Elizabeth Lin, MD, MPH

“There is no good health without mental health so TEAMcare helps doctors and patients reach and maintain mental and physical health goals. We're pleased that TEAMcare has been so well received nationally.”

Elizabeth Lin, MD, MPH

Group Health Research Institute Adjunct Researcher

Group Health Physician

Areas of focus:

Biography

Elizabeth Lin is a Group Health physician scientist known for pioneering work integrating mental health treatment into primary care services. Dr. Lin co-founded the collaborative care model for depression with GHRI Senior Investigator Michael Von Korff, ScD, and the late Affiliate Investigator Wayne Katon, MD, of the University of Washington (UW). Since the 1990s, this model of care has been adopted by health care organizations nationwide and disseminated globally.

Dr. Lin’s experiences as a family physician fuel her enduring commitment to designing primary care services that address both the mental and physical health needs of patients. Harnessing the synergy of care team members who collaborate with each other and with patients to achieve optimal outcomes is a key focus of her research. In the National Institutes of Health (NIH)-funded TEAMcare randomized trial, Dr. Lin and colleagues found that patients with complex health care needs experienced improved diabetes, heart disease, and depression outcomes when mental health treatment was integrated into primary care. The study’s compelling findings have been published in several influential journals—including the New England Journal of Medicine in 2010 (see news release), British Medical Journal in 2011, and Annals of Family Medicine in 2012 (see news release).

Dr. Lin’s experience as a principal investigator includes both major randomized controlled trials and epidemiologic cohort studies funded by NIH. As a practicing Group Health physician and a UW clinical professor in Psychiatry and Behavioral Sciences, she prioritizes translating evidence-based methods of improving care and outcomes for chronic illnesses into a variety of clinical settings. In 2010, she received a Partnership for Innovation grant from the Group Health Foundation to adapt the TEAMcare program into the patient-centered medical home at a Group Health primary care clinic. The TEAMcare model is also a key component of a large Centers for Medicare and Medicaid Services program to implement collaborative care for patients with diabetes, heart disease, and depression in seven states across the U.S.

This collection of ground-breaking work has prompted Dr. Lin’s appointment to several national advisory boards, including the Agency for Health Research and Quality’s National Council on Integration of Mental Health and Primary Care, and the American Psychological Association’s first-ever Guideline Development Panel for Depression Disorders. She also brings an important global health perspective to her work—having conducted international mental health research with the World Health Organization (WHO) and served as faculty at WHO research conferences. Fluent in several languages, Dr. Lin has participated in several volunteer medical assistance missions around the world.

 

Research interests and experience

  • Mental Health

    Collaborative care to integrate treatment of common mental health problems into general medical services; physical-mental comorbidity

  • Chronic Illness Management

    Innovative teamwork and a patient-centered, holistic approach in care for diabetes, cardiovascular disease, chronic pain, and depression

  • Behavior Change

    Healthy aging;  physical activity; self care; medication adherence

  • Mindfulness-Based Interventions

    Stress reduction to improve quality of life for patients with psychological and  physical conditions

  • Health Disparities

    Minority and  immigrant health

 

 

Recent publications

Wright DR, Haaland WL, Ludman E, McCauley E, Lindenbaum J, Richardson LP. The costs and cost-effectiveness of collaborative care for adolescents with depression in primary care settings: a randomized clinical trial. lid - 10.1001/jamapediatrics.2016.1721 [doi] JAMA Pediatr. 2016 Sep 19. doi: 10.1001/jamapediatrics.2016.1721 [Epub ahead of print] PubMed

Heffner JL, Kealey KA, Marek PM, Bricker JB, Ludman EJ, Peterson AV. Proactive telephone counseling for adolescent smokers: comparing regular smokers with infrequent and occasional smokers on treatment receptivity, engagement, and outcomes. Drug Alcohol Depend. 2016 Aug 1;165:229-35. doi: 10.1016/j.drugalcdep.2016.06.014. Epub 2016 Jun 20. PubMed

Peterson AV, Marek PM, Kealey KA, Bricker JB, Ludman EJ, Heffner JL. Does effectiveness of adolescent smoking-cessation intervention endure into young adulthood? 7-year follow-up results from a group-randomized trial. PLoS One. 2016 Feb 1;11(2):e0146459. doi: 10.1371/journal.pone.0146459. eCollection 2016. PubMed

Ludman EJ, Simon GE, Grothaus LC, Richards J, Whiteside U, Stewart C. Organized self-management support services for chronic depressive symptoms: a randomized controlled trial. Psychiatr Serv. 2016 Jan 1;67(1):29-36. doi: 10.1176/appi.ps.201400295. Epub 2015 Aug 17.

 

Implementing Innovations into Practice blog

Lin-MBSR-Instructor-2016-1col.jpg

Can mindfulness training help ease clinician burnout?

May 24, 2016

The “Implementing Innovations into Practice” blog is a project of the Institute of Translational Health Sciences and GHRI’s MacColl Center for Health Care Innovation.

healthy findings blog

Can precision medicine break the chain of mental health co-misery?

Mental health research excels at linking bad experiences to poor outcomes, writes Dr. Greg Simon. Here’s how to focus on recovery and resilience instead.

Read about it in Healthy Findings.