About Us

Susan E. Collins, Ph.D. Director Curriculum Vitae

Susan is a licensed clinical psychologist and Associate Professor at the University of Washington – Harborview Medical Center. She also serves as a provider and member of the Evidence-based Practice Committee in the Harborview Mental Health and Addiction Services Center. She has been involved in substance use research, assessment and treatment for over 2 decades and has disseminated this work in over 60 book chapters, abstracts and peer-reviewed articles. In the HaRRT Center, she works with a multidisciplinary research and clinical team, community-based agencies, traditional Native healers, and substance-using community members to codevelop and evaluate interventions that aim to reduce substance-related harm and improve quality of life for affected individuals and their communities. In 2013, Dr. Collins received the G. Alan Marlatt Memorial Research Award for her contributions to alcohol research. In 2015, she was invited to speak on her work at the White House and was honored with the New Investigator Award for her Harm Reduction Treatment development in the University of Washington Science-in-Medicine Lecture Series. Her vision is to co-create with communities a toolbox of harm reduction interventions that empower individuals to reduce their substance-related harm and improve their quality of life. Her inspiration comes from the community members she has the privilege to know, respect, love, work with and laugh with.

Seema L. Clifasefi, Ph.D., MSW Director Curriculum Vitae

Seema L. Clifasefi, PhD, is an associate professor and codirector of the Harm Reduction Research and Treatment (HaRRT) Center in the Department of Psychiatry and Behavioral Sciences at the University of Washington-Harborview Medical Center in Seattle, WA. Her research lies at the intersection of substance use, mental health, criminal justice and housing policy, with an emphasis on populations with lived experience of homelessness, substance use and/or involvement in the criminal justice system. Over the past decade, she has worked collaboratively with affected communities to develop, evaluate and disseminate programs and interventions that aim to reduce substance related harm and improve quality of life. During this time, she has been an integral part of two collaborative academic and community-based research partnerships that have contributed to large-scale national policy shifts around housing and criminal justice reform. In 2013, she was awarded a NIH/NIAAA K01 Early Career Development Award to use a Community-Based Participatory Research (CBPR) research framework to co-develop, evaluate, and disseminate a comprehensive, multi-dimensional program that aims to reduce alcohol related harm and improve health and quality of life related outcomes for individuals who have experienced chronic homelessness and substance use problems. Ultimately, through her work, she hopes to help create positive social change by promoting understanding and compassion across different demographic and socio-economic class systems.

Featured Recent Publications

1. Collins, S. E., Clifasefi, S. L., Logan, D. E., Samples, L., Somers, J., & Marlatt, G. A. (2011). Harm reduction: Current status, historical highlights and basic principles. In G. A. Marlatt, K. Witkiewitz, & M. E. Larimer (Eds.), Harm reduction: Pragmatic strategies for managing high-risk behaviors (2nd ed). New York: Guilford. http://www.guilford.com/excerpts/marlatt2.pdf.

2. Collins, S. E., S. L. Clifasefi, J. Stanton, The LEAP Advisory Board, K. J. E. Straits, E. Gil-Kashiwabara, P. Rodriguez Espinosa, A. V. Nicasio, M. P. Andrasik, S. M. Hawes, K. A. Miller, L. A. Nelson, V. E. Orfaly, B. M. Duran and N. Wallerstein (in press). Community-based participatory research (CBPR): Towards equitable involvement of community in psychology research. American Psychologist.

3. Collins, S. E., S. L. Clifasefi and H. S. Lonczak (in press). Seattle’s Law Enforcement Assisted Diversion (LEAD): Program effects on recidivism. Evaluation and Program Planning.

4. Collins, S. E., Jones, C. B., Hoffmann, G., Nelson, L. A., Hawes, S. A., Grazioli, V. S., Mackelprang, J. S., Holttum, J., Kaese, G., Lenert, J., Herndon, P., & Clifasefi, S. L. (2016). In their own words: Content analysis identifying pathways to recovery among homeless individuals with alcohol use disorders. International Journal of Drug Policy, 27, 89-96.

5. Collins, S. E. (2016). Associations between socioeconomic factors and alcohol use and related outcomes. Alcohol Research: Current Reviews, 38, 83-94.

6. Collins, S. E., Duncan, M. H., Smart, B. F., Saxon, A. J., Malone, D. K., Jackson, T. R., & Ries, R. K. (2015). Extended-release naltrexone and harm reduction counseling for chronically homeless people with alcohol dependence. Substance Abuse, 36, 21-33. doi: 10.1080/08897077.2014.904838

7. Collins, S. E., Grazioli, V. S., Torres, N. I., Taylor, E. M., Jones, C. B., Hoffman, G. E., Haelsig, L., Zhu, M. D., Hatsukami, A. S., Koker, M. J., Herndon, P., Greenleaf, S. M., & Dean, P. E. (2015). Qualitatively and quantitatively evaluating harm-reduction goal setting among chronically homeless individuals with alcohol dependence. Addictive Behaviors, 45, 184-190. doi: 10.1016/j.addbeh.2015.02.001

8. Collins, S. E., Kirouac, M., Lewis, M. A., Witkiewitz, K., & Carey, K. B. (2014). Randomized controlled trial of web-based decisional balance feedback and personalized normative feedback for college drinkers. Journal of Studies on Alcohol and Drugs, 75, 982-992.

9. Collins, S. E., Saxon, A.J., Duncan, M.H., Smart, B. F., Merrill, J. O., Malone, D. K., Jackson, T. R., Clifasefi, S.L., Joesch, J. & Ries, R. K. (2014). Harm reduction with pharmacotherapy for homeless people with alcohol dependence: Protocol for a randomized controlled trial. Contemporary Clinical Trials, 38, 221-234. doi: 10.1016/j.cct.2014.05.008

10. Collins, S. E., Clifasefi, S. L., Dana, E. A., Andrasik, M. P., Stahl, N. E., Kirouac, M., et al. (2012). Where harm reduction meets Housing First: Exploring alcohol’s role in a project-based Housing First setting. International Journal of Drug Policy, 23, 111-119. doi: 10.1016/j.drugpo.2011.07.010

11. Collins, S. E., Malone, D. K., Clifasefi, S. L., Ginzler, J. A., Garner, M. D., Burlingham, B., et al. (2012). Project-based Housing First for chronically homeless individuals with alcohol problems: Within-subjects analyses of two-year alcohol-use trajectories. American Journal of Public Health, 102, 511-519. doi: 10.2105/AJPH.2011.300403

For more related publications, please see Dr. Collins’s biosketch. Publications may be downloaded from her researchgate account at https://www.researchgate.net/profile/Susan_Collins/publications.


Featured Recent Publications

1. Collins, Clifasefi, S.L, Straits, K., et al. (in press). Community-based participatory research (CBPR): Towards equitable involvement of community in psychology research. American Psychologist, DOI: 10.1037/amp0000167. Accepted January 22, 2018.

2. Clifasefi, S.L, Lonczak, H.S., Collins, S.E. (2017). Seattle’s Law Enforcement Assisted Diversion (LEAD) Program: Within-subjects changes on housing, employment and income/benefits outcomes and associations with recidivism. Crime & Delinquency, 63, 429–445. DOI: 10.1177/0011128716687550.

3. Clifasefi, S.L, Collins, S.E., Torres, N.I., Grazioli, V.S., Mackelprang, J.L. (in press). Housing First, but What Comes Second? A Qualitative Study of Resident, Staff and Management Perspectives on Single-site Housing First Program Enhancement. Journal of Community Psychology. Accepted August 30, 2015.

4. Mackelprang, J., Collins, S., & Clifasefi, S. (2014). Housing First Is Associated with Reduced Use of Emergency Medical Services. Prehospital Emergency Care, 476-482, doi: 10.3109/10903127.2014.916020

5. Bowen, S., Witkiewitz, K., Clifasefi, S.L., et al. (2014). Relative Efficacy of Mindfulness-Based Relapse Prevention, Standard Relapse Prevention and Treatment as Usual for Substance Use Disorders. JAMA Psychiatry. doi:10.1001/jamapsychiatry.2013.4546

6. Clifasefi, S.L., Bernstein, D.B., Mantonakis, A. & Loftus, E.F. (2013). “Queasy does it”: False alcohol beliefs and memories may lead to diminished alcohol preferences. Acta Psychologica, 143, 14-19. http://dx.doi.org/10.1016/j.actpsy.2013.01.017

7. Clifasefi, S.L., Malone, D.K., Collins, S.E. (2013). Exposure to project-based Housing First is associated with reduced jail time and bookings. International Journal of Drug Policy, 24, 291-296. PMID: 23122679 DOI: 10.1016/j.drugpo.2012.10.002.

8. Clifasefi, S.L., Collins, S.E., Tanzer, K.E., Burlingham, B., Hoang, S.E., & Larimer, M.E. (2011). Agreement Between Self-Report and Archival Public Service Utilization Data Among Chronically Homeless Individuals with Severe Alcohol Problems. Journal of Community Psychology, 39, 631-644. doi: 10.1002/jcop.20457.

9. Larimer, M.E., Malone, D.K., Garner, M.D., Atkins, D., Burlingham, B., Lonczak, H.S., Tanzer, K., Ginzler, J., Clifasefi, S.L., Hobson, W.G., & Marlatt, G.A. (2009). Health care and public service use and costs before and after provision of housing for chronically homeless persons with severe alcohol problems. Journal of the American Medical Association, 301, 1349-1357.