD (Research) Delin Sun

Increased Small-World Network Topology Associated with PTSD inVeterans with TBI (Research) Jared Rowland

APOE Genotype Effects on Mild Traumatic Brain Injuryin Female Mice (Research) Becky Klein

Overview of Presentations Nate Kimbrel

Introductory Remarks John Fairbank

TITLE PRESENTER

Last year I described our strategicplanning process. This includedinitiatives focused on enhancingour clinical and educationalprograming through small pilotgrants we awarded to cliniciansand educators across the VISN.On April 16, we held a virtualVISN 6 MIRECC Pilot Innovations

If you were not able to attend and are interested in any of these topics, please send us a messageand we would be happy to send you the slides from the presentations.

Day, coordinated and moderated by Dr. Nate Kimbrel, ClinicalCore Assistant Director of Program Evaluation andImplementation Science. Below is the list of topics that werecovered, focused on optimiazing assessment and treatment,improving access and engagement, and what the future ofhealthcare may hold through our research efforts. We learnedabout the findings to date of our many exciting new pilotprograms and promising clinical studies!

Suicide Safety Planning TrainingMay 2 1-2pm ET

This web-based presentation will educate VHA Mental Health providers on theSuicide Safety Planning Intervention. Participants will learn about the purposeof Safety Planning with Veterans at risk for suicide, and will learn strategies forcollaborating with Veterans in developing safety plans. The training outlines thesteps of the Safety Planning Intervention, and provides guidelines and tips forcompleting each step. The training also demonstrates how to use the nationalSafety Planning CPRS Note Template as a tool in safety planning

register in TMS by May 1May 8 12-1pm ET May 17 3-4pm ET

If you have questions or require assistance contact:EES Program Manager - lauran.hardy@va.gov orEES Education Tech - donna.sowders@va.gov

VeteransSpeak

Development of this training was a collaborative effort between the Office ofMental Health and Suicide Prevention; the MIRECCs from VISN 6, 16, and 19;the VISN 2 Center of Excellence for Suicide Prevention; and the VA ProgramEvaluation Research Center

Home-Based Mental Health Evaluation(HOME) Program

“This [program and support] is something I’ve not had before and it’s beenreally helpful for someone to ask how you’re doing. My other inpatientstays, they drop you off and just wait for the next appointment. It feels likethere’s someone else in my corner. It has sometimes felt like an endlessbattle with the VA, but it’s really good to have a team calling to check inand see how things are going. It’s a program I’d hate to see somethinghappen to. I’ve had a lot of experience with hospital stays and dealing withthis for 6 years, but this time it really does feel different.”

A Veteran who completed the HOME program agreed to share his experience:

And at his appointment, his psychiatrist wrote:We talked about [the] MIRECC home program with ongoing work with hissafety plan – [the] patient liked this [stating], “it’s like a life coach”.

Other MIRECC SuicidePrevention InitiativesCommunity Rural Suicide

Prevention

VA Safety Planning Manual Update

Partnering with Other Agencies

This is a 6-level prevention andintervention program (developed bythe VISN 19 MIRECC). It targetsVeterans who live in pockets ofNorth Carolina that have beenidentified as having higher rates ofVeteran suicide than the rest of thestate. The first 5 levels focus oncommunity engagement andtraining in awareness via things likepublic health campaigns. The 6thlevel involved translation the aboveHOME program into something thatcan be used in areas where there isno inpatient psychiatric unit.

We are working with 4 other MentalHealth Centers of Excellence (andOMHSP) to update the current VASafety Planning Manual to describehow to apply safety planning tospecific higher risk subgroups, suchas women, rural Veterans, trauma-exposed, LGBT, and Native AmericanVeterans.

Our Mental Health and Chaplaincynational program has developedseveral training programs to trainchaplains in identifying andmanaging suicidality in coordinationwith mental health services. Theyhave also developed this training topartner with faith-based communitypartners to address the need tohelp Veterans in our communitiesthat may not be using VA services.

The HOME program (developed by Dr. Bridget Matarazzo, VISN 19 MIRECC)bridges the gap between inpatient psychiatric hospitalization and outpatientcare. Outreach during this high-risk time period includes weekly suicide riskassessment, safety planning, and trouble-shooting around barriers to treatmentengagement. The goal is to improve treatment engagement, as this reduces riskfor suicide.

Safety Planning Training InitiativeWe have provided safety planningtraining to the Durham VA inpatientpsychiatry unit staff. We hope tosoon receive funding to partnerwith the VISN to expand thistraining to more clinics at Durham,Morehead, and Greeneville, andpilot an implementation program toimprove the quantity and quality ofsafety plans in our VISN.

Dr. Mira Brancu (MIRECC Deputy Director) initially piloted the HOME programwith rural Veterans at the Durham VA. She found it easy to incorporate into thecurrent system of care, and that it reduced ER/emergency care and inpatientvisits. Veterans also liked it. The HOME program has been expanded to ruralVeterans within a 2 hour driving radius for home visits and a telehealth versionis being tested for Veterans who live farther away.

Briefings page 2Vol 14 Issue 2 April 2018

Focus on the VISN

page 3

Focus on the VISN

Briefings Vol 14 Issue 2 April 2018

In the NewsWork lead by Dr. Nathan Kimbrel (MIRECC Co-Assistant Director, Clinical Core &Genetics Lab Assistant Director) was recently featured by VA Research!

https://twitter.com/VAResearch/status/974299404587929600

Other MIRECC SuicidePrevention Initiatives

Identifying BiomarkersOur Genetics Lab and ourMetabolomics Lab are evaluatingbiomarkers that may aid inidentification and treatment ofsuicidality. This includes workingwith top VA research experts toanalyze genomic data in the MillionVeteran Program (MVP).

Fiduciary/Firearms Policy AnalysisOne of our investigators does policyanalysis work on firearm laws andhow they may intersect with VApolicies around fiduciary decisionsand associated violence and suiciderisk

Other Than Honorable DischargeA group of our investigatorsrecently finished analyzing data onsuicide risk in those with OtherThan Honorable Discharges andimplications for VA serviceutilization. Thie paper has beenaccepted and became available asEpub ahead of print on March 14.

doi: 10.1093/milmed/usx128.

Big DataWe are involved in a new VACentral Office partnership initiativewith the Department of Energy toanalyze data from every record inthe VA’s medical chart (22 MillionVeterans) applying big data andmachine learning techniques toidentify important suicide riskfactors.

Coaching Into CareThe national Coaching into Careprogram has a site here at Durham,managed under the MIRECC. Thegoal is to help friends and familymembers of Veterans in identifyingresources and learning how tospeak with their loved one aboutgetting into care. They partnersclosely with many communityagencies (local and national),including the Veterans Crisis Line, toaddress crisis situations.

VA Cognitive Behavioral Therapy for SubstanceUse Disorders (CBT-SUD) Training Program

APA VA Section Monthly Psychology Program April Spotlight!

This training program is supported by the VA Central Office/Office ofMental Health Services and based at the MIRECC’s Durham site.

The VA CBT-SUD Training Program offers VA providers training in evidence-basedpsychotherapy for substance use disorders. The program focuses on both thetheory and application of CBT and is based on the protocol developed for thisinitiative. The program has been adapted specifically for Veterans and isdesigned to provide state of the art, evidence-based treatment for problematicsubstance use. CBT-SUD strongly emphasizes the therapeutic relationship andtherapeutic strategies in CBT, and differs from approaches to CBT that areprimarily psycho-educational or solely skills-based. CBT-SUD also places primaryimportance on case conceptualization, which guides the direction of theindividualized therapy as it takes place within the context of a collaborative andsupportive therapeutic relationship.The training program has two primary components. The initial training consistsof a 2.5-day, face-to-face, experientially-based workshop, led by trainers whohave developed expertise in CBT-SUD. Prior to the workshop, participantscomplete a 6-hour, self-paced reading of the therapist manual entitled CognitiveBehavioral Therapy for Substance Use Disorders Among Veterans (DeMarce,Gnys, Raffa, & Karlin, 2014). Workshops include didactic presentations, role-playdemonstrations, video demonstrations, hands-on skills practice with real-timefeedback, and break-out discussion groups. Following the workshop, cliniciansactively participate in 4 months of 90-minute, weekly, telephone-based groupconsultation with a training consultant and three other providers who areparticipating in the training program

page 4

Focus on the VISN

Briefings Vol 14 Issue 2 April 2018

EducationProjectUpdate

Work from our MIRECC was featured in the April edition!

InnovationsMental Health

Updates from VA’s Specialized Mental Health Centers

APRIL 2018IN THIS ISSUE: Understanding and Managing Pain

CLINICAL New Brief Treatment is Effective for Veterans with Chronic PainImproving treatment for chronic pain is a high priority asalmost half of all Veterans seeking care at the VA reportchronic pain. emPower Ourselves With Every Resource(POWER) is a new treatment developed by VA clinicians forVeterans with chronic pain. POWER implements aninterdisciplinary multimodal approach to pain managementthat addresses cognitive, affective, and behavioral aspects ofchronic pain. It incorporates specific skills and techniques to

increase daily activity, improve pain coping skills, and enhance overall quality of life. AllPOWER participants were Veterans receiving outpatient treatment. Most commoncomplaints were musculoskeletal pain in the knee, back, or neck, and neuropathic pain.Less common were headaches or arthritis. A few Veterans reported phantom limb pain.Eras of military service ranged from the Korean War to to the most recent conflicts.

Over the two years of development, researchers from the Mid-Atlantic MIRECC, VA, andDefense and Veterans Brain Injury Center utilized Veteran feedback to improve theprogram. This allowed the content to be refined and the number of sessions decreased.Veterans showed improvements in negative pain-related thinking, disability, anddistress across groups.

Clinical data were used to evaluate the success of three treatment durations (6, 10, and12 weeks) of POWER. Decreased pain-related disability and distress for the 6-weekgroup was equivalent or better than the 10- and 12-week groups. This indicates thatbrief 6-week behavioral interventions are effective in managing chronic pain. Thesefindings have practical implications for clinical planning and program developmentwhile offering unique treatment options informed by real-world clinical needs andpatient feedback.

For more information, contact Dr. Jennifer Cameron at jennifer.cameron2@va.gov.

Dr. Pat Calhoun (Health ServicesLab Director & Fellowship Directorfor Durham site) -presentedTobacco Use Among Post-9/11Veterans as an EES sponsoredwebinar on March 26, 2018.

Honors & AwardsDr. Chris Marx (MIRECC Co-Associate Director, Research Core& Interventions andMetabolomics Lab Director) wasselected as the 2018 School ofMedicine Excellence inProfessionalism Awardee by DukeUniversity School of Medicine

TransitionsJaimie Marinkovich left theMIRECC on March 2, 2018. Jamiehas retired after 35 years of servicewith the Department of VeteransAffairs!

Invited Lectures

Dr. Chris Marx (MIRECC Co-Associate Director, Research Core& Interventions and MetabolomicsLab Director) was an invitedparticipant in the Sharing theScience Symposium held inWashington DC on March 16, 2018.

Welcome to the Neuroscience Lab Assistant DirectorDr. Rebecca C. Klein was recently appointed asAssistant Director of the MIRECC’s Neuroscience Lab.Dr. Klein is an Assistant Professor in the Department ofPsychiatry and Behavioral Sciences at Duke UniversityMedical Center. She is also a Research Physiologist atthe Durham VA Medical Center. Her research is pre-clinical. She is using animal models to betterunderstand how things like age, sex, genetics andhormones might affect cognition and mental health.One present major area of focus is investigating theinteraction between testosterone and APOE genotype. APOE genotype is a riskfactor for Alzheimer’s disease and for poor outcome following brain injury. Dr.Klein is studying both the acute and long-term consequences of mild traumaticbrain injury. There is a high prevalence of endocrine deficiencies that emergeduring both phases of brain injury, so her work has strong clinical relevance.Her research will expand our knowledge regarding effects of testosteronereplacement on cognitive dysfunction in genetically vulnerable individuals. If thistherapeutic approach is effective in pre-clinical studies, it may help us determinewho would most benefit from hormonal treatment for chronic effects of mildtraumatic brain injury to maximize benefit while minimizing risk to humanpatients.

Conferences

page 5Briefings Vol 14 Issue 2 April 2018

Richard K, Taber KH, Canu W, Martindale SL, Brearly TW,Shura RD. ADHD in veterans: Functional outcomes andcomorbidities. (Poster)

64th SEPA Annual MeetingMarch 6 - 9, 2018, Charleston, SC

Dr. Richardat his poster

PublicationsPublications

page 6Briefings Vol 14 Issue 2 April 2018

Public Significance Statement: These pilot studies suggest that a checklist of post-deployment parenting experiencesmay be useful to providers working with returning veterans, if further testing supports its validity. Veterans reportedboth positive and challenging parenting experiences during the family reintegration period and the latter wereassociated with several post-deployment personal problems reported by the veterans.

Shura RD, Hurley RA, Taber KH. Essential Tremor: More Than a Motor Disorder? Journal of Neuropsychiatry andClinical Neuroscience. 2018; 30 (2): A4 – 90

Dillon KH, Cunningham KC, Neal JM, Wilson SM, Dedert EA, Elbogen EB, Calhoun PS, Beckham JC; VA Mid-AtlanticMIRECC Workgroup, Kimbrel NA. Examination of the indirect effects of combat exposure on suicidal behavior inveterans. Journal of Affective Disorders. 2018; 235:407-413

Sun D, Davis SL, Haswell CC, Swanson CA; Mid-Atlantic MIRECC Workgroup, LaBar KS, Fairbank JA, Morey RA. BrainStructural Covariance Network Topology in Remitted Posttraumatic Stress Disorder. Frontiers of Psychiatry. 2018; 9:90.

Curry JF, Kiser LJ, Fernandez PE, Elliott AV, Dowling LM. Development and initial piloting of a measure of post-deployment parenting reintegration experiences. Professional Psychology: Research and Practice. 2018; 49(2): 159-166.

Van Voorhees EE, Moore DA, Kimbrel NA, Dedert EA, Dillon KH, Elbogen EB, Calhoun PS. Association ofposttraumatic stress disorder and traumatic brain injury with aggressive driving in Iraq and Afghanistan combatveterans. Rehabilitation Psychology. 2018 Feb;63(1):160-166.

Elbogen EB, Wagner HR, Kimbrel NA, Brancu M, Naylor J, Graziano R, Crawford E, VA Mid-Atlantic MIRECCWorkgroup. Risk factors for concurrent suicidal ideation and violent impulses in military veterans. PsychologicalAssessment. 2018;30(4):425-435.

Hall KS, Morey MC, Beckham JC, Bosworth HB, Pebole MM, Pieper CF, Sloane R. The Warrior Wellness Study: ARandomized Controlled Exercise Trial for Older Veterans with PTSD. Translational Journal of the American College ofSports Medicine. 2018 Mar 15;3(6):43-51.

Hughes JM, Ulmer CS, Gierisch JM, Mid-Atlantic MIRECC Workgroup, Howard MO. Single-Item Measures forDetection of Sleep Problems in United States Military Veterans. Journal of General Internal Medicine. 2018May;33(5):698-704.

Sherwood A, Ulmer CS, Beckham JC. Commentary: Waking up to the importance of sleeping well for cardiovascularhealth. Journal of Clinical Hypertension. 2018;20(3):606-608.

Public Significance Statement: Past trauma, drug misuse, physical pain, and resilience would each be potentially valuableto examine when assessing risk of suicide and violence in military veterans. This study also indicates there aredistinct subgroups of military veterans who may be at risk of suicidality, violence to others, or both.

BACKGROUND: As many as two-thirds of post-9/11 military veterans complain of sleep problems, including insomnia-likesymptoms. Left untreated, chronic sleep problems increase the risk for a range of negative outcomes, including incidentmental health disorders. However, sleep problems remain overlooked in primary care settings. To date, no brief sleepscreeners have been developed or validated. Items assessing insomnia and poor sleep are often embedded intocommonly used psychological assessments, and may serve as a viable first step in screeningCONCLUSIONS: Our initial findings suggest that existing items in the Symptom Checklist-90-Revised (SCL) may serve as afirst step in screening for sleep problems. Early detection and treatment of sleep problems might prevent or ameliorateseveral negative outcomes, including incident mental health disorders.

Purpose: Aggressive driving contributes to the high rates of postdeployment motor vehicle–related injury and deathobserved among veterans, and veterans cite problems with anger, aggressive driving, and road rage as being among theirmost pressing driving-related concerns. Both posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI) havebeen associated with drivingrelated deficits in treatment-seeking samples of veterans, but the relative contribution ofeach of these conditions to problems with aggressive driving in the broader population of combat veterans is unclear.Conclusions: Our findings suggest that PTSD, with or without comorbid TBI, may be associated with an increased risk ofaggressive driving in veterans. Clinical implications for treating problems with road rage are discussed, including use ofinterventions targeting hostile interpretation bias and training in emotional and physiological arousal regulation skills.

Resources for Veterans & Families

page 7Briefings

http://www.mentalhealth.va.gov/self_help.asp

Self-help materials can provide valuable education and support forVeterans who may be facing mental health challenges, their friends,and family members. There are a wide variety of self-help materialsavailable and it can sometimes be difficult to select the most useful.VA has assembled a list of reviewer-recommended materials that maybe helpful in finding the right option for you. For help in finding thesematerials, please click the “How to Use” tab.

Resources to EmpowerVeterans Mental Health

Vol 14 Issue 2 April 2018

Online Life Skills Training for VeteransThere are several free and anonymous on-line education and life coaching programsthat use interactive exercises and video demonstrations to teach skills forovercoming life challenges. http://www.veterantraining.va.gov/

The NC4VETS Resource Guideis produced and published bythe North Carolina Departmentof Military and Veterans Affairsto assist and educate veteransin learning about state andfederal veteran benefits. The2017 edition is now available.http://www.nc4vets.com/blog/resource-guide

Anger Management

This course is based ontraining that was

developed for Veteransand has been successfully

used by Veterans &Service Members around

the world.

Moving Forward

Moving Forwardteaches Problem

Solving skills to helpyou to better handle

life’s challenges.

Veteran Parenting

The biggest gapbetween you and yourchild may not be the

physical distance. Youcan be right next doorto your child and feel athousand miles away.

Path to Better Sleep

If you are experiencingsleep problems you do nothave to let it control your

life. This course is designedto help you develop habits

that promote a healthypattern of sleep.

Provider Education

SouthMIRECC

Central

Briefings

CBOC Mental Health RoundsEach CBOC MH Rounds presentation is now offered twice a month:

If you require assistance contact:EES Program Manager - Tim.Walsh2@va.gov orEducation Tech - Jessica.Denno@va.gov

Remember to register in TMS in advance to attend and receive credit.

page 8

UNIFORMED SERVICES UNIVERSITYof the Health Sciences

CENTER FORDEPLOYMENT PSYCHOLOGYPreparing Professionals to Support Warriors and Families

Military Culture: Core Competencies for Healthcare Professionalshttp://deploymentpsych.org/military-culture

Module 1: Self-Assessment & Introduction to Military Ethos

Module 2: Military Organization & RolesModule 3: Stressors & ResourcesModule 4: Treatment, Resources & Tools

http://www.ahecconnect.com/citizensoldier

This workshop series was developed by MIRECC faculty in collaborationwith Citizen Soldier Support Program (CSSP) and North Carolina AreaHealth Education Center (NC AHEC). The web-based versions of thecourses are all free at:

1 - Treating the Invisible Wounds of War (TTIWW)english & spanish editions

2 - TTIWW - A Primary Care Approach3 - TTIWW - Employee Assistance in the CivilianWorkforce4 - TTIWW - Issues of Women Returning from Combat

5 - TTIWW - Recognizing the Signs of mTBI duringRoutine Eye Examinations

6 - TTIWW - Understanding Military Family Issues7 - TTIWW - Taking a Military History: Four

Critical Questions

B R I D G I N G M I L I T A R YA N D C O M M U N I T YS E R V I C E S Y S T E M S

Dementia and Driving One of the most challenging issues clinicians must address when working withVeterans with dementia is declines in driving skills. Approximately 30-45% ofpersons with dementia continue to drive, placing them at risk for becoming lost,crashing, and other adverse events. Clinicians have recognized a gap in knowledgeregarding how to address diminished driving skills and decision-making for driverswith dementia. This training module will provide practical information that cliniciansand health care teams can use in their work with older drivers with dementia andtheir families.

Program for Advancing Cognitivedisorders Education for Rural Staff

PACERS is pleased to announce a new “Dementia andDelirium” education module in our curriculum on cognitivedisorders. Each module is accredited for 1 hour of CEand is available to VA providers in the VA TalentManagement System.

TMS ID 29817Dementia and Delirium Dementia is a major public health concern, affecting over 5 million Americans, of

whom over 560,000 are Veterans. The incidence of dementia increases with age,with more than 90% of those affected aged over 60 years. It is one of the mostcostly chronic conditions that the VA treats and its financial impact is expected togrow with the increasing number of aging Veterans. This course will describe two ofthe most common neurocognitive disorders that occur among elderly

TMS ID 28776

Vol 14 Issue 2 April 2018

Wednesday May 9 from 9-10 am ET & Thursday May 10 from 12-1 pm ETOpiod Use Disorder - Case: Veterans with Alcohol Use Disorder

https://www.mirecc.va.gov/visn16/cboc-mental-health-rounds.aspJune 13 & 14 Expansion of Telemental Health Services in VAJuly 11 & 12 Dementia & DeliriumAugust 8 & 9 Transdiagnotic Treatments to Improve Access & Reduce

Therapist Burden

VISN 6 Director, DeAnne Seekins

Health ServicesPatrick Calhoun, PhD

patrick.calhoun2@va.gov

NeurocognitionLarry A. Tupler, PhDlarry.tupler@va.gov

NeuroscienceScott D. Moore, MD, PhD

scott.moore2@va.gov

NeuroimagingRajendra A. Morey, MDmorey@biac.duke.edu

GeneticsJean C. Beckham, PhDjean.beckham@va.govNathan Kimbrel, PhD

nathan.kimbrel@va.gov

Interventions & MetabolomicsChristine Marx, MD

marx0001@mc.duke.eduJennifer Naylor, PhD

jennifer.naylor2@va.gov

Durham site

VISN Leadership

Richmond siteScott McDonald, PhD

scott.mcdonald@va.gov

Hampton siteNicole Dutta, PhD

nicole.dutta2@va.govCelena Thompson, PhD

celena.thompson@va.gov

Salisbury siteTranslational Clinical Neurosciences

Collaborative (TCNC)Erica Epstein, PsyD

erica.epstein@va.govCourtney Goodman, PharmDcourtney.goodman@va.gov

Robin Hurley, MDrobin.hurley@va.gov

Sarah Martindale, PhDsarah.martindale-supak@va.gov

Holly Miskey, PhDholly.miskey@va.govJared Rowland, PhD

jared.rowland@va.govRobert Shura, PsyD

robert.shura2@va.govKatherine Taber, PhD

katherine.taber@va.gov

www.mirecc.va.gov/visn6

Associate Director - EducationRobin A. Hurley, MDrobin.hurley@va.gov

Associate Director - ClinicalR. Keith Shaw, PhDkeith.shaw@va.gov

Assistant Director - EducationKatherine H. Taber, PhDkatherine.taber@va.gov

Co-Associate Directors - Research

MIRECC Leadership MIRECC Fellowships

DirectorJohn Fairbank, PhD

john.fairbank2@va.gov

Deputy DirectorMira Brancu, PhD

mira.brancu@va.gov

Christine Marx, MDmarx0001@mc.duke.edu

Jean C. Beckham, PhDjean.beckham@va.gov

Durham VAMC siteChristine Marx, MD

marx0001@mc.duke.edu

Special Fellowship forPsychology/Allied Health

Salisbury VAMC siteRobin Hurley, MD

robin.hurley@va.gov

Richmond VAMC siteScott McDonald, PhD

scott.mcdonald@va.gov

Durham VAMCStudy Coordinator

mirecc.studies@va.gov919-416-5915

Richmond VAMCRobin Lumpkin

robin.lumpkin@va.gov804-675-5000 ext 4251

Salisbury VAMCMary Peoples

mary.peoples1@va.gov704-638-9000 ext 12956

Research Sites & Contacts

Special Fellowship forPhysicians

Durham VAMC sitePatrick Calhoun, PhD

patrick.calhoun2@va.gov

page 9Briefings

Jennifer Naylor, PhDjennifer.naylor2@va.gov

Nathan Kimbrel, PhDnathan.kimbrel@va.gov

Co-Assistant Director - Clinical

Salisbury VAMC siteHolly Miskey, PhD

holly.miskey@va.govRobert Shura, PsyD

robert.shura2@va.gov

Vol 14 Issue 2 April 2018