Products and Resources Catalog

  LEARNING SUMMARY Launching 988: What Do We Need to Know and How Might It Go? In May of 2022, MHTTC's Region 9 convened mental health crisis system professionals to learn how our region was preparing for the July 2022 launch of 988, the new front-facing number for suicide prevention and mental health crisis response. This new system operates through the existing National Suicide Prevention Lifelines, a network of 200 locally operated and funded crisis centers in the U.S. The launch of 988 created a universal entry point to trained crisis counselors and increased the nation’s capacity to circumvent law enforcement response to mental health crises. The system also reduces the number of admissions through the emergency room for people experiencing a mental health crisis, freeing up beds for other patients and reducing the cost of care. Recognizing that this once-in-a-generation opportunity requires intentional change management, MHTTC’s session explored considerations and strategies for 988 adoption and integration. Highlights from the panelists and group discussion, along with resources shared, are presented in this document. 

  RECORDING: Applying the Research: Practical Supports for Suicide Prevention in Schools   DESCRIPTION: Efforts to prevent suicide at the individual and community level are important for reducing suicide among youth. Suicide is complex with no single cause. This webinar addresses three factors for consideration when focusing on suicide prevention. The speakers will share findings and practical takeaways from their AFSP funded research. One important factor related to mental health and wellness among school aged youth is sleep. Dr. Tina Goldstein will share insights and data regarding the relationship between sleep and suicide. Next, Dr. Anna Mueller will review what she has learned from her research about important ingredients for suicide prevention in schools. Finally, Dr. Marisa Marraccini will describe how to facilitate a student’s return to school after hospitalization for suicidal behavior. There are many considerations to help students and schools adapt to support students in this process of transition. The goal of the webinar is to share insights to build an informed and active community working together for suicide prevention.     LEARNING OBJECTIVES: Describe How sleep patterns may impact mental health and wellness Provide 3 actions that can be taken to facilitate a student’s return to school after hospitalization for suicidal behavior Enumerate strategies for suicide prevention that can be used in schools     PRESENTERS: Tina Goldstein, PhD, clinical and research interests focus on understanding the etiology and psychosocial treatment for youth with, and at-risk for, mood disorders and suicide. Her research program is supported by grant funding from federal and private foundations, and she is the author of over 150 manuscripts and book chapters. Her contributions to the field have been recognized with numerous awards, including the Klerman Young Investigator Award from the Depression and Bipolar Support Alliance (DBSA) and the Presidential Early Career Award for Scientists and Engineers (PECASE).       Anna S. Mueller, PhD, is the Luther Dana Waterman Associate Professor in the Department of Sociology at Indiana University Bloomington. She received her BA from Wellesley College in 2002 and her PhD in sociology in 2011 from the University of Texas at Austin. Using both quantitative and qualitative methodologies, Mueller’s research examines (1) the social roots of adolescent suicide; (2) the experience of suicide bereavement in adolescence, and (3) how organizational science can help improve suicide prevention in schools. Her research on youth suicide has won numerous awards for its contribution to knowledge, including the Edwin Shneidman Early Career Award from the American Association of Suicidology. In 2020, she was named one of Science News’s Top 10 Early Career Scientists to Watch. Her research is funded by the National Institute of Mental Health, the American Foundation for Suicide Prevention, and the Western Colorado Community Foundation, among others. She is passionate about helping schools, families, and communities find better ways to prevent youth suicide and to heal after suicide losses.     Marisa Marraccini, PhD, specializes in promoting the mental health and well-being of students and preventing health risk behaviors. Trained as a school psychologist, she became interested in supporting high-risk adolescents to prevent suicide and other health risk behaviors during her internship at a rural high school. Recognizing a critical need to better support these students, she sought out advanced training in suicide assessment research through a postdoctoral fellowship at the Department of Psychiatry and Human Behavior in the Warren Alpert Medical School of Brown University. Currently, Marraccini is an Implementation Research Fellow through the Implementation Science Research Institute at Washington University of St. Louis.     The Great Lakes MHTTC is offering this training for individuals working in HHS Region 5: IL, IN, MI, MN, OH, WI. This training is being provided in response to a need identified by Region 5 stakeholders.

  ABOUT THIS EPISODE Learn how healthcare clinicians in Idaho are addressing the state's high suicide rate-- the 11th highest suicide rate in the U.S in 2019-- by building resilient individuals and communities.     GUEST  Betsy Hammar, MS  Program Specialist, Suicide Prevention Program Center for Drug Overdose and Suicide Prevention  Division of Public Health Idaho Department of Health and Welfare Betsy came to her work in suicide prevention through a lifelong passion for public service and individual wellness. Her diverse skill set developed first through business management, then non-profit management, allows her to negotiate a broad spectrum of relationships, partnerships, and stakeholder engagement. Her background includes almost ten years at the American Red Cross, supporting volunteers who deliver vital disaster response services, and the supporting services of operational and fund-raising activities. Because Idaho’s Suicide Prevention State Plan approach involves a heavy public-private element, her work at the state’s Department of Health & Welfare entails much more than education. Her business acumen facilitates projects and programs that require voluntary participation of individuals and organizations all across the state and State Plan advisory groups stand up initiatives to reduce suicide through categories like Capacity Building & Infrastructure, Advocacy & Policy, Suicide Care/Zero Suicide. Betsy also sits on the Advisory Committee for PCORI funded research to explore the role of Caring Contacts in the medical setting. HOST Christina N. Clayton, LICSW, SUDP, Northwest MHTTC Co-Director Christina Clayton has been working in the behavioral health field since 1993 working with people and programs addressing severe mental health issues, substance use, co-occurring issues, chronic homelessness, integrated care, outreach, physical health, trauma and diversity/equity/inclusion topics. Christina has education and licenses/credentials in clinical social work, mental health and substance use.  She is also a Clinical Assistant Professor and Field Instructor for the University of Washington School of Social Work (MSW ’97).  Learn more about MHTTC Staff & Faculty   LEARN MORE Webinar recording and related resources PODCAST SERIES Discover other episodes in the Putting It Together series here. Terms of use and Substance Abuse and Mental Health Services Administration (SAMHSA) disclosure statement

Recording of the event Social Influencers of Health and Suicide in Black Youth, originally held on March 1, 2023.   Slide presentation

When children talk about death or a wish to die, or hurt themselves—when they engage in suicidal thoughts and behaviors (STBs)—school adults often feel scared.  They may feel they don’t have adequate training to guide their response. This can lead educators to react in unhelpful or even harmful ways, such as minimizing or ignoring the child’s support needs. This resource provides critical knowledge and resources to help schools recognize and assess the warning signs of STBs, and to respond in ways that keep children as safe as possible.      What’s inside the guide? Guidance on what language to use with young children experiencing STBs Myths and facts about STBs in children and early adolescents Risk factors and warning signs Identification and referral strategies Appropriate educator and school responses to STBs   Who is this guide for? Elementary school educators School leaders and administrators  School mental health personnel 

  Learning that your elementary-aged child is thinking about self-harm or using language that signals suicide is frightening and disorienting. Thankfully, suicide is preventable and there are many things that you as parents and caregivers can do to help keep your children safe. This resource is designed to help parents and caregivers prevent suicidal thoughts and behaviors (STBs), recognize the warning signs of STBs, and, when necessary, intervene early and effectively to keep their child safe.   What’s inside the guide? Myths and facts about STBs among elementary-aged children  Recognizing signs and symptoms of STBs Responding effectively to keep your child safe, including sample language and concrete actions Preventing STBs Considerations for BIPOC and LGBTQ children and their unique needs  

The January issue of Northwest News includes a holiday message from our team as well as announcements of upcoming SAMHSA and partner events, our latest podcast episodes, free e-courses, and other training opportunities.

This infographic provides information for helping behavioral health providers cope in the aftermath of a suicide.

This infographic provides information for loss survivors bereaved by suicide.

The December issue of Northwest News provides information on support during the holidays, World AIDS Day, International Day of Persons with Disabilities and National Impaired Driving Prevention Month. We also include information on our upcoming webinar: 988 in Washington State: Sharing the Journey, our most recent podcast on Intersectionality of the Transitioning Veteran, free resources, and other training opportunities.

In this session of the 2022 ABC Summit, local districts and their regional partners share their experience in developing Tier 2 supports for students, including procedures to identify and support students at risk of suicide.   Download Session Resources: Mansfield ISD Hope Squad Hope Squad Information Packet Hope Squad Fact Sheet Links to Alice ISD Mental Health Program Suicide Safer Schools Roadmap  

  National Center for School Mental Health Advancing School Mental Health Annual Conference Presentation: Effective School-Based Suicide Prevention     DESCRIPTION: Schools are key settings for suicide prevention. Educators, administrators, social workers, counselors, and all school staff play an important role in creating safe schools that support the mental health needs of all students and reduce the risk of suicide. The most effective way to accomplish this is for districts to adopt a comprehensive, culturally relevant, evidence-based approach that incorporates prevention, intervention and postvention strategies. The School-Based Suicide Prevention Learning Collaborative was designed to help school districts apply process improvement principles to their current suicide prevention efforts with the goal to strengthen their comprehensive suicide plan districtwide.       LEARNING OBJECTIVES: Define key components of a comprehensive, culturally relevant school suicide prevention plan Discuss suicide related risks among racial and ethnic minority students  Summarize lessons learned from a Michigan school district that created a suicide prevention plan utilizing this model      PRESENTERS: Sarah McMinn, MSW, LCSW Tandra Rutledge, MA Elizabeth Dodson-Walker, LMSW           The Great Lakes MHTTC is offering this training for individuals working in HHS Region 5: IL, IN, MI, MN, OH, WI. This training is being provided in response to a need identified by Region 5 stakeholders.

View Webinar Recording   On July 16, 2022 the three-digit number for suicide and mental health crises, 988, went live. The 988 Suicide & Crisis Lifeline is a network of more than 200 state and local call centers supported by the US Department of Health and Human Services through the Substance Abuse and Mental Health Services Administration (SAMHSA). 988 is part of a broader crisis continuum which includes the hotline, mobile crisis, and crisis stabilization. This webinar gives more information about 988, who should call, why to call, what happens when you call, how it differs from 911, and what the larger mental health crisis response system can do. 

Download Presentation Slides   On July 16, 2022 the three-digit number for suicide and mental health crises, 988, went live. The 988 Suicide & Crisis Lifeline is a network of more than 200 state and local call centers supported by the US Department of Health and Human Services through the Substance Abuse and Mental Health Services Administration (SAMHSA). 988 is part of a broader crisis continuum which includes the hotline, mobile crisis, and crisis stabilization. This webinar gives more information about 988, who should call, why to call, what happens when you call, how it differs from 911, and what the larger mental health crisis response system can do. 

Saving Young Black Lives: Reversing Suicide Trends is an 8-part limited-series podcast produced in partnership with the New York University McSilver Institute for Poverty Policy and Research. Survivors, family members, researchers, and behavioral health professionals discuss what it will take to stop a growing crisis of Black youth suicide.

Reimagining Wellness: Preventing Suicide Among Black Boys is a four-part vignette series that addresses this alarming trend. These short films, produced in partnership with Never Whisper Justice, feature interviews with experts who share their insights on improving well-being and reducing mental health disparities among this population.

ABOUT THIS RESOURCE Idaho is consistently among the states with the highest suicide rates. In 2019, Idaho had the 11th highest suicide rate in the U.S., with a rate of 20.4 per 100,00 people, more than 1.5 times the national average.  Healthcare clinicians in Idaho play a vital role in helping build resilient individuals and communities to bolster suicide prevention. Evidence demonstrates that, "overall, 64 percent of patients made some type of healthcare visit within a month before attempting suicide, 38 percent of patients within a week, and nearly 95 percent within a year."* Often, community members with mental health challenges present to primary care with alternative medical concerns and complaints. These visits provide the perfect opportunity to screen for suicide risk and intervene appropriately. In an effort to help improve suicide care in the state, the Idaho Department of Health and Welfare's Suicide Prevention Program partnered with the Northwest MHTTC to provide access to the online course, "All Patients Safe." Watch this recorded webinar to hear about this partnership and Idaho's system-wide efforts including: How Idaho launched this initiative Suicide awareness and prevention efforts across the State Results and outcomes of Idaho's initiative Lessons and recommendations for other communities, States, etc.   What is All Patients Safe? All Patients Safe is a three-hour or six-hour interactive, self-paced training course designed to provide the necessary tools to medical providers and client-facing staff for preventing and educating patients about suicide. This course was developed in response to the public health crisis that is suicide by leading experts and health care organizations through Forefront Suicide Prevention (University of WA).  All Patients Safe offers an engaging and informative option for providers and client-facing staff to become better skilled at suicide prevention. Perspectives of real patients coupled with practical skills help medical providers transfer what they learn to their practice and community. Each self-paced training module includes: Real patient stories Model provider-patient interactions Interactive patient exercises with feedback   * Ahmedani, et al. Racial/Ethnic Differences in Health Care Visits Made Before Suicide Attempt Across the United States, MED CARE 53, Issue 5, 430-435 (2015), https://doi.org/10.1097/MLR.0000000000000335 AND Ahmedani, et al.  Health Care Contacts in the Year Before Suicide Death, J GEN INTERN MED 29, 870–877 (2014), https://doi.org/10.1007/s11606-014-2767-3.   ADDITIONAL RESOURCES Presentation slides All Patients Safe Online Training Registration Free All Patients Safe Registration for Washington State Providers New All Patients Safe Courses Washington State Department of Health Suicide Prevention Training Resources for Health Professionals Textbook: Suicide Prevention by Christine Yu Moutier, Anthony R. Pisani & Stephen M. Stahl - mentioned during webinar Suicide Prevention Resources - A compilation of resources from the Northwest MHTTC   Related Northwest MHTTC Recorded Webinars: Maximizing Therapeutic Alliance in Suicide Risk Assessment, Management, and Treatment Overview of Clinical Suicidology: Theories, Assessment, Interventions, and Treatments  Navigating the Tough Stuff: LGBTQ Suicide Awareness for Families Navigating the Tough Stuff: LGBTQ Suicide Prevention for Families   FACILITATORS Betsy Hammar, MS  Program Specialist, Suicide Prevention Program Center for Drug Overdose and Suicide Prevention  Division of Public Health Idaho Department of Health and Welfare Betsy came to her work in suicide prevention through a lifelong passion for public service and individual wellness. Her diverse skill set developed first through business management, then non-profit management, allows her to negotiate a broad spectrum of relationships, partnerships, and stakeholder engagement. Her background includes almost ten years at the American Red Cross, supporting volunteers who deliver vital disaster response services, and the supporting services of operational and fund-raising activities. Because Idaho’s Suicide Prevention State Plan approach involves a heavy public-private element, her work at the state’s Department of Health & Welfare entails much more than education. Her business acumen facilitates projects and programs that require voluntary participation of individuals and organizations all across the state and State Plan advisory groups stand up initiatives to reduce suicide through categories like Capacity Building & Infrastructure, Advocacy & Policy, Suicide Care/Zero Suicide. Betsy also sits on the Advisory Committee for PCORI funded research to explore the role of Caring Contacts in the medical setting.   Ali Shields, LMSW Project AWARE Coordinator, Idaho Lives Project   Ali is the project coordinator for the ID-AWARE Project. Ali started her career with the Idaho Lives Project, as a regional coordinator (2018). She is well-versed in suicide prevention, intervention, and postvention strategies that specifically apply to integration at the school-level. In 2020, Ali transitioned from this position to her current position as coordinator for the ID-AWARE Project. This has expanded her focus from primarily suicide to more generalized mental health fundamental integration. Ali’s passion for mental health and suicide prevention/intervention began in 2009, as a psychiatric technician at Intermountain Hospital. From this work, she began seeking degrees in social work. Ali completed her graduate-level internship with St. Luke’s Children’s Hospital, where she worked primarily with suicidal adolescent populations. Ali obtained her bachelor’s in social work from Boise State University (Boise, Idaho) in 2016, as well as her master’s in social work, with a specialization in community mental health, from Northwest Nazarene University (Nampa, Idaho) in 2017. Ali is a certified Sources of Strength and SPFI (Suicide Prevention Fundamentals Instruction) school gatekeeper trainer. She also received ASIST (Applied Suicide Prevention Skills Training) training in September 2018.   Ben Skaggs, LCSW Program Specialist, Division of Behavioral Health Ben works for The Department of Health and Welfare Division of Behavioral Health in the Quality Assurance unit as a program specialist. In addition to his work on the Suicide Prevention (KPA), he is an LCSW graduate from Northwest University (2010) and has worked with focuses in Substance Use Disorders and treatment, private practice mental health and more recently in helping with the Mobile Crisis Response development within the state of Idaho.   Jennifer Tachell, M.Ed./Ed.S. Behavior Consultant, West Ada School District Jennifer is a Behavior Consultant for the West Ada School District, where she helps school teams and teachers build capacity to support all students academically and behaviorally. Previously, Jennifer has been a school counselor in the Boise School District, the statewide lead PBIS (Positive Behavioral Interventions and Supports) Tier 1 trainer with the Idaho Positive Behavior Network, and a psychiatric technician in adolescent residential psychiatric treatment. She has extensive experience in the areas of school counseling, coaching, PBIS implementation, Response to Intervention/MTSS, professional development, behavioral management, and curriculum design. Jennifer has a B.A. in Psychology, an M.Ed. in Education, and Ed.S. degrees in both Health Science and Educational Leadership. She maintains certification as a K-12 school counselor and as a K-12 principal. Terms of use and Substance Abuse and Mental Health Services Administration (SAMHSA) disclosure statement

  A free, three-part series addressing suicide prevention, response, postvention, and safety planning.  Responding to mental health crises and the risk of suicide in a school setting presents unique challenges and considerations for mental health practitioners, educators, and parents. Suicidal thoughts do not discriminate and can affect anyone. Suicide rates have been continuously rising since 2007 and are now ranked as the 10th leading cause of death in 2017 for all age ranges and ranked second among youth ages 10-24 (Ivey-Stephenson et al., 2020). During this free, three-part series, we will address suicide prevention awareness; school-appropriate response and screening referral practices for youth experiencing suicidal ideation and/or intent; postvention as well as supports and safety planning after the child returns to school.     Session 1: Suicidal Awareness in the School Setting (September 12, 2022)  Access the slide deck by clicking DOWNLOAD above CLICK HERE to view the recording   Session 2: School-Appropriate Response and Screening Practices (September 19, 2022)  Access the slide deck by clicking DOWNLOAD above CLICK HERE to view the recording   Session 3: School Supports, Safety Planning (September 26, 2022)  Access the slide deck by clicking DOWNLOAD above CLICK HERE to view the recording Trainer Erin Briley, M.S., NCSP                   Erin Briley is the School Mental Health Coordinator for the Mountain Plains Mental Health Technology Transfer Center Network (MHTTC) and a Technical Assistant Associate for WICHE’s Behavioral Health Program.  As the school mental health lead, her work focuses on providing intensive technical assistance, resources, and training school staff to support school-based mental health. As a Technical Assistant Associate, her work is primarily focused on assisting in creating and implementing Psychology Internship Consortiums in rural western states. Ms. Briley has over 20 years of experience working in the schools, serving primarily as a school psychologist for school districts in California, Hawaii, and Colorado while providing direct and indirect supports for children ages 3 through 22 of all developmental levels. Ms. Briley has also served temporarily as a special education and a School Based Behavioral Health program administrator and trained and supervised paraprofessionals providing individualized supports to children with special needs. Ms. Briley has extensive experience with psycho-educational evaluations, classroom, and individual behavioral management, conducting Functional Behavioral Assessments, creating Behavioral Support Plans, special education legal mandates, and rights related to IDEA and Section 504, and learning needs accommodations to support. Ms. Briley earned her Bachelor’s in Human Development and Family Studies at Colorado State University, her Master’s in Counseling/School Psychology and a Certificate in Applied Behavior Analysis at California State University Los Angeles and is working on her PhD (ABD) in Clinical Psychology; she is also a Nationally Certified School Psychologist.

  The causes of suicide are complex and determined by multiple combinations of factors. Learn more from this important training.  To view the slide deck used during this presentation, click DOWNLOAD above CLICK HERE to view the recording Event Description This training will review models of suicide behavior, assessment tools, and ways to mitigate suicide risk through clinical and cultural intervention.   Trainer Julio Brionez, Ph.D. Julio Brionez, Ph.D., is a licensed psychologist in Wyoming, Colorado, and Montana. He primarily serves at the UWYO university counseling center and in his private practice, JB LLC. Dr. Brionez is a first-generation college student, identifies as Latino, male, and uses he/him pronouns. He specializes in the treatment and prevention of suicide and uses interventions from acceptance and commitment therapy and cognitive therapies. 

  This is part of our Workshop Wednesday series that is held on the third Wednesday of each month.  To access the slide deck used in this session, click DOWNLOAD above CLICK HERE to view the recording Event Description Approximately 45% of persons who complete suicide visited their primary care provider within in a month of their death, whereas only 20% visited an actual mental health professional in that same time period. This single statistic highlights why suicide prevention in primary care must be integrated into clinic workflows to provide good, comprehensive clinical care. This training will provide information about suicide risk screening and assessment, brief interventions using an SBIRT and behavioral health consultant model, policies and procedures, and care models that clinics may be interested in implementing.   Trainer Robin Landwehr                     Robin is a Licensed Professional Clinical Counselor (LPCC) who holds a Master of Science degree in mental health counseling from Capella University, and a Doctor of Behavioral Health (DBH) degree from Arizona State University. She currently serves as the Integrated Care Director at a Federally Qualified Health Center, and has a small private practice.  During her career, Robin has been fortunate enough to be involved in numerous writing projects and trainings, practiced as part of a collaborative care team, and provided clinical supervision. Her experience as a clinical counselor includes assisting individuals struggling with trauma, depression, anxiety, health behaviors, substance abuse, and other issues. She is a certified instructor in the Question, Persuade, Refer (QPR) and Counseling on Access to Lethal Means (CALM) suicide prevention programs.  

  Suicide among LGBTQ+ people is rampant. Help spread awareness on this critical topic. To access the slide deck used in this presentation, click DOWNLOAD above CLICK HERE to view the recording Event Description People who identify as LGBTQ+ have higher rates of both suicide attempts and suicidal ideation. LGBTQ+ youth, in particular, have seen significant increases in suicide attempts in the recent years, often aligning with the passing of discriminatory laws or policies. While LGBTQ+ people share many risk factors and clinical needs with heterosexual or cisgender peers, the development and implementation of preventative care and interventions should also address the additional minority stressors facing this community.   This webinar will provide an overview of the critical risk and protective factors, considerations for risk assessment, and intervention strategies specific to LGBTQ+ people. Trainer Keri Frantell   Dr. Keri A. Frantell (she/her/hers) is a licensed psychologist working with university counseling students. She earned her doctorate in Counseling Psychology from the University of Tennessee. Her integrated program of practice, research, teaching, and advocacy centers on multiculturalism and social justice. In both research and clinical practice, she has extensive experience working with suicidality and LGBTQ+ populations. She has published on factors related to transgender suicidal ideation and attempts, bisexual oppression and the impact on mental and physical health, and the connection between religiosity and suicidality for LGB young adults. 

About this Resource:  The Southeast MHTTC Newsletter highlights upcoming events and recently released products as well as shares information on available resources from SAMHSA and the MHTTC network.  The September 2022 issue recognizes National Suicide Prevention Month, Recovery Month, and National Hispanic Heritage Month, highlights our upcoming events and recent products, and provides resources available through the MHTTC Network and SAMHSA to connect individuals to needed treatment and support. 

Our September newsletter offers upcoming events on Assertive Community Treatment, addressing provider burnout, and the 988 launch. We also include new resources on peer support, mental health in the criminal justice system, and older adult mental health.

   Suicide is a growing problem in America's rural communities. Learn more during this one-hour webinar.  To access the slide deck from this presentation, please click DOWNLOAD above CLICK HERE to view the recording Event Description Suicide has been identified as a serious public health issue that has significant impacts on families and communities. According to the Center for Disease Control suicide rates have increased with nearly 46,000 deaths by suicide in 2020 thus being the 12th leading cause of death in the United States. According to SAMHSA in the year 2020 1.2 million individuals attempted suicide. Individuals who reside in rural and agricultural communities experience higher than average rates of suicide. This webinar will address the issue of suicide in rural and agricultural communities as well as identifying strategies for suicide prevention and postvention intervention. Learning Objectives At the end of this webinar participants will be able to:  Identify the prevalence of suicide in rural communities  Describe conditions and risk/protective factors that contribute to suicide rates in rural communities  Identify successful suicide prevention approaches  Define postvention and identify strategies that can assist individuals, families, rural communities heal following a suicide loss  Trainer Ken Flanagan                       Dr. Kenneth Flanagan is an Associate Professor in the Department of Social Work at the University of North Dakota. He currently serves as a curriculum developer for the Mountain Plains Mental Health and Addiction Technology Transfer Centers.  Dr. Flanagan holds a license as a clinical social worker and provides counseling and behavioral management services with a clinical focus on depression, anxiety, trauma, relationship issues, and chronic pain. He received his MSW and Ph.D. from The Ohio State University. Dr. Flanagan has held a range of clinical and administrative positions in healthcare and community-based organizations.