Carissa van den Berk-Clark

Associate Professor of Family and Community Medicine at Saint Louis University School of Medicine with expertise in substance use disorders, chronic pain, poverty and primary care research.

Research Expertise

poverty
mental health
substance abuse
community participatory research
implementation science
organizational sociology
PTSD and trauma
primary care
chronic pain
diet and nutrition in primary care patients

About

Specific Topic Areas   * **Treatment of Substance Use Disorders and Substance Use Disorders Epidemiology:**  Understanding the epidemiology of substance use disorders with a focus on the relationship between trauma, PTSD, and substance use disorders, treatments, and treatment implementation.   * **Food and Nutrition in Primary Care Population**: Understanding primary care population needs in relation to food and nutrition and intervention approaches in a primary care setting. * **Access to Care:**  Understanding health and social service systems, including specific policies and organizational barriers that affect access to healthcare, housing, food, behavioral health services, and social services. This topic includes working with local communities to improve access to care, including developing interagency networks and action research projects.     Methodological Expertise * **Community Based Participatory and Action Research** \- I have worked closely with both vulnerable populations in urban and rural settings to co\-produce research studies and interventions\.  I have also received additional training through the Robert Wood Johnson Foundation \(Interdisciplinary Research Leaders\) to develop a rural action network in the Missouri Bootheel to improve access to care\.  Other notable community based participatory work include developing a Recovery Oriented System of Care program in two rural Illinois counties\, developing transitional care program in the Transitional Center of St\. Louis in partnership with Criminal Justice Ministry\. * **Implementation Science and Organizational Theory:**  My doctoral (UCLA Center for Civil Society, VA, ISTR) and postdoctoral training (WU Center for Dissemination and Implementation, WU Institute of Clinical and Translation Sciences ICTS) focused heavily on implementation research with a focus on developing and evaluating interventions in different organizational settings.    * **Evaluation Research**:  Past MFH grants to evaluate a number of different community-based programs focused on substance abuse prevention, treatment and homeless and criminal justice populations. * **Policy Implementation Research:**  Past research focused on healthcare and housing policy and how policies are implemented in community settings.  * **Qualitative Methods:**  Expertise in a range of different qualitative methodologies, including grounded theory, phenomenology, narrative, and ethnographic.   * **Primary Care Research Networks (PBRNs)**:  Have directed the ARCHNet PBRN since 2015 and work with PBRNs across the US through NAPCRG. * **Licensed Clinical Social Worker**:  LCSW in treatment/FQHC setting (rural underserved).  I have also worked with community members to develop this treatment center and get it licensed.

Publications

Association between posttraumatic stress disorder and lack of exercise, poor diet, obesity, and co-occuring smoking: A systematic review and meta-analysis.
Health Psychology
2018
The U.S. Department of Veterans Affairs Veterans Justice Programs and the sequential intercept model: Case examples in national dissemination of intervention for justice-involved veterans.
Psychological Services
2013
Comorbid Conditions Explain the Association Between Posttraumatic Stress Disorder and Incident Cardiovascular Disease
Journal of the American Heart Association
2019
Do Patient‐Centered Medical Homes Improve Health Behaviors, Outcomes, and Experiences of Low‐Income Patients? A Systematic Review and Meta‐Analysis
Health Services Research
2017
Association Between Clinically Meaningful Posttraumatic Stress Disorder Improvement and Risk of Type 2 Diabetes
JAMA Psychiatry
2019
Trust in Health Care Providers: Factors Predicting Trust among Homeless Veterans over Time
Journal of Health Care for the Poor and Underserved
2014
Adverse childhood experiences, depression, and cardiometabolic disease in a nationally representative sample
Journal of Psychosomatic Research
2019
Elderly Homeless Veterans in Los Angeles: Chronicity and Precipitants of Homelessness
American Journal of Public Health
2013
The Role of Obesity in the Association Between Posttraumatic Stress Disorder and Incident Diabetes
JAMA Psychiatry
2018
How does PTSD treatment affect cardiovascular, diabetes and metabolic disease risk factors and outcomes? A systematic review
Journal of Psychosomatic Research
2022
Assessment of a Postdeployment Yellow Ribbon Reintegration Program for National Guard Members and Supporters
Military Medicine
2014
Past trauma and future choices: differences in discounting in low-income, urban African Americans
Psychological Medicine
2018
Identifying and overcoming barriers to trauma screening in the primary care setting.
Families, Systems, & Health
2021
PTSD improvement and incident cardiovascular disease in more than 1000 veterans
Journal of Psychosomatic Research
2020
Large posttraumatic stress disorder improvement and antidepressant medication adherence
Journal of Affective Disorders
2020
Male, But Not Female, Alcohol-Dependent African Americans Discount Delayed Gains More Steeply than Propensity-Score Matched Controls
Psychopharmacology
2015
Drug use disorders and post-traumatic stress disorder over 25 adult years: Role of psychopathology in relational networks
Drug and Alcohol Dependence
2013
Clinically meaningful posttraumatic stress disorder (PTSD) improvement and incident hypertension, hyperlipidemia, and weight loss.
Health Psychology
2020
Factors Associated With Receipt of Cognitive-Behavioral Therapy or Prolonged Exposure Therapy Among Individuals With PTSD
Psychiatric Services
2019
Women’s Health and the Military
Primary Care: Clinics in Office Practice
2018
The role of impulsivity on health behavior related to cardiovascular disease among young adults.
Psychological Trauma: Theory, Research, Practice, and Policy
2021
PTSD symptom decrease and use of weight loss programs
Journal of Psychosomatic Research
2019
PTSD improvement and substance use disorder treatment utilization in veterans: Evidence from medical record data
Drug and Alcohol Dependence
2021
Differences in the Association between Depression and Opioid Misuse in Chronic Low Back Pain versus Chronic Pain at Other Locations
Healthcare
2016
Through the eyes of community health workers: what was needed to increase COVID-19 vaccine uptake in the Missouri Southeast region
Frontiers in Public Health
2024
Motivational Interviewing in Permanent Supportive Housing: The Role of Organizational Culture
Administration and Policy in Mental Health and Mental Health Services Research
2014
Increased Smoking Cessation Among Veterans With Large Decreases in Posttraumatic Stress Disorder Severity
Nicotine & Tobacco Research
2021
Texting as a Means of Reducing Pediatric Adolescent Psychiatric Emergency Encounters Wait Times
Pediatric Emergency Care
2018
Association of Medication-Assisted Treatment and Age With Treatment Completion Among Veterans Seeking Non-VA Treatment for Opioid use Disorder at Non-Veterans Health Administration Facilities
Military Medicine
2021
Prescription opioid use duration and beliefs about pain and pain medication in primary care patients
Journal of Opioid Management
2020
Three Types of Intimate Relationships among Individuals with Chronic Pain and a History of Trauma Exposure
Healthcare
2017
Mental Health Service Disparities in Persistent Poverty Counties versus Non-Persistent Poverty Counties
The Journal of Behavioral Health Services & Research
2025
Provider perspectives on nutrition interventions in primary care: the role of organizational structure and community partnerships
Family Practice
2023
Impact of Race on the Implementation of Empirically Supported Treatments in Substance Abuse Treatment
Journal of Social Work Practice in the Addictions
2017
Linking social capital and the political economy of substance treatment delivery: The case of recovery-oriented systems of care in Illinois
International Journal of Drug Policy
2024
Missouri Remembers: Artists in Missouri through 1951
Unknown Venue
2021
In women at or beyond term, how does induction of labor compare with expectant management for infant outcomes?
Cochrane Clinical Answers
2019
Predisposing genetic differences contribute to vulnerability to escalate cocaine intake in rats
Drug and Alcohol Dependence
2015
Permanent Supportive Housing in Los Angeles County: A Map-Based Tool
Unknown Venue
2022
Effects of Paternal Incarceration on Father Involvement on Child Behavior Outcomes at Middle Childhood
Journal of Child and Family Studies
2019
Does Mental Health Stigma Really Exist?
Written Off
The Sober Transitional Housing and Employment Project (STHEP):
Alcoholism Treatment Quarterly
1990
A Health Beliefs Model of Long‐Term Prescription Opioid Use for Chronic Pain
Pain Practice
2026
Stronger together: A community case study highlighting the benefits of pharmacy and community collaborations
JAPhA Practice Innovations
2025
The quality of addiction treatment in persistent poverty counties versus non-persistent poverty counties: the role of Medicaid
The American Journal of Drug and Alcohol Abuse
2025
Evaluation of an online SBIRT training program
The American Journal of Drug and Alcohol Abuse
2024
Funding and Implementation of Recovery Oriented Treatment Programs in the US from 2006–2020
Journal of Drug Education
2023
Social Rights and Recovery Oriented Systems of Care in the United States
Integrated Science
2024
Using Networks to Engage Community Health Workers in Participatory Action Research in High-Poverty Rural Communities
Journal of Participatory Research Methods
2024
Internalizing disorders as a mediator of the association between adverse childhood experiences and perceived medication intolerance or poly-allergy
The International Journal of Psychiatry in Medicine
2023
Co-occurring marijuana use among older adults who engage in long-term use of prescription opioids
Pain management
2022
Book Review: Journeys out of homelessness: The voices of lived experience
Affilia
2020
PTSD symptom improvement and smoking cessation among a sample of veterans
Behavioral, psychosocial, and mental illness
2022
The role of age and opioid agonist treatment on substance use treatment completion in the United States
Aging & Mental Health
2021
The Role of Impulsive Decision Making on Health Behavior Related to Cardiovascular Disease Risk Among Older Adults With Hypertension
Journal of Gerontological Nursing
2021
Trauma Screening Is More Common When Primary Care Patients Trust Providers
The Journal for Nurse Practitioners
2021
Review of van den Berk et al
Unknown Venue
2020
A Political Economic Model of Homeless Services
Journal of Progressive Human Services
2019
Combined effect of posttraumatic stress disorder and prescription opioid use on risk of cardiovascular disease
European Journal of Preventive Cardiology
2019
The effect of legal mandates on substance use disorder treatment completion among older adults
Aging & Mental Health
2018
Impact of Race on the Implementation of Empirically Supported Treatments in Substance Abuse Treatment
Implementing the Grand Challenge of Reducing and Preventing Alcohol Misuse and its Consequences
2019
Discussions between patients with chronic pain and their primary care provider about opioids and pain relief during routine clinic encounters
Journal of Opioid Management
2019
Why ethnography is an important part of primary care research and how it is done
How to Do Primary Care Research
2018
Are therapists likely to use a new empirically supported treatment if required?
Journal of Social Work
2017
Deployment Psychological Trajectories of National Guard Couples
Best Practices in Mental Health
2017
Mental Health Help Seeking Among Traumatized Individuals
Trauma, Violence, & Abuse
2016
Homeless Veterans
Caring for the Military
2016
How can primary care providers identify patients exposed to intimate partner violence?
Evidence-Based Practice
2016
The Dilemmas of Frontline Staff Working With the Homeless: Housing First, Discretion, and the Task Environment
Housing Policy Debate
2015
The Impact of Hazardous Alcohol Use on Behavioral Healthcare Utilization Among National Guard Service Members
Substance Use & Misuse
2016
Is voluntary household smoking ban differentially effective for men's and women's smokeless tobacco use and addiction? Findings from the global adult tobacco survey in India
Drug and Alcohol Dependence
2015
Nonmedical use of oxycodone and other opiate analgesics in the US, 2004–2011: Are military veterans at increased risk?
Drug and Alcohol Dependence
2015
Role of substance abuse in physical and mental health trajectories throughout the deployment cycle: A national guard study
Drug and Alcohol Dependence
2015
Implementing Outside the Box: Community-Based Social Service Provider Experiences With Using an Alcohol Screening and Intervention
Journal of Social Service Research
2014
Military Use and Regulation of Alcohol
The SAGE Encyclopedia of Alcohol: Social, Cultural, and Historical Perspectives
2015
Provider-agency fit in addiction services organizations: implications for evidence-based practice implementation
Addiction Science & Clinical Practice
2015
Provider-agency fit in substance abuse treatment organizations: implications for learning climate, morale, and evidence-based practice implementation
BMC Research Notes
2015
Differential risk of racial admixture for substance abuse: A longitudinal analysis
Drug and Alcohol Dependence
2014
The marginal effects of hazardous alcohol use on the probability of behavioral healthcare utilization among National Guard members
Drug and Alcohol Dependence
2014
Whose post-traumatic stress affects drinking levels? Couple-dyad modeling of national guard service members and their partners
Drug and Alcohol Dependence
2014
The marginal effects of hazardous alcohol use on the probability of behavioral healthcare utilization among National Guard members with psychopathology
Comprehensive Psychiatry
2013
Deconstructing Neoliberal Community Development Approaches and a Case for the Solidarity Economy
Journal of Progressive Human Services
2012

Education

University of California, Los Angeles

Doctor of Philosophy - PhD, Social Welfare Policy / December, 2012

Washington University in St. Louis

M.S.W. / December, 2008

Experience

Saint Louis University School of Medicine

Associate Professor of Family and Community Medicine / July, 2021Present

St. Louis University School of Medicine

Assistant Professor / February, 2015July, 2021

Washington University in St. Louis

Post Doctoral Scholar / July, 2012February, 2015

UCLA

Ph.D. Student/Researcher / August, 2008June, 2012

Grace Hill Settlement House

Community Development / August, 2006August, 2008

School of Engineering, University of Pennsylvania

Lab Assistant / January, 1999December, 2000

Projects related to organizing meetings for the Institute of Electrical and Electronic Engineers and Sunfest Program and literature reviews of quantum electrodynamics.

Links & Social Media

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