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.
Prevention and treatment
Implementation research; quality measurement
Screening and brief intervention; mental health quality measurement
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.
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
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Medscape, Dec. 19, 2024