Mental health disorders and substance use — and their consequences — disproportionately affect underserved populations, such as racial and ethnic minority groups, persons living in poverty and those who are homeless. Social determinants abound: lack of access to health services and education, social stigma, neighborhood violence, and food and housing insecurities. The greatest burdens fall upon those who have long suffered from discrimination and society’s underinvestment in their communities. Our landmark studies investigate the multilevel causes and solutions to health inequities and guide the development of innovative health policy.
For the past 40 years, the Health Disparities and Public Policy Program, co-led by Karen Abram, PhD, has conducted comprehensive studies investigating the interface between the mental health and criminal justice systems, and associated health disparities. The program includes project staff from a wide variety of disciplines, doctoral students from the Clinical Psychology program in the Department of Psychiatry and Behavioral Sciences, and post-doctoral fellows. The program is currently conducting the Northwestern Juvenile Project, the first large scale, longitudinal study of mental health needs and outcomes of juvenile detainees, and on the Northwestern Juvenile Project: Next Generation study, a longitudinal intergenerational study which aims to identify what predicts positive outcomes in at-risk youth. Results from their research studies have provided the needed empirical data to guide U.S. policy: Findings have been cited in Supreme Court amicus briefs, congressional hearings and surgeon general’s reports.
Contact
710 North Lake Shore Drive Suite 900 Chicago, IL 60611
Michael Brook, PhD, ABPP, directs the Isaac Ray Research Program in Behavioral Sciences and the Law and co-leads the Forensic Neuropsychology Laboratory with Robert Hanlon, PhD.
The research program is rooted within the bio-psycho-social model of human behavior. Brook and the program members believe that the problems that exist at the intersection of human behavior and the law are inherently complex and, as such, are best informed by research approaches that are integrative and multidisciplinary. Current projects in their research program examine the integrations between personal and environmental factors that drive the gun violence epidemic, the use of digital technology to improve access to mental health for justice-involved individuals and the use of behavioral neuroscience tools to advance existing methodologies for violence risk assessment.
Contact
676 North Saint Clair Street Suite 1100 Chicago, IL 60611
Inger Burnett-Zeigler, PhD, focuses on disparities in mental illness and treatment, developing, testing, and implementing culturally tailored mental health interventions in community-based settings. In 2014, she received the Northwestern University Patient-Centered Intervention and Engagement Training (NU-Patient) K12 Faculty Scholar Award where she led a series of pilot studies that examined the acceptability, feasibility, and preliminary effectiveness of a mindfulness-based intervention (M-Body) for Black women in a Federally Qualified Health Center (FQHC). In 2018 she received a Third Coast Center for AIDS Research (CFAR) Pilot Award to adapt the mindfulness intervention for low-income, racial/ethnic minority pregnant women living with HIV and prepare for implementation in an enhanced case management program. She has also been funded by the Veterans Health Affairs (VHA) and by the Greer Family Foundation. She is currently the PI on a R01 funded by NIH/NIMHD (R01MD012236-02) to conduct a randomized controlled clinical trial to examine the effectiveness and implementation of a mindfulness intervention on reducing depressive symptoms among racial/ethnic minority adults in a federally qualified health center. The M-Body lab is generally interested in addressing the impact that the disproportionate burden of chronic stress and trauma exposure has on the mental and physical health of racial/ethnic minority and other marginalized groups by developing accessible interventions to address these factors in order to achieve health equity. Other research interests include examining the impact of trauma, racism, and other social, cultural, and environmental factors on mental health and wellness.
Contact
676 North Saint Clair Street Suite 1000 Chicago, IL 60611
Tracy Fehrenbach, PhD, works with I Am Enough (IAE), developed out of a community-based participatory research project directed in collaboration with Lisa D. Daniels, founder of the Darren B. Easterling Center for Restorative Justice, and close community partnerships with clergy and women who lost a loved one to gun violence or incarceration. IAE may be the first and only culturally responsive, trauma-focused intervention developed specifically for women of color impacted by the loss of a loved one to gun violence or mass incarceration.
Contact
710 North Lake Shore Drive Suite 1200 Chicago, IL 60611
Karen Gouze, PhD, is a co-investigator in the Parents and Children Together (PACT) lab which studies the risk factors contributing to the development and maintenance of psychopathology in children between the ages of 3 and 7 years old. Primary areas of interest include risk factors at the contextual (SES, family stress and conflict), parent (depression), parenting, and child (temperament, attachment) levels and how they contribute to symptoms of anxiety, depression, ADHD and oppositional behaviors. Transdiagnostic models are also explored. This study is no longer in active data collection; further data analysis continues.
Trauma and Early Childhood Education
As a member of the Center for Childhood Resilience, Dr. Gouze works with the early childhood team to explore implementation of social emotional learning, and specifically, trauma informed care, on classroom climate and teacher practice change. This research is based on the Ready-To-Learn Through Relationships program which was co-developed with head teachers from the Chicago Public School Child-Parent Centers. These Centers provide early childhood education for children ages 3-5 year. Since that time, the program has been tested for acceptability and feasibility and for shifting classroom environment and teacher practices. Early results are promising and this program continues to be evaluated by this team for its effectiveness. Expansion of the program includes a downward extension to the 0-3 population and the development of a parent supplement. Future research will also examine child outcomes related to social emotional learning.
Contact
680 North Lake Shore Drive Suite 13-155 Chicago, IL 60611
The BRIDGES team led by C. Hendricks Brown, PhD, participates in a diverse set of research projects and initiatives, including:
Collaborative Behavioral Health Project (CBHP): This study is a stepped-wedge hybrid type 2 randomized roll-out effectiveness-implementation trial of the Collaborative Care Model in 11 primary care practices affiliated with Northwestern Medicine. Using a sequential mixed methods approach, we will assess key stakeholders' perspectives on barriers and facilitators of implementation and sustainability of CBHP. The speed and quantity of implementation activities completed over a 30-month period for each practice will be assessed. Economic analyses will be conducted to determine the budget impact and cost offset of CBHP in the healthcare system. The CBHP research team consists of both researchers and clinicians. This project is funded by the Woman's Board of Northwestern Memorial Hospital.
The Resilience Education to Advance Community Healing (REACH) Statewide Initiative is supported by Elementary and Secondary School Emergency Relief Funds (ESSER II) from the U.S Department of Education. REACH goals are: 1) To prepare educators and schools to support student mental health and resilience via trauma-informed policies and practices; 2) to foster educators’ personal and professional resilience and self-care; and 3) to assist districts in creating school mental health structures and data-riven approaches to addressing trauma and building resilience. CCR is partnering with the American Institutes of Research and Loyola University Chicago to conduct a mixed-methods analysis of the REACH implementation and outcomes.
National Center for Safe Supportive Schools (NCS3) is a SAMHSA-funded center within the National Child Traumatic Stress Network (NCTSN). The mission is to provide states, districts, and schools with the knowledge and tools to implement culturally responsive, trauma-informed policies and practices that promote equity and well-being.
The Stress and Coping Toolkit is a series of brief lessons and activities implemented by 6th, 7th, and 8th grade teachers to build student coping skills and mental health awareness, promote positive social connections, and enhance resilience in the face of ongoing stress. The toolkit was developed in partnership with Chicago Public Schools, and we are examining feasibility, acceptability, and initial utility.
Strengthening Transition Resilience of Newcomer Groups (STRONG). In partnership with Loyola University Chicago and Chicago Public Schools, STRONG uses a group randomized mixed-methods design to evaluate the feasibility, acceptability, and effectiveness of the STRONG school-based intervention (Hoover, 2018) in promoting mental health and resilience among newcomer students.
Contact
680 North Lake Shore Drive Suite 13-084 Chicago, IL 60611
Emily Rogalski, PhD, the Ann Adelmann Perkins and John S. Perkins Professor of Alzheimer's Disease Prevention, has a successful history of consistent foundation and NIH funding spanning more than 15 years. Her research uses a multimodal and interdisciplinary approach and primarily focuses on two aging perspectives: primary progressive aphasia (PPA), in which neurodegenerative disease invades the language network, and SuperAging, in which individuals are seemingly resistant to the deleterious changes in memory associated with “normal” cognitive aging.
SuperAging Research Initiative: SuperAgers are 80+ year-olds with episodic memory function that is at least as good as cognitively average individuals in their 50s and 60s. Rogalski operationalized and established the SuperAging phenotype and leads the NIA-funded multisite SuperAging Research Initiative.
PPA Research Program: Rogalski's PPA research spans more than 15 years and has focused on characterizing the clinical and anatomical features of PPA, ascertaining the drivers of disease progression and identifying potential genetic and developmental risk factors. This work has also led to fundamental changes in the understanding of language network organization.
Care, support and non-pharmacologic intervention: Another important goal of Rogalski's research is to optimize access to high-quality non-pharmacological care for individuals with Alzheimer’s and related dementias (ADRD). She has developed educational programs, one of the first support groups for individuals living with PPA and, more recently, the Communication Bridge Intervention, which is designed to maximize communication and quality of life for individuals living with PPA and their carepartners. She currently leads an NIH Phase 2 randomized, clinical trial testing the efficacy of the Communication Bridge Intervention.
Multisite study leadership: Rogalski serves in leadership roles for two NIA-funded P30 awards and is the Neuroimaging Biomarker Core Leader for Northwestern’s Alzheimer’s Disease Research Center (ADRC) and the Pilot/Exploratory Studies Co-Core Leader for Northwestern’s Pepper Center. She is also a site PI for multi-center NIH initiatives, including the Alzheimer’s Disease Neuroimaging Initiative (ADNI) and Longitudinal Early-Onset Alzheimer’s Disease Study (LEADS).
Contact
300 East Superior Street Tarry 8-735 Chicago, IL 60611
The interdisciplinary group co-led by Linda Teplin, PhD, includes faculty-level research investigators, research assistants, interviewers, statistical programmers, data processors, administrative and support staff, as well as graduate students enrolled in the Clinical Psychology PhD and master’s programs in the Department of Psychiatry and Behavioral Sciences. Results from their research studies have provided the needed empirical data to guide U.S. policy: Findings have been cited in Supreme Court amicus briefs, congressional hearings and surgeon general’s reports. We are currently conducting two studies: the Northwestern Juvenile Project and the Northwestern Juvenile Project: Next Generation. Begun in 1995, the Northwestern Juvenile Project is the first large-scale longitudinal study of psychiatric disorders, antisocial and criminal behaviors and adult outcomes of juvenile detainees. Next Generation is the first intergenerational study of this special population. The group is investigating the characteristics that promote resilience among the children of the original participants in the Northwestern Juvenile Project. By identifying the strengths of children, their parents, social networks and communities, they will determine what experiences promote mental health, healthy relationships and educational attainment.
Contact
710 North Lake Shore Drive Suite 900 Chicago, IL 60611
