University of Puerto Rico, San Juan | Harvard Medical School & Cambridge Health Alliance | University of California, Los Angeles | New York University | Rutgers University | University of Pittsburgh | University of Texas| University of Washington

The Center for Multicultural Mental Health Research collaborates with many institutions and individuals to generate and enhance cutting-edge health disparities research. Institutional partners include the University of Puerto Rico, Harvard Medical School, and the University of California Los Angeles.

University of Puerto Rico (UPR), San Juan

Institutional Partner
Behavioral Sciences Research Institute (BSRI),
The Behavioral Sciences Research Institute at the University of Puerto Rico is a long-term collaborator with CMMHR. BSRI sponsors research on mental disorders and behavioral problems of adults, children and adolescents in Puerto Rico as well as with Latino populations within the United States. BSRI work includes translating and adapting diagnostic and measurement instruments to use with Spanish-speaking populations, and providing research training for students. BSRI is the primary site for the EXPORT Center, and acts as a partner with CMMHR in all EXPORT-related trainings and seminars. BSRI also collaborates with CMMHR on the Advanced Center for Mental Health Disparities and oversees one of the pilot projects for that contract. In addition, investigators from BSRI participate in many of the CMMHR projects, and are co-authors on multiple scholarly publications.

Glorisa Canino, Ph.D., Director of the Behavioral Sciences Research Institute (BSRI), University of Puerto Rico. Dr. Canino has an established history of national and international collaboration. Focusing on psychiatric epidemiology, Dr. Canino and colleagues from the BSRI played a major role in the Epidemiologic Catchment Area Studies (NIMH). Additionally, the University of Puerto Rico, under Dr. Canino´s direction, was included as one of the four collaborating sites for the NIMH Methodological and Epidemiologic Child and Adolescent Study (MECA). Dr. Canino is also Principal Investigator of a National Heart Lung and Blood Institute/NIH funded Center for Reducing Asthma Disparities in Latino Children called the Rhode Island-Puerto Rico Asthma Center with Brown University Medical School-Rhode Island Hospital as the partnering site-the first NIH-funded center of its kind. Dr. Canino has collaborated with Dr. Margarita Alegria for many years, most recently acting as Research Director for the Latino Research Program Project (LRPP). She is the Principal Investigator of the EXPORT Center, and a Co-Investigator for the NLAAS and for the Advanced Center for Mental Health Disparities.

Ligia Chavez, Ph.D., Behavioral Sciences Research Institute (BSRI),University of Puerto Rico. Dr Chavez is a Social Experimental Psychologist with experience in methodological, psychometric and statistical issues. Her research interests and work are in the area of adapting instruments for use among diverse Latino populations, health service research methods, theoretical orientations, and cross-cultural comparisons. She recently completed a postdoctoral fellowship on cross-cultural adaptation of instruments related to mental health services research as part of the Latino Research Program Project (LRPP). Dr. Chavez is currently working on the development of a Quality of Life measure for the LRPP, focusing on mental health for pediatric Latino populations. She is a Trainee as part of the EXPORT Center, and is leading one of the pilot projects for the Advanced Center for Mental Health Disparities, assessing the differences between minority parents´ and clinicians´ perceptions of children´s mental health.

Rafael Ramirez, Ph.D., Behavioral Sciences Research Institute (BSRI), University of Puerto Rico. Dr. Ramirez is a quantitative psychologist with significant experience in programming and analyses of complex data sets. He is an associate professor with a joint appointment in the Department of Psychology and the medical school at the University of Puerto Rico. Dr. Ramirez is proficient with SAS, SUDAAN and MPLUS statistical programs. Dr. Ramirez is a senior data analyst and statistician at BSRI and for the Training Program at University Center for Psychological Services and Research. He is also a mentor in the Training Core of the EXPORT Center of the Carlos Albizu University, as a well as a Co-Investigator in the Research Core.

Doryliz Vila, M.S., Behavioral Sciences Research Institute (BSRI), University of Puerto Rico. Ms.Vila is a health services researcher and evaluator. She has been the project director of several research projects, including the Study of Performance Indicator of Mental Health Services Provided by Behavioral Managed Care Organizations in Puerto Rico, the National Latino and Asian American Study funded by the Institute of Mental Health, and more recently the UPR-CHA EXPORT Center. In addition, she has been an evaluator of the Minority Biomedical Research Support (RISE and SCORE) Programs at the Medical Sciences Campus, University of Puerto Rico, responsible for designing, developing, and implementing an in-house evaluation capacity within these two programs. Ms. Vila also teaches evaluation courses at the Graduate Program of Research and Evaluation at the School of Public Health of Medical Sciences Campus.

Harvard Medical School (HMS) and Cambridge Health Alliance (CHA)

Institutional Partner
Harvard Medical School, Department of Health Care Policy,
The Department of Health Care Policy at Harvard Medical School (HMS) has an active and vital mental health research program. Their research includes projects that examine issues such as mental health parity in insurance coverage and developing price indexes for treatment for mental health disorders. HMS works closely with CMMHR in several capacities. They oversee the training component of the EXPORT Center, sponsoring research trainings on subjects such as "An Introduction to Causal Inference, Observational Data, and Experimental Design" and "Measuring and Defining Disparities in Health Services Research." In addition, members of the department work with individual investigators as mentors and consultants, primarily in statistics, economics and research design. Finally, co-investigators from this department work with several of the Advanced Center for Mental Health Disparities projects.

Dharma Cortés, Ph.D., is an Instructor at Cambridge Health Alliance. She has conducted extensive research with Latinos in the United States. Her work focuses on the study of culture, mental and physical health, and health and mental health service utilization research, combining qualitative and quantitative methodology and she has developed health educational materials for Spanish-speaking Latinos. Dr. Cortés has made major contributions to the understanding of the process of acculturation among Latinos in the United States. Dr Cortés is collaborating with CMMHR on the EXPORT Center and leads the Latino Men´s Access Pilot.

Richard Frank, Ph.D., is the Margaret T. Morris Professor of Health Economics at Harvard Medical School. He has worked on issues in the economics of mental health for the past 24 years. He has conducted cost-effectiveness analyses of treatment strategies for depression in primary care settings and analyses of the efficiency of health care delivery systems in treating depression. He is currently PI of an NIMH-funded project aimed at assessing productivity of spending on treatment for depression at the systems level. He is a Training Core Co-Director for the EXPORT Center, and a collaborator on the Advanced Center for Mental Health Disparities.

Thomas McGuire, Ph.D., is a Professor of Health Economics in the Department of Health Care Policy at Harvard Medical School. He has conducted academic and policy research on the economics of health for more than 25 years and is a member of the Institute of Medicine, as well as an editor of the Journal of Health Economics. Dr. McGuire was a Co-Investigator of the Latino Research Program Project, and led the LRPP research on health care disparities. He has published theoretical and empirical research on the mechanisms behind health care disparities in the Journal of Health Economics, Health Services Research, the American Journal of Public Health and the Journal of Health and Social Behavior. Dr. McGuire is the Scientific Director of the EXPORT Center and a Co-Investigator for the Advanced Center for Mental Health Disparities. Dr. McGuire was a Member of the Institute of Medicine´s Committee to study racial/ethnic disparities in health care.

Sharon-Lise T. Normand, Ph.D., M.Sc., F.A.C.C. is Professor of Health Care Policy (Biostatistics) in Harvard Medical School and Professor in the Department of Biostatistics at the Harvard School of Public Health. Dr. Normand´s methodological research focuses on the development of statistical methods for health services and outcomes research, primarily using Bayesian approaches to problem solving, including assessment of quality of care, methods for causal inference, medical guideline construction, provider profiling, meta-analysis, and the evaluation of medical devices. She has developed research on methods for the analysis of patterns of treatment and quality of care for patients with cardiovascular disease and mental disorders. Dr. Normand collaborates with CMMHR as the Co-Director of the Shared Resources Core for the EXPORT Center and as a Co-Investigator with the Advanced Center for Mental Health Disparities.

Norma C. Ware, Ph.D., is a medical anthropologist and Associate Professor in the Departments of Psychiatry and Social Medicine at Harvard Medical School. She conducts qualitative research on mental health services and HIV treatment. Dr. Ware contributed to the study "Outcomes of Medicaid Managed Care", in which she conducted sixty interviews with persons suffering from severe and chronic mental illness for the purposes of exploring patients´ views of quality mental health care. For the NIMH-funded study "Medication Management Decisions in Schizophrenia", Dr. Ware is conducting qualitative interviews with psychiatrists to investigate clinical decision-making with respect to prescribing anti-psychotics for schizophrenic patients. Dr. Ware also trains researchers in the application of qualitative methods to health services research and is a member of the NIMH Services Research Review Committee. She is the Co-Director for the Shared Resources Core of the EXPORT Center.

University of California, Los Angeles (UCLA)

Institutional Partner
Health Services Research Center,
The Health Services Research Center at UCLA approaches mental health services research from multiple perspectives and assesses how parity legislation and consumer education affects service access, costs, quality and outcomes. They develop interventions and toolkits to support healthcare systems and providers, and conduct evaluations of the effectiveness and costs of these programs. Investigators at this Center are collaborators with CMMHR on a number of projects including the Latino Research Program Project and the Advanced Center for Mental Health Disparities.

Naihua Duan, M.A., Ph.D., is a Professor of Psychiatry and Biostatistics at the University of California, Los Angeles. He is an experienced biostatistician who has significantly contributed to the field of mental health services research and HIV research, and has published extensively both in methodology and in substantive research. Dr. Duan played a central role in the design, implementation, and data analysis of a number of important health care studies, including the Partners in Care study, a group-randomized trial for quality improvement in depression care, and the RAND/UCLA HIV Cost and Services Utilization Study (HCSUS), a longitudinal observational study of HIV+ persons. Dr. Duan is a long-term consultant with CMMHR, providing his methodological expertise, most extensively with the National Latino and Asian American Study (NLAAS). His work with CMMHR continues with the Advanced Center for Mental Health Disparities.

Jeanne Miranda, Ph.D., is a Professor in the Department of Psychiatry and Biobehavioral Sciences at UCLA. She is a mental health services researcher who has focused her work on providing mental health care to low-income and minority communities.. Dr. Miranda´s major research contributions have been in evaluating the impact of mental health care for ethnic minority communities. Dr. Miranda is an investigator in two UCLA centers focusing on improving disparities in health care for ethnic minorities. She directs the Community Cores and an innovative Research Core focusing on translating lifestyle interventions (diet and exercise) for low-income and minority communities. She was the Senior Scientific Editor of Mental Health: Culture, Race and Ethnicity, A Supplement to Mental Health: A Report of the Surgeon General, published August 2001. She has been a long-term collaborator with Dr. Alegria through the Latino Research Program Project (LRPP), and is also participating in the recently funded Advanced Center for Mental Health Disparities.

New York University

Patrick E. Shrout, Ph.D., is a Professor in the Department of Psychology and Director of the Quantitative Psychology program. Dr. Shrout is a biostatistician and quantitative psychologist who is interested in how psychometric and statistical models can be used to make inferences about mental health processes in general population samples. He has special interest in the reliability of mental health assessments, and how measurement errors can be taken into account in multivariate analyses. He also studies behavioral and mental health processes using longitudinal designs and analyses. His substantive interests include the study of stress, coping and support processes, and cross-cultural comparisons of mental health outcomes.

Rutgers University

Peter Guarnaccia, Ph.D., is a Professor in the Department of Anthropology at Rutgers University. Dr. Gaurnaccia is a medical anthropologist who has worked for the last 20 years on Latino mental health issues, and possesses broad expertise in the areas of culture and mental illness and how culture shapes both understandings of family and of the experience of mental illness. He has conducted research with Latinos who have recently migrated (Puerto Ricans) or immigrated (Caribbean and Central American Latinos) to the U.S. and their interactions with the U.S. health care system, and has methodological expertise in a range of qualitative methods, including in-depth and structured interviewing and focus groups. Dr. Guarnaccia provided extensive consultation in the development of the National Latino and Asian American Study (NLAAS) questionnaire, leading focus groups and qualitative analysis as part of the study´s development. In addition, he is a Co-Investigator for the Advanced Center for Mental Health Disparities, analyzing the relationship between acculturation and mental illness. He is also a member of the Advisory Board for the EXPORT Center.

University of Pittsburgh

Marcela Horvitz-Lennon, M.D., MPH, is a psychiatrist with the Western Psychiatric Institute and Clinic at the University of Pittsburgh. Dr. Horvitz-Lennon has collaborated on projects that have employed sophisticated methods to advance the knowledge on the effectiveness and safety of psychiatric treatments, and is carrying out research on the quality of care effects of health policy changes. She was a trainee in the Training Core of the EXPORT Center. She is also leading one of the projects funded through the Advanced Center for Mental Health Disparities, a secondary data analysis that explores the effectiveness of the Assertive Community Treatment program with homeless Latinos.

University of Texas

Robert E. Roberts, Ph.D.
, is on the faculty of the University of Texas Health Science Center at Houston. He currently is Professor of Behavioral Sciences and International Health at the School of Public Health and Professor of Social Psychiatry and Epidemiology in the Department of Psychiatry and Behavioral Sciences.  His research focus is on the role of culture in relation to the etiology and natural history of mental health problems, with expertise in research comparing ethnocultural groups within the United States and as well as cross-nationally.  Additional research interests include the examination of the cross-cultural reliability and validity of measures and the epidemiology of depression, suicidal behaviors, loneliness, and sleep disorders. Dr. Roberts is a long term collaborator with investigators at the Center for Multicultural Mental Health Research, having previously worked for five years with the Latino Research Program Project.  Dr. Roberts is currently collaborating on a pilot project as part of the Advanced Center for Mental Health Disparities looking at the concordance between provider and parents’ assessments of their children’s mental health.

University of Washington

David Takeuchi, Ph.D., holds a joint position as Professor in the School of Social Work and Department of Sociology at the University of Washington. With Dr. Margarita Alegria, he is the Co-Principal Investigator of the National Latino and Asian American Study. He is a sociologist with postdoctoral training in epidemiology and health services research. His research focuses on investigating the social, structural, and cultural contexts that are associated with different health outcomes, especially among racial and ethnic minorities. He also examines the use of health services in different ethnic communities. He has published in a wide range of journals including the American Journal of Psychiatry, American Journal of Public Health, Archives of General Psychiatry, Contemporary Sociology, Journal of Community Psychology, Journal of Health and Social Behavior, Sociology of Education, and Social Forces. In addition to his scholarly work, he has assisted numerous community groups in conducting needs assessment and evaluation studies. He has written technical reports for community and state agencies on issues related to homelessness, discrimination confronting Hmong refugees and Filipino immigrants, multicultural education, Native Hawaiian health and mental health needs, and youth correctional programs.