Erin Dillon-Naftolin, MD attended medical school at the University of Washington and completed her psychiatric residency at the UW as well. She spent much of her time as a resident working at Seattle Children’s Hospital, where she went on to complete the UW fellowship in child psychiatry. She joined the faculty in 2014 and is currently working at Odessa Brown Children’s Clinic, in the UW Roosevelt outpatient clinic through the Behavioral Health Integration Program (BHIP) model and on the Partnership Access Line. She also provides consultation through telepsychiatry in Vancouver, WA through Family Solutions community mental health organization. The work that keeps her going is her interactions with families. She loves getting to know patients and families and being a long-term provider. One of the things about Collaborative Care that she enjoys is having those long-term relationships with teams as well. 

Lindsey Enoch, MD graduated with a Bachelor of Science from James Madison Universityand received her MD from Saint Louis University. She completed a combined residency in internal medicine and psychiatry at UC Davis. During her final year of residency, she spent time as chief resident, and also worked with a Collaborative Care team doing consultation for primary care.

Because of her training in both internal medicine and psychiatry, Dr. Enoch has unique experiences providing both medical and mental health care in non-traditional settings. Over the years, Dr. Enoch both provided care for and taught residents how to address psychiatric illness in the primary care setting. She has also written on the topics of teaching primary care providers supportive therapy and teaching psychiatrists how to screen and treat metabolic syndrome.

Dr. Enoch has been dually appointed in the Departments of Psychiatry & Behavioral Sciences and of Internal Medicine and is doing Collaborative Care at 3 different clinics, as well as some telepsychiatry and primary care. She feels her most important work has been centered on teaching, and one of her main interests is developing curriculum to help psychiatrists provide medical care to their patients. Five years from now, she believes that Collaborative Care will rely on both psychiatrists and primary care doctors’ ability to provide comprehensive care.

Bradford Felker, MD completed a combined Psychiatry-Internal Medicine residency at the University of Virginia leading to board certification in both fields. He joined the faculty at the University of Virginia Department of Psychiatry and began his career at the VA, where he developed one of the first programs to integrate primary care services for patients with mental disorders within a specialty mental health clinic. Based on this work, he was recruited to join the faculty at the UW Department of Psychiatry and Behavioral Sciences. He continued his work with the VA in Seattle. He then implemented one of the first integrated care services within the VA. This Primary Care Mental Health Integration Service grew to include the two medical centers and seven community-based outpatient clinics at VA Puget Sound. This program was recognized as one of the top ten programs in the VA. His research has been in the area of developing models of care management, implementation of integrated care programs, and the assessment and treatment of PTSD in primary care. His recent research is focused on studying the implementation of tele-mental health services within primary care. Based on this work, he was asked by the Office of Academic Affiliations within the VA to develop next-generation integrated care curriculum at the seven Center of Excellence for Primary Care Education sites in the VA. As a result of his work with integrated care in rural areas, he developed an interest in tele-mental health. He has implemented an innovative network of tele-mental health services that now link all sites within VA Puget Sound as well as many other sites across the Northwest Region. Dr. Felker believes his most important work is developing care management models in the VA as well as looking at ways to integrate all the emerging tele-technologies (Clinical Video Teleconference [CVT], web-based, apps, etc.) into routine mental health care that is delivered within primary care. Dr. Felker believes that in five years tele-health teams as we currently know them will no longer exist. Mental health providers will routinely use a broad range of these emerging technologies to extend the reach, access, and the types of mental health care delivered in all kinds of new settings.

William French, MD attended medical school at the University of Kentucky College of Medicine in Lexington, KY. During his psychiatric residency there, he gained an appreciation for the importance of viewing primary care patients’ concerns through a biopsychosocial lens during a rotation in family medicine. After completing his child and adolescent fellowship at the University of Kentucky, he moved with his family to Seattle to join the faculty in the UW Department of Psychiatry and Behavioral Sciences and began working at Seattle Children’s Hospital as an outpatient child psychiatrist. Dr. French supervises fellows at Seattle Children’s Hospital, Odessa Brown Children’s Clinic, and Harborview Medical Center. Additionally, he provides Collaborative Care consultation to Harborview’s outpatient pediatric clinic and to several school-based health centers in the Seattle area. He finds child psychiatry rewarding because it gives him the opportunity to change the health trajectories for young people at an early age before their problems become more intractable. Dr. French’s interests include Collaborative Care, trauma interventions, telepsychiatry, and disruptive behavior disorders. He says that his most important work is helping to improve health care delivery and outcomes for mental health disorders in community-based primary care settings. He believes that every child deserves the opportunity to have a healthy life and meet his or her full potential. What keeps him going is helping his patients reach their goals without mental illness blocking the way. Five years from now, Dr. French hopes that there has been an acceleration and growth in the utilization of Collaborative Care models in primary care, especially for pediatric populations.

Tanya Keeble, MD received her medical degree from the University of London Medical School. She completed a medical and surgical foundation year before specializing in psychiatry at the Royal Free Hospital Psychiatry Training Program. She then spent a year in New Zealand working in first episode psychosis and community psychiatry before completing a psychiatry residency at the University of Washington Psychiatry Training Program: Spokane Track.

She arrived in Collaborative Care through the UW Mental Health Integration Program (MHIP) program in 2010, and worked as a Collaborative Care psychiatrist in a community health center in Spokane for 5 years, before moving her focus to training residents in the Collaborative Care setting. She considers Collaborative Care to be one of her three career passions, with the other two being psychotherapyand residency education. She maintains a psychotherapy practice in intensive short-term dynamic therapy and firmly believes that psychiatrists should continue to develop skills in psychotherapy as well as medication treatment. She teaches and educates residents and medical students in her role as Program Director for Psychiatry Residency Spokane, a residency training program thatgrew out of the Spokane Track of the UW program from which she graduated.

She is attracted to Collaborative Care because of its focus on outcome-based treatment, commitment to education of both the patient and the primary care provider, strong teamwork focus, and stepped treatment so that the patients who are the sickest and often most disenfranchised get the care that they need. Five years from now, she hopes that Collaborative Care is both financially self-sustainingand the standard of care across the US for patients in the primary care setting.

David Kopacz, MD lectures in the didactic seminars for ICTP. He graduated from University of Illinois at Chicago for medical school and psychiatric residency. His first job was at Omaha VA and University of Nebraska, which was followed by work in a number of different practice settings, including private practice, rural community mental health, and multi-specialty group practice. Dr. Kopacz served as Clinical Director of Buchanan Psychiatric Rehabilitation Centre in Auckland, New Zealand for several years, prior to moving to Seattle. Since 2014, David has been at Seattle Division of Puget Sound VA working in Primary Care Mental Health Integration with an Acting Assistant Professor appointment in the Clinician Teacher track at University of Washington. Dr. Kopacz is board certified through the American Board of Psychiatry and Neurology as well as the American Board of Integrative & Holistic Medicine and the newly formed American Board of Integrative Medicine. Dr. Kopacz published his first book in 2014, Re-humanizing Medicine: A Holistic Framework for Transforming Your Self, Your Practice, and the Culture of Medicine, and his next book, published in2016, isWalking the Medicine Wheel: Healing Trauma & PTSD, with co-author Joseph Rael (Beautiful Painted Arrow). He has always been interested in whole-person, holistic treatments and delivery systems, and Collaborative Care seemed like a logical extension of that work. Dr. Kopacz thinks that his most important work has been bringing creative, whole-person approaches to working with veterans and staff. He has helped start a Whole Health Class for veterans, which has been a great tool for engaging with Primary Care staff as well and has had some staff wellness applications. He believes that Collaborative Care looks to be a growing field, on its way to becoming mainstream psychiatry.