Gwen Lapham, PhD, MPH

Gwen Lapham

"My research focuses on primary care, currently in two areas: understanding cannabis use and integration of mental health services for adolescents."

Gwen Lapham, PhD, MPH, MSW

Associate Investigator, Kaiser Permanente Washington Health Research Institute
Affiliate Assistant Professor, Department of Health Systems and Population Health, University of Washington School of Public Health
Assistant Professor, Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine

Gwen.T.Lapham@kp.org
206-287-2021

Biography

Gwen Lapham, PhD, MPH, MSW, is a Kaiser Permanente Washington Health Research Institute (KPWHRI) associate investigator and addictions health services researcher.  She is also an assistant affiliate professor in the Department of Health Systems and Population Health at the University of Washington and an assistant professor in the Department of Health Systems Science at the Kaiser Permanente Bernard J. Tyson School of Medicine. She has more than 15 years’ experience in implementation and evaluation research to improve the prevention and treatment of unhealthy substance use in medical settings, first at Veterans Affairs (VA) Puget Sound and now at Kaiser Permanente Washington. She has led analyses of large national and multisite real-world datasets and collaborated on diverse research focused on improving care for substance use.

Since joining KPWHRI, Dr. Lapham has capitalized on her social work and health services training to do impactful research on evidence-based primary care for unhealthy substance use, including alcohol, opioid, and cannabis use. She is currently co-leading a pragmatic, cluster-randomized, effectiveness-implementation trial testing 2 interventions to systematically implement shared decision-making for primary care patients with an alcohol use disorder. She is co-investigator for a study developing a patient decision aid to support discontinuation of long-term opioid therapy and another study designed to assess the social and behavioral determinants of health that impact medications for opioid use disorder. Dr. Lapham’s current research is also focused on evaluating the adverse health risks associated with cannabis use among primary care patients, including use among pregnant individuals, as well as testing the effectiveness of integrated behavioral health care, including routine substance use and suicide risk screening, for teens in primary care. 

RESEARCH INTERESTS AND EXPERIENCE


Sparc trial tools

Resources for behavioral health integration

The SPARC trial successfully implemented behavioral health care into primary care. On our website, you can access tools for behavioral health integration, as well as frequently asked questions and publications.


Recent publications

Williams EC, Rubinsky AD, Chavez LJ, Lapham GT, Rittmueller SE, Achtmeyer CE, Bradley KA. An early evaluation of implementation of brief intervention for unhealthy alcohol use in the U.S. Veterans Health Administration. Addiction. 2014 Sep;109(9):1472-81. doi: 10.1111/add.12600. Epub 2014 Jun 12. PubMed

Williams EC, Rubinsky AD, Lapham GT, Chavez LJ, Rittmueller SE, Hawkins EJ, Grossbard J, Kivlahan DR, Bradley KA. Prevalence of clinically recognized alcohol and other substance use disorders among VA outpatients with unhealthy alcohol use identified by routine alcohol screening. Alcohol Drug Depend. 2014 Feb 1;135:95-103. doi: 10.1016/j.drugalcdep.2013.11.016. Epub 2013 Nov 27. PubMed

Lapham GT, Rubinsky AD, Heagerty PJ, Achtmeyer C, Williams EC, Hawkins EJ, Maynard C, Kivlahan DR, Au D, Bradley KA. Probability and predictors of patients converting from negative to positive screens for alcohol misuse. Alcohol Clin Exp Res. 2014 Feb;38(2):564-71. doi: 10.1111/acer.12260. Epub 2013 Oct 7. PubMed

Delaney KE, Lee A, Lapham GT, Rubinsky AD, Chavez LJ, Bradley KA. Inconsistencies between alcohol screening results based on AUDIT-C scores and reported drinking on the AUDIT-C questions: prevalence in two national samples. Addict Sci Clin Pract. 2014 Jan 27;9(1):2. doi: 10.1186/1940-0640-9-2. PubMed

Lapham GT, Rubinsky AD, Heagerty PJ, Williams EC, Hawkins EJ, Maynard C, Kivlahan DK, Bradley KA. Annual rescreening for alcohol misuse: diminishing returns for some patient subgroups. Med Care. 2013 Oct;51(10):914-21. doi: 10.1097/MLR.0b013e3182a3e549. PubMed

Bradley KA, Chavez LJ, Lapham GT, Williams EC, Achtmeyer CE, Rubinsky AD,Hawkins EJ, Saitz R, Kivlahan DR. When quality measures undermine quality: bias in a quality measure for follow-up for alcohol misuse. Psychiatr Serv. 2013 Oct;64(10):1018-25. doi: 10.1176/appi.ps.201200449. Epub 2013 Jul 15. PubMed

 

Research

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A single question helps identify patients at higher risk of cannabis use disorder

1 in 5 people who use cannabis daily at risk for moderate to severe use disorder.

Research

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A better approach to prevent teen suicide deaths

New grant funds crucial work to test effectiveness of teen suicide prevention in primary care.

News

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Training scientists to transform health care

Five years and 8 scholars later, KPWHRI celebrates the impact of the CATALyST training program on early-career scientists.

Research

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Increasing opioid use disorder treatment in primary care

A trial led by KPWHRI researchers found that adding nurse care managers helped more people get needed treatment.

Research

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Is medical use of cannabis as risky as nonmedical use?

New findings indicate medical cannabis use is associated with a lower risk of moderate to severe cannabis use disorder.

KPWHRI In the media

Improving opioid use disorder treatment with nurse care management

Nurses, access to medication expand treatment for opioid use disorder

Medscape, Dec. 19, 2024