Amy K.Z. Lee, MPH

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“The focus of our work is to make sure there is ‘no wrong door’ for a patient to come in and receive help for common health conditions related to alcohol, other substance use, or depression.”

Amy K.Z. Lee, MPH

Research Associate, Kaiser Permanente Washington Health Research Institute

Amy.K.Lee@kp.org
206-287-2827
Twitter: @amykzlee

Biography

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:

  • Scientific co-lead with Joseph Glass, PhD, MSW, on a Learning Health System project to create data-driven tools for monitoring the quality of care for patients with opioid use disorders and buprenorphine prescribing to treat opioid use disorders.
  • Lead practice coach on a Learning Health System project directed by Cara Lewis, PhD to more fully integrate Community Resource Specialists (CRSs) into primary care teams. This work includes refining core components and capabilities of the CRS role, assisting in program implementation and building tools to support the CRSs and CRS program, and supporting standardization of the role systemwide.
  • Contributor to “Let’s Rethink How We Drink,” an educational video focused on inspiring people to think about how drinking can affect their health and consider positive changes.
  • Collaborator on the CHOICE study, for Considering Healthier Drinking Options in Collaborative Care, which tested collaborative care for veterans with unhealthy drinking who receive their primary care from Veterans Affairs Puget Sound.

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.

Research interests and experience

  • Preventive Medicine

    Alcohol and drug screening; brief alcohol interventions

  • Health Services & Economics

    Implementation research; quality measurement

  • Social Determinants of Health

    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

  • Chronic Illness Management

    Primary care management of unhealthy alcohol use; primary care management of alcohol, opioid, and other substance use disorders

  • Implementation Research

    Screening and brief intervention; mental health quality measurement; behavioral health integration

  • Behavior Change

    Unhealthy alcohol and drug use

  • Addictions

    Prevention and treatment

  • Mental Health

  • Alcohol & Drug Use

Recent publications

Hallgren KA, Matson TE, Oliver M, Witkiewitz K, Bobb JF, Lee AK, Caldeiro RM, Kivlahan D, Bradley KA. Practical assessment of alcohol use disorder in routine primary care: performance of an alcohol symptom checklist. J Gen Intern Med. 2021 Aug 16. doi: 10.1007/s11606-021-07038-3. [Epub ahead of print]. PubMed

Glass JE, Matson TE, Lim C, Hartzler AL, Kimbel K, Lee AK, Beatty T, Parrish R, Caldeiro RM, Garza McWethy A, Curran GM, Bradley KA. Approaches for implementing app-based digital treatments for drug use disorders into primary care: a qualitative, user-centered design study of patient perspectives. J Med Internet Res. 2021;23(7):e25866. doi: 10.2196/25866. PubMed

Richards JE, Hohl SD, Segal CD, Grossman DC, Lee AK, Whiteside U, Luce C, Ludman EJ, Simon G, Penfold RB, Williams EC. "What will happen if I say yes?" perspectives on a standardized firearm access question among adults with depressive symptoms. Psychiatr Serv.2021 Aug 1;72(8):898-904. doi: 10.1176/appi.ps.202000187. Epub 2021 May 4. PubMed

Campbell CI, Saxon AJ, Boudreau DM, Wartko PD, Bobb JF, Lee AK, Matthews AG, McCormack J, Liu DS, Addis M, Altschuler A, Samet JH, LaBelle CT, Arnsten J, Caldeiro RM, Borst DT, Stotts AL, Braciszewski JM, Szapocznik J, Bart G, Schwartz RP, McNeely J, Liebschutz JM, Tsui JI, Merrill JO, Glass JE, Lapham GT, Murphy SM, Weinstein ZM, Yarborough BJH, Bradley KA. PRimary Care Opioid Use Disorders treatment (PROUD) trial protocol: a pragmatic, cluster-randomized implementation trial in primary care for opioid use disorder treatment. Addict Sci Clin Pract. 2021;16(1):9. doi: 10.1186/s13722-021-00218-w. PubMed

Yeung K, Richards J, Goemer E, Lozano P, Lapham G, Williams E, Glass J, Lee A, Achtmeyer C, Caldeiro R, Parrish R, Bradley K. Costs of using evidence-based implementation strategies for behavioral health integration in a large primary care system. Health Serv Res. 2020 Dec;55(6):913-923. doi: 10.1111/1475-6773.13592. PubMed

 

healthy findings blog

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Partnering to advance lifesaving care

Amy Lee describes how the LHS Program is helping KP Washington track and improve treatment for opioid use disorder.

behavior change

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Patient-centered care for alcohol use disorders

Sharing CHOICE trial results, KPWHRI takes next steps to advance research on alcohol-related care at Kaiser Permanente Washington and beyond. 

behavioral health

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BHI: Easier access, better care, less stigma

Clinicians and staff at Tacoma South describe the many ways Behavioral Health Integration is making a difference for patients

KPWHRI In the Media

Paula Lozano, MD, MPH, and Amy Lee, MPH, offer insights on learning health systems

Breaking down barriers: Learning health system connects researchers, health professionals and communities

Healthy Debate, June 10, 2021