As a clinician in private practice, I spend most of my time providing individual and family therapy; however, running a successful practice also includes documenting services,...more ensuring appropriate communication with primary natural and paid supports, including collaboration with primary care; billing and collecting for services, including securing treatment authorization; marketing services to the community, including meeting with community partners, as well as website design and implementation.
Clinical Director, Best Practice Team
2013 - Present (over 6 years)
My responsibilities in this role include implementing new programs/services; ensuring all services are based on best practice guidelines and protocols; assisting in development...more of standard operating procedures related to clinical practice; providing input into the overall design of treatment protocols, monitoring implementation of those protocols, and instituting changes as needed; and training developing new educational opportunities for employees.
Clinical Operations Director
2012 - Present (about 7 years)
Here, I was primarily responsible for supervising , planning, coordinating, providing leadership, and directing the administrative and clinical activities for the 30+ staff...more in my assigned geographic area--in this case Davidson, Rowan and Cabarrus Counties--under the general direction of the Chief Clinical Officer. This role included providing high quality clinical services in a fiscally responsible way, as well as being the face of the agency to the community.
Clinical Program Director
2011 - 2012 (almost 2 years)
This role was very similar to the Clinical Operations Director; however, at that time each geographic area had both a Clinical Program Director, who was primarily responsible...more for clinical practices and community engagement, and an Operation Director, who was responsible for keeping the lights on and the doors open, so to speak. These roles merged into one in early 2013 across the agency; however, a colleague of mine and I piloted this new position for three months prior to its expansion.
Appalachian Community Services
Assistant Clinical Director
2010 - 2011 (5 months)
In this, my first foray into for-profit mental health, I was responsible for clinical operations in a four-county area in Western North Carolina. My duties included providing...more clinical direction, supervision and training to managers and staff in each county; growing the agency through participating in the selection and hiring of therapists, developing new programs, and acting as a community liaison between ACS and the community-at-large. Unfortunately, this was not a good for for ACS or me.
Mobile Crisis Management Clinician
2007 - 2010 (about 3 years)
Because one job is never enough, I also spent several years moonlighting in direct crisis services in the community. I was on-call from midnight Saturday night to 8am Monday...more morning for a more than 3 years while also Center Clinical Director. This included consultation to and assessment of persons experiencing emergent mental health and substance-use-related crises in a variety of settings, including hospital emergency departments, facility-based crisis centers and the community-at large.
Center Clinical Director
2006 - 2010 (almost 4 years)
In my last role at Daymark, I was responsible for clinical operations and truly the face of the agency in Cabarrus County. I provided mentoring, coaching and training to...more clinical staff; participated in the selection and hiring of therapists and other personnel actions; acted as liaison between Daymark and the community; provided training; and explored and developed new services and revenue streams. We were the first clinic to operate in the black, and we truly had a great time doing it!
Emergency Services Program Coordinator
2004 - 2006 (about 2 years)
This job is where I truly came into my own as a supervisor. My main duty was to provide administrative and clinical supervision for a five-county on-call crisis program. That...more included supervising clinical on-call personnel; recruiting and training staff for crisis intervention; providing 24-hour consultation to on-call staff; acting as primary liaison between agency and other community agencies involved with emergent referrals; and facilitated development of the program. I found my heart here.
Adult Mental Health Team Leader
2005 - 2006 (5 months)
Back in the early days of system reform in NC, we were still finding our way. I remember one time Billy West, CEO at Daymark, introduced me to a Board member and saying, "Here's...more another example of us doing more with less!" I'm pretty sure that was a compliment, because most of my time at Daymark was spent in dual roles. In addition to the crisis program, I was also team leader for adult MH services twice--first in Stanly County, then in Cabarrus. Those were busy days! More below.
Adult Mental Health Team Leader
2004 - 2005 (11 months)
This was my first role in the newly formed Daymark Recovery Services, one of ten spinoffs from the old area programs--and the only one still open! My first role was supervising...more adult outpatient services in Stanly County. (See above for my sting as AMHTL in Cabarrus.) While we tried to figure out what privatizing mental healthcare meant, my job included supervising emergency, adult outpatient and psychiatric services; providing clinical supervision to program personnel, and much more.
Piedmont Behavioral Healthcare (PBH)
Adult Outpatient Program Coordinator, Stanly County
2003 - 2004 (2 months)
For my final few months at PBH, I was the coordinator for adult mental health programs. This meant providing direct service, administrative supervision to staff, and community...more outreach and networking. I also acted as a liaison with other community service agencies, assisted in annual budget review and planning, provided internal training--specializing in emergency services issues--and assisting in preparations for transition from public mental health to a private, not-for-profit agency.
Local Emergency Services Coordinator, Stanly County
2003 (4 months)
I always knew I was going to be in leadership, and as soon as I was able, I began supervising the program in which I had gained all of my clinical experience to date. Prior...more to system transformation, PBH had a local coordinator for crisis services in each of its counties. This was basically someone to make sure there was coverage after hours, which at the time was "forced-voluntary." I still provided direct service, as well. A few months later, this position was merged into the one above.
Mental Health Therapist III, Stanly County
2001 - 2003 (about 2 years)
Ready to change the world? Me, too! In my first job post-masters, I was responsible for consultation to and assessment of persons experiencing emergent mental health and...more substance-use-related crisis mostly in hospital emergency departments, but also within the clinic and at the county jail. What a learning experience! I also participated in treatment team and other staff meetings, as scheduled. Most clinicians hate it, but I loved working with people in crisis--still do!
As Center Clinical Director at a local community mental health center in the midst of system reform in North Carolina, we were the only clinic in the agency at the time that was operating in the black. With a dozen clinicians, we more than doubled our group therapy opportunities and provided more than 10,000 units of group during my last year with the organization.
"Light does not fight with darkness. There is no wrestling match necessary. Light banishes darkness. They cannot occupy the same place at the same time." (Fischer)
"What lies behind us and what lies before us are tiny matters compared to what lies withi
What aspects of your work are you most passionate about?
Helping people become the best version of themselves.
What was the most impactful class you took in school?
Believe it or not, it was calculus my senior year at Seabreeze Senior High School in Daytona Beach, Florida. My teacher, Mr. Richard Edson, told us that he was not there to teach us calculus, but to teach us how to think. That has stuck with me to this da
What's something you wish you had done years earlier?