Amy Lee, MPH, contributes to a wide range of research focused on improving whole-person care, from prevention to treatment for common mental health and substance use conditions. Her main goals include reducing stigma related to care for unhealthy alcohol and other substance use, and improving patients’ receipt of high-quality treatment and support for these conditions in primary care. Her other areas of interest include health equity, social justice, and social determinants of health.
Working with senior investigator Katharine Bradley, MD, MPH, Ms. Lee has played a lead role in Kaiser Permanente Washington’s Behavioral Health Integration (BHI) initiative. As the primary BHI practice coach, she trained and supported clinical teams in implementing a standard process for screening primary care patients for alcohol and other substance use as well as depression; providing brief counseling for patients with unhealthy alcohol use; and engaging patients in shared decision making and treatment for alcohol and other substance use disorders, depression, and suicidal ideation. Currently, Ms. Lee is working with Dr. Bradley and colleagues to develop a decision aid for people with alcohol use disorders. She is also leading the implementation monitoring team on a nationwide study in six health systems to test the implementation of a collaborative care model for treating opioid use disorders in primary care.
Ms. Lee’s other recent and ongoing projects include:
Ms. Lee received her master’s degree from the University of Washington’s Community Oriented Public Health Practice program in 2012, after which she joined Kaiser Permanente Washington Health Research Institute (KPWHRI) as a clinical research specialist. She became a research interventionist in 2015 and was promoted to research associate in 2016. Ms. Lee is a steering committee member of the Kaiser Permanente Washington Health Equity and Access Team, also called HEAT, and is a member of the KPWHRI Equity Team.
Alcohol and drug screening; brief alcohol interventions
Implementation research; quality measurement
From Health Care to Health: A Summit to Address Community and Social Factors—supporting work with three groups that came out of the Summit (Community-centered Design, Behavioral Health and NEAR Science, Undoing Institutional and Structural Racism); Community Resource Specialist Role: Implementation and Evaluation
Primary care management of unhealthy alcohol use; primary care management of alcohol, opioid, and other substance use disorders
Screening and brief intervention; mental health quality measurement; behavioral health integration
Unhealthy alcohol and drug use
Prevention and treatment
Lapham GT, Lee AK, Caldeiro RM, Glass JE, Carrell DS, Richards JE, Bradley KA. Prevalence of behavioral health conditions across frequency of cannabis use among adult primary care patients in Washington state. J Gen Intern Med. J Gen Intern Med. 2018 Nov;33(11):1833-1835. doi: 10.1007/s11606-018-4558-8. PubMed
Bradley KA, Bobb JF, Ludman EJ, Chavez LJ, Saxon AJ, Merrill JO, Williams EC, Hawkins EJ, Caldeiro RM, Achtmeyer CE, Greenberg DM, Lapham GT, Richards JE, Lee AK, Kivlahan DR. Alcohol-related nurse care management in primary care: a randomized clinical trial. JAMA Intern Med. 2018 May 1;178(5):613-621. doi: 10.1001/jamainternmed.2018.0388. PubMed
Rosenberg DE, Lee AK, Anderson M, Renz A, Matson TE, Kerr J, Arterburn D, McClure JB. Reducing sedentary time for obese older adults: protocol for a randomized controlled trial. JMIR Res Protoc. 2018;7(2):e23. doi: 10.2196/resprot.8883. PubMed
Lapham GT, Lee AK, Caldeiro RM, McCarty D, Browne KC, Walker DD, Kivlahan DR, Bradley KA. Frequency of cannabis use among primary care patients in Washington state. J Am Board Fam Med. 2017 Nov-Dec;30(6):795-805. doi: 10.3122/jabfm.2017.06.170062. PubMed
Bobb JF, Lee AK, Lapham GT, Oliver M, Ludman E, Achtmeyer C, Parrish R, Caldeiro RM, Lozano P, Richards JE, Bradley KA. Evaluation of a pilot implementation to integrate alcohol-related care within primary care. Int J Environ Res Public Health. 2017 Sep 8;14(9). pii: E1030. doi: 10.3390/ijerph14091030. PubMed
Amy Lee describes how the LHS Program is helping KP Washington track and improve treatment for opioid use disorder.
Sharing CHOICE trial results, KPWHRI takes next steps to advance research on alcohol-related care at Kaiser Permanente Washington and beyond.
Clinicians and staff at Tacoma South describe the many ways Behavioral Health Integration is making a difference for patients