Consultant to multiple PACT teams regarding patient care and integration of behavioral health/behavioral medicine needs into the Primary Care visit.
Provide brief interventions for a wide variety of presenting problems in Primary Care, including insomnia, chronic pain, bereavement, anxiety/PTSD, depression, stress, alcohol/substance misuse, smoking, and obesity.
Provide family/caregiver consultation and brief cognitive rehabilitation interventions for Veterans with TBI and other neurocognitive disorders.
Crisis intervention and coordination with mental health staff for effective crisis management.
Liaison for referrals to the Mental Health Clinic and other Mental Health programs.
Facility trainer and instructor for PCMHI Competency Trainings.
Transitioned Primary Care Clinic staff from Co-Located Mental Health model to PCMHI model.
Consultant to multiple PACT teams regarding patient care, strategies for managing challenging patient behaviors, and integration of behavioral health/behavioral medicine needs into the Primary Care visit.
Provide brief interventions for a wide variety of presenting problems in Primary Care, including insomnia, chronic pain, bereavement, anxiety/PTSD, depression, stress, alcohol/substance misuse, smoking, and obesity.
Provide family/caregiver consultation and brief cognitive rehabilitation interventions for Veterans with TBI and other neurocognitive disorders.
Coordinate with mental health triage staff for effective crisis management.
Serve as primary liaison for referrals to the Mental Health Clinic.
Lead Pain Management and Smoking Cessation groups; co-lead MOVE! group.
Present on various topics in clinical seminar as a member of the psychology training team.
Established the PCMH Committee - a multi-disciplinary team involving stakeholders in Primary Care and Mental Health clinics. Committee facilitates communication and procedures to streamline coordination of care between clinics. Committee also offers monthly case consultation to PACT staff, to optimize care for Veterans presenting with complex needs.
Served as chair of research committee for replacement hire in the Mental Health Clinic.
VISN 21 PCMH Facility Lead, including planning and delivering the 2018 PCMH Competency Training for the San Francisco VA Health Care System.
Hours per week: 40
Supervisors: Ross Burns, L.C.S.W., Acting Mental Health Clinic Director.
Michael Potoczniak, Ph.D., Mental Health Clinic Director
Psychologist/Neuropsychologist
Private Practice
02.2004 - 10.2015
Private practice serving adult and elderly patients.
Brief and longer-term individual therapy, stress management, pain management, changing health behaviors (diet, exercise, sleep hygiene, BiPAP/CPAP habituation), bereavement/loss, cognitive rehabilitation, return-to-work issues, family and medical staff consultation, neuropsychological assessment.
Treatment vendor for Kaiser Occupational/Physical Medicine/Neurology clinics.
Diagnoses: mood and anxiety disorders, trauma and stressor-related disorders, adjustment disorders, neurocognitive disorders, chronic medical/neurological conditions.
Hours per week: 15
Neuropsychologist
Santa Rosa Memorial Hospital
07.2004 - 09.2015
Consultant on the Acute Rehabilitation Unit, providing services to adult and elderly patients.
Brief individual therapy, crisis intervention, cognitive screening, family consultation, consultation to medical staff and interdisciplinary rehabilitation team regarding diagnosis, behavior management, and treatment/discharge planning.
Psychotherapy practice serving adult and elderly patients, with associated consulting positions at Resurrection Medical Center (RMC) and Resurrection Nursing and Rehabilitation Center.
Brief and longer term individual therapy, marital/couples therapy, pain management, stress management.
Led stress management and support groups for patients in the Cardiac and Pulmonary Rehabilitation Program at RMC.
Consultation to medical staff regarding diagnosis and treatment planning.
Neuropsychological and psychological assessment, brief individual therapy, pain management, crisis intervention, and cognitive rehabilitation with adolescent, adult and elderly patients.
Led psychoeducational groups and intern training seminars.
Consultation to medical staff and family members regarding diagnosis, behavior management, and treatment/discharge planning.
Neuropsychological testing for SmithKline Beecham American Brain Injury Consortium Research Study.
Hours per week: 40
Supervisor: Mary Zemansky, Ph.D.
Neuropsychology Fellow
San Francisco General Hospital
09.1994 - 06.1995
Neuropsychology fellow on inpatient psychiatry and medical units.
Neuropsychological and psychological assessment (inpatient and outpatient).
Consultation to medical staff, family members, and the Department of Rehabilitation regarding diagnosis, patient management, and discharge planning.
Co-led pain management group.
Diagnoses: mood disorders, psychotic disorders, anxiety disorders, traumatic brain injury, alcohol/substance-related disorders, HIV/AIDS, and other medical/neurological disorders.
Hours per week: 32
Supervisor: Alicia Boccellari, Ph.D.
Education
Internship -
Ioannis A. Lougaris Veterans Administration Medical Center
Reno, NV
08.1994
Ph.D. - Clinical Psychology
Pacific Graduate School of Psychology
Palo Alto, CA
06.1994
B.A. - Clinical Psychology
San Francisco State University
San Francisco, CA
05.1988
Affiliations
American Psychological Association
Publications
Grossman, L.R., & Zalewski, C. (1995). Hypertension and cognitive function. Journal of Clinical Psychology in Medical Settings, 2(3), 233-248.
Kuljian, P., Zalewski, C., Grossman, L.R., & Hamil, W. (1993, March). Relative importance of FIM subscales in predicting post-stroke discharge status. Poster presented at the annual convention of the Western Psychological Association, Phoenix, Arizona.
Kuljian, P., Zalewski, C., Bowers, C., Grossman, L.R., & Gradman, T. (1993, June). Contributions of age, gender and pre-stroke living arrangements in predicting return to home after stroke. Poster presented at the annual convention of the American Congress of Rehabilitation Medicine, Denver, Colorado.
Bowler, R. M., Grossman, L.R., Becker, C., Estrin, W., & Lash, A. (1988, November). Lead exposure & neuropsychological test performance in factory workers. Poster presented at the National Academy of Neuropsychology Conference, Orlando, Florida.
Bowler, R. M., Mergler, D., Grossman, L.R., Harrison, R., & Cone, J. (1988, November). Effect of multiple organic solvent exposure on personality using the Minnesota Multiphasic Personality Inventory (MMPI). Poster presented at the National Academy of Neuropsychology Conference, Orlando, Florida.
Timeline
PCMHI Psychologist
Mann-Grandstaff VA Medical Center
05.2019 - Current
PCMH Psychologist
San Francisco VA Health Care System
09.2015 - 05.2019
Neuropsychologist
Santa Rosa Memorial Hospital
07.2004 - 09.2015
Psychologist/Neuropsychologist
Private Practice
02.2004 - 10.2015
Neuropsychologist
Gentiva Rehab Without Walls
04.2003 - 08.2011
Psychologist
Forster Counseling and Psychological Services
05.1997 - 12.2002
Staff Psychologist
Schwab Rehabilitation Hospital and Care Network
02.1996 - 04.1997
Neuropsychology Fellow
San Francisco General Hospital
09.1994 - 06.1995
Ph.D. - Clinical Psychology
Pacific Graduate School of Psychology
B.A. - Clinical Psychology
San Francisco State University
Internship -
Ioannis A. Lougaris Veterans Administration Medical Center