The Patient and Community Engaged Research (PACER) Center aims to lead Baylor Scott & White Research Institute (BSWRI) toward optimizing and tailoring engagement strategies for patients of widely varying socioeconomic and health status, age, health literacy, geography, and identity for engagement with traditionally hard-to-reach patients across BSWH’s large catchment areas. Our PACER Center team has extensive recruitment experience with diverse populations using blended strategies to leverage resources and standardized protocols, while enlisting patient engagement and feedback.
Objectives:
- The PACER Center provides guidance and serves as a resource to investigators and front-line research staff for engaging and enrolling underrepresented populations
- The PACER Center provides support to research teams and investigators on the development of metrics for underrepresented populations participation in studies
- The PACER Center tracks metrics and monitors enrollment and recruitment progress with interested research study partners after identifying solutions to enrollment and retention challenges experienced
The PACER PEARLs: Patients Engaged as Research Leaders
About PACER PEARLs
The PACER PEARLs (Patients Engaged as Research Leaders) includes a diverse team of patients and community stakeholders.
The goal of the PACER PEARLs is to guide and inform the PACER Center efforts to ensure the inclusion of all populations in research in a manner that is appropriate to the scientific question under study to ensure that research findings can be generalizable to the entire population.
The PACER PEARLs are available to BSWRI investigators, research teams, and ongoing studies for consultation and guidance on proposal development, research question formulation, patient engagement strategies for an additional budget to be supported by the requesting investigative team.
PACER PEARLs are facilitated and supported by the PACER team at BSW Research Institute. We are available for questions, feedback, or other issues related to research.
PACER PEARLs Members
Sandra Juarez
Sandra began her career as a certified medical assistant then decided to pursue her education and obtain her master's degree in public healthcare and leadership. She enjoys serving in her community and participating in various programs where she developed a deep understanding of direct patient care and the intricacies of social work and care coordination.
Which recently includes being part of the PACER pearls program as a participant. She hopes to provide valuable input and contribute to improvement for the next generation. Outside of work Sandra enjoys spending time outdoors with her beagle named Shiloh and traveling with her family and friends.
Sandra Reed
Sandra Reed is a retired eligibility specialist from Health & Human Services. She has dedicated over 30 years helping people in need with food, finances and medical needs. She is passionate about helping people in need and finding resources and opportunities to exceed in life.
Sandra is currently active in the Baylor Scott & White fitness programs where is taking measures to improve her overall health and wellness. She enjoys meeting new people and learning new skills.
Angel Barron
Angel is a current operations manager for Baylor Scott & White based at the Douglass community clinic in Plano. This clinic, like most of Angel’s career, focuses on low income, uninsured patients.
Prior to Baylor, Angel oversaw the care coordination department for a Federally Qualified Health Center in Dallas, Los Barrios Unidos, where he managed outgoing referrals and community health programs across four physical locations.
Angel graduated from Texas Tech University with a Bachelors of Science in Biology.
Angelica Medrano
Angelica has been proudly working for healthcare systems since May of 2007. She is currently dedicated to serving patients at Baylor Scott & White Community Care in Fort Worth as a NRCMA, where she has been for nearly 7 years.
Angelica’s work focuses on helping and building relationships with individuals in communities with less access to adequate resources available. She helps to make sure people in these communities get the resources that are available by outreach and building trustful relationships. Understanding these needs, she thrives on helping individuals with unique, personalized health needs and making sure they get the support needed in achieving a better quality of life.
Angelica believes in aid by bridging the gaps as much as possible via educating them with their chronic diseases, connecting them with additional resources and managing their care.
Angelica has firsthand experience navigating the challenges of chronic and life-threatening illnesses via caring for her daughter when she battled Leukemia (ALL), along with helping to manage a journey of ESRD with a successful Kidney Pancreas transplant.
She is excited to be a part of PACER PEARLS, be able to contribute a meaningful outlook that enhances patient care, and strengthens the connection between healthcare providers with the communities we serve.
Tiffany Jones
Tiffany Denee’ Jones is the founder and spokesperson of the PinkChoseMe Foundation, a nonprofit organization committed to raising awareness about breast cancer and supporting women diagnosed with the disease.
As a three-time breast cancer survivor, Tiffany intimately understands the profound physical, emotional, mental, and spiritual challenges posed by a life-threatening illness. This personal journey has inspired her to dedicate her life to educating others and empowering them to navigate their own battles.
Through her work, Tiffany promotes not only awareness but also wellness and lifestyle choices that foster resilience and healing.
Kim Gardner
As a community advocate with over 10 years of experience in non-profit and continuing education, Kim is deeply invested in addressing concerns, promoting social change, and empowering residents in her local community.
Advocating for policies and initiatives that improve quality of life is at the heart of her work, with a focus on specific issues such as education, healthcare, environmental protection, and social justice.
Kim relies on outreach, collaboration with local leaders, and public engagement efforts to effect positive change in these areas.
Audrey Self
In November 2013, Audrey sustained a severe traumatic brain injury (TBI) as a result of a motor vehicle accident. Her car was struck from the side by a speeding vehicle, leaving her trapped inside. She was rescued within minutes by an off-duty fire chief, who extricated her from the wreckage, secured her airway, and ensured she was transported by ambulance to Baylor Scott & White.
Audrey remained in a coma for just over one month and entered a vegetative state after regaining consciousness. At the time, medical professionals did not expect her to awaken, survive, or, if she did survive, ever live independently.
In 2025, Audrey marked the 12-year anniversary of this life-changing event.
Today, she is fully independent, high-functioning and employed by Baylor Scott & White. She recently completed the TBI Peer Mentor Program study in her role as TBI Peer Mentor Administrator and continues to collaborate with BSWH to advance medical knowledge, advocacy, and support for TBI survivors and their care partners.
Throughout her life journey, Audrey would choose to carry a journal to record the lessons she has learned, a Yeti filled with fresh cold water (or Coca-Cola), a camera to capture life’s golden moments, and a blanket to provide comfort during physically, mentally, or emotionally cold days. Her life mantra is: “Nothing is impossible; the word itself says ‘I’m possible.’” – Audrey Hepburn.
Audrey believes life is a profound gift filled with beauty and lessons. She is deeply grateful to be a survivor and believes every individual serves a purpose along life’s journey. Audrey feels her purpose is to share hope, determination, guidance, music, and love with others as they navigate their own challenges and paths forward.
Sundas Sajid
As a mom of three young children, Sundas balances her family life with a passion for creativity and community engagement in Dallas. She enjoys expressing myself through painting, art and exploring new cultures through travel.
Before taking a break from career to focus on her family, she worked as an experienced Architect and LEED Green Associate, where she developed a strong foundation in managing complex projects and finding creative solutions. Sundas’ experience in the field gave her a unique perspective on design and community development, and now she is eager to explore new opportunities, including research initiatives like the PACER program by Baylor Scott & White.
During her time away, she stayed engaged through volunteer work and continuing education, ensuring her skills remain current. Sundas is excited to connect with like-minded professionals and organizations and contribute her skills and expertise in a new capacity.
PACER team
PACER Center Director
Katherine Sanchez, PhD, LCSW
PACER Center Director
Dr. Sanchez is the Research Center Director of the BSWRI Patient and Community Engaged Research (PACER) Center for the Baylor Scott & White Research Institute (BSWRI) of the Baylor Scott & White Health (BSWH) system. She leads a nationally recognized research program, funded by multiple federal and state agencies.
Dr. Sanchez entered the PhD program at the University of Texas at Austin after fifteen years of clinical social work practice, primarily in medical settings with uninsured, underserved Spanish-speaking populations. During her years of clinical social work practice, Dr. Sanchez is a clinician researcher with extensive experience in investigating effective interventions aimed at improving behavioral health care delivery. She has examined the role of integrated behavioral health in improving access for all populations, and has an additional research agenda to translate the evidence in integrated behavioral health care by training social workers in evidence-based interventions proven effective.
In 2023, Dr. Sanchez was awarded $7.5 million from the Cancer Prevention and Research Institute of Texas (CPRIT) to establish the Texas Cohort of the National Cancer Institute (NCI) Connect for Cancer Prevention study to enroll patients from geographically dense and rural, diverse populations to leverage the clinical resources and research infrastructure of the largest non-profit integrated health care system in Texas. Dr. Sanchez is the BSWH representative to the governing board of the Health Care Systems Research Network (HCSRN). This network of 20 non-profit healthcare delivery systems was formed in 1994.
She is the BSWH site PI for the NIH-funded Mental Health Research Network (MHRN) and the NIDA Clinical Trials Network (CTN) Addiction Research Network, Health Systems Node, both multi-health system networks which bring together researchers and research departments embedded in large and diverse healthcare systems in a population-based approach to transforming behavioral health care; with expertise in mental health research as well as epidemiology, health services, economics, disparities, outcomes & quality assessment, as well as conducting pragmatic clinical trials in our health systems.
Dr. Sanchez currently serves on the Patient-Centered Outcomes Research Institute (PCORI) Technical Expert Working Group (TEWG) for Patient-Centered CER Competencies, where she shares her expertise in partnering with patients and tailoring research with diverse populations across large catchment areas. Previously, she served on the PCORI Advisory Panel on Healthcare Delivery and Disparities Research (HDDR) for three years where she applied her experience and expertise to helping PCORI refine and prioritize the research it funds and ensure that the research PCORI supports centers on the outcomes that matter to patients and other healthcare decision makers.
Dr. Sanchez is a fellow of the Implementation Research Institute (IRI) and is well prepared and supported to conduct research on examining barriers and facilitators to implementing evidence-based interventions in health delivery systems.
PACER Center Staff
Jan Pillai, MHSA, BS
PACER Center Manager
Jan Pillai is the PACER Center Manager. Jan is responsible for the daily operations of the PACER Center. Jan leads a team of Clinical Research Coordinators (CRCs) and Program Managers (PMs) who engage with BSWH clinical areas across urban and rural settings for various BSWRI research studies and initiatives. In her role, she provides administrative support to Dr. Sanchez and the PACER team with patient engagement, recruitment, and research studies operations. Jan also supports the PACER Center’s Patient Engaged as Research Leaders (PEARLS) program.
Jan comes to the PACER Center from the American Heart Association where she was Director, Healthcare Program Implementation in the National Hypertension Control Initiative (NHCI), a $32 million cooperative agreement with the HHS Office of Minority Health and HRSA that provides training and technical assistance to 350 FQHCs (Federally Qualified Health Center) across the United States to improve blood pressure control. Prior to joining the AHA, Jan served in a leadership role overseeing health center operations, quality improvement and compliance at a FQHC in Michigan for more than 10 years.
Myka Watts
Project Manager/Connect Study Manager
Myka Watts is the Program Manager for the NIH’s Connect for Cancer Prevention study. Myka joined Baylor in 2024 and brings a diverse range of skills and experience to the PACER Center. She has worked for several notable organizations, including Deloitte, Planned Parenthood, and Wayne State University.
Myka holds a master's degree in health services administration from Central Michigan University and a bachelor's degree in applied health sciences from Bowling Green State University.
With over 10 years of experience in health care administration and operations, she values teamwork and mission-driven work, with a keen interest in public and community health.
Martha Buendia
Clinical Research Coordinator
Martha Buendia is a recently licensed Social worker with strong foundation in customer service skills. She graduated with a Master’s Degree in Social Work from the University of Texas at Arlington.
As a bilingual Clinical Research Coordinator in the Preventable and TEACH study, she takes pride in her roots and in her ability to connect with diverse populations.
Martha contributes strong problem solving abilities, excellent organizational skills, and a commitment to continuous learning. She is eager to grow professionally and to further expand her knowledge in the field.
Consuelo Blanco
Clinical Research Coordinator
Consuelo Blanco is a Clinical Research Coordinator supporting the Connect for Cancer Prevention Study. She graduated from the University of Texas in Arlington (UTA) with a degree in social work, and she is currently pursuing her master's in social work.
Consuelo comes to Baylor Scott and White Health with over 10 years of experience as a certified phlebotomist. In this role, she has honed her skills in patient interaction, specimen collection and laboratory procedures. Her experience working directly with patients has equipped her with excellent customer services skills. She understands the importance of empathy, patience and effective communication in providing high-quality patient care.
Consuelo has utilized her background in healthcare and customer service to engage in meaningful research and community outreach. Consuelo focuses on promoting patient-centered approaches and enhancing the impact of research on community health care clinics.
Regina Rodriguez
Clinical Research Coordinator
Regina Rodriguez started at Baylor Scott and White Research Institute in 2023 as a Research Enrollment Analyst in the All of Us study, which is a nationwide NIH research study with over 600,000 participants, focused on genetic testing. As team lead with All of Us study, she was cross trained in all areas of the research program.
Regina holds a bachelor’s degree in biology and is a Certified Phlebotomy Technician (CPT). Before entering the research field, Regina worked as a microbiology laboratory technician, where she discovered her passion for science and thrived in a team environment.
Regina is currently working on the Connect for Cancer Prevention study supporting study recruitment, biospecimen collection and supporting administrative duties for the study. She is currently pursuing a Masters Degree in Science.
Fatima Elshlali
Research Enrollment Analyst
Fatima Elshlali is a healthcare professional with over eight years of experience in patient-centered care and engagement. She began her career in clinical research with a the All of Us (NIH study), where she gained valuable experience in research enrollment, regulatory compliance, and patient advocacy. Currently, she serves as a Clinical Research Assistant for the Connect for Cancer Prevention study supporting recruitment processes, biospecimen collections and collaborating with cross-functional teams to optimize enrollment strategies.
With expertise in clinical research, phlebotomy, and patient engagement, Fatima is committed to improving research accessibility and participant satisfaction. She is proficient in process improvement, data-driven strategic planning, and is bilingual (English & Arabic).
Fatima holds a B.Sc. in Healthcare Studies from the University of Texas at Dallas and is a Certified Phlebotomy Technician. At PACER, she applies her experience to further enhance research efforts and patient-centered initiatives.
Ashley Whitman
Research Enrollment Analyst
Ashley Whitman is a Research Enrollment Analyst with a strong background in behavioral health and substance use treatment. Licensed in Chemical Dependency Counseling, Ashley spent several years serving as a Primary Counselor at an inpatient treatment center, where they provided direct care and developed individualized treatment plans for clients navigating recovery.
Currently pursuing a degree in Social Work at the University of Texas at Arlington, Ashley combines practical experience with academic training to support compassionate approaches to care. Ashley is passionate about helping individuals and communities access the resources and support they need to thrive.
At PACER, Ashley’s primarily role is help support recruitment of participants for the PREVENTABLE research study.
Monica Parra
Research Enrollment Analyst
Monica Parra is a Research Enrollment Analyst on the PACER Team. She graduated from Texas Christian University (TCU) with a bachelor's in psychology and went on to complete a master's degree in biomedical science with a specialization in Clinical Research Management from UNTHSC.
In her role, Monica supports three PACER projects, where she is responsible for participant recruitment, scheduling, and ongoing communication with study participants. She plays a key role in ensuring regulatory compliance, including informed consent processes and maintaining research quality standards.
Monica enjoys working closely with participants to ensure a positive research experience and is passionate about supporting ethical, participant- centered research.
Ashaurri Johnson
Research Enrollment Analyst
Ashaurri C. Johnson is a Research Enrollment Analyst supporting the Connect for Cancer Prevention Study. She completed her bachelor’s degree in Kinesiology at the University of Texas at Arlington (UTA), where it strengthened her knowledge of human health, performance, and evidence based practice.
Ashaurri holds a phlebotomy certification and brings substantial experience in both clinical support and research operations. Her background includes participant enrollment, data coordination, participant engagement, workflow improvement, and maintaining high quality research standards. She has also developed strong leadership abilities, with extensive experience training staff on operational duties and ensuring that teams are well prepared to meet study expectations. Her commitment to precision, efficiency, and patient-centered communication has made her a reliable resource within research teams.
Ashaurri is passionate about contributing to the advancement of medicine and is driven by the opportunity to support research that leads to improved healthcare outcomes and innovative medical solutions. Dedicated, detail-oriented, and motivated by continual learning, Ashaurri strives to create positive experiences for participants while helping research teams deliver impactful, high-quality results.
PACER Center Researchers
Christian Vazquez, PhD, MSW
Research Investigator
Dr. Vazquez is a Research Investigator for the PACER Center. His research is grounded in his practice experience as a social worker for county social services agencies and as a hospital administrator. His work aims to improve health services delivery at the community, health system, and population level. He also holds an appointment as an Assistant Professor in the Department of Family and Community Medicine at Baylor College of Medicine.
His current work is funded by a K01 Career Development Award through the National Institutes of Health/National Institute on Aging (K01AG081455). He is also the PI on three pilot grants funded by NIH-funded centers across the country. His projects examine various factors related to health literacy and cardiovascular health. He conducts secondary data analysis with large population-based datasets and conducts experimental intervention studies that use both quantitative and qualitative methods. Dr. Vazquez is also the recipient of a NIH Loan Repayment Program award (L60AG084095) and actively participates in NIH review panels as an ad-hoc member.
Prior to joining the PACER Center, Dr. Vazquez was an Assistant Professor in the School of Social Work at The University of Texas at Arlington for four years. He received his PhD in Social Work from The University of Texas at Austin, Masters in Social Work from the University of Michigan, and Bachelors in Sociology from the University of California at Santa Barbara.
Avia Gray, PhD
Research Postdoctoral Fellow
Dr. Avia Gray is a Research Postdoctoral Fellow at the PACER Center. A Texas native, she holds a Bachelor’s degree in Psychology from Abilene Christian University, a Master’s degree in Psychological Research from Texas State University, and a Doctorate in Psychological Sciences with an emphasis in Health Psychology from the University of California, Merced.
Dr. Gray utilizes holistic, evidence-based methodologies to examine biopsychosocial barriers affecting health outcomes across populations with limited access to care, with a particular focus on individuals living with chronic health conditions. Her work aims to address such barriers by identifying existing factors and developing innovative approaches to improve health status, healthcare utilization, and quality of life.
E. Rhodes and Leona B. Carpenter Chair in Regional Health Services announcement
February 2026
The Department of Family Medicine (Central Region) is pleased to announce the appointment of Dr. Katherine Sanchez (PhD, LCSW) to the E. Rhodes and Leona B. Carpenter Chair in Regional Health Services. As an Endowed Chair, Dr. Sanchez will help to guide the research mission within the Department of Family Medicine with a focus on rural health care delivery and workforce development.
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Read more
Dr. Sanchez is a nationally recognized expert in the field of primary care research and holds multiple state and federal grants totaling over 20 million dollars. She is the Director of the Patient and Community Engaged Research (PACER) Center with the Baylor Scott and White Research Institute (BSWRI) which facilitates the engagement, enrollment, and retention of diverse populations in research and clinical trials while ensuring that research findings can be generalizable to the entire population.
Dr. Sanchez is a native of El Paso and a bilingual clinician researcher with extensive experience in investigating effective primary care interventions. She has examined the role of integrated behavioral health in underserved populations, and has an additional research agenda to translate the evidence to workforce development opportunities and building workforce capacity to reach hard-to-reach populations in Texas.
Dr. Sanchez is a fellow of the Implementation Research Institute (IRI) where she trained in implementation science approaches to examining barriers and facilitators to evidence-based interventions in primary care settings, which holds high promise for closing treatment gaps for hard-to-reach populations. Dr. Sanchez serves on the Patient-Centered Outcomes Research Institute (PCORI) Advisory Panel on Healthcare Delivery and Disparities Research (HDDR) where she applies her expertise as a clinician and health systems stakeholder to help PCORI refine and prioritize the research it funds. Dr. Sanchez is the BSWH representative to the governing board of the Health Care Systems Research Network (HCSRN). She serves as an expert panel member of the PCORnet Mental and Behavioral Workgroup.
As the Carpenter Chair, Dr. Sanchez’s role will be to launch and grow a research enterprise for Family Medicine with an emphasis on patient and community engagement and transformation of the current primary care model. She will help to develop, fund, test and publish the transformational work underway in the department with direct involvement from clinicians and trainees. The chair will help to develop, fund, test and publish the transformational work underway at Baylor Scott & White Family Medicine Central Texas.
She also has a faculty appointment as Professor with Baylor College of Medicine, through which she helps lead efforts for engaging medical students in research consistent with the need and desire to encourage family medicine trainees and practitioners to participate in sound research to consistently improve patient safety and care.
PACER Center current studies
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Connect for Cancer Prevention Study | National Cancer Institute
Funded by Cancer Prevention and Research Institute of Texas (CPRIT) to establish the Texas Cohort of the NIH National Cancer Institute (NCI) Connect for Cancer Prevention study and recruit and enroll 25,000 patients from the largest non-profit IHCS in Texas with a geographically dense and rural population which reflects the make-up of the state to address a broad range of scientific questions related to cancer with the long-term potential to identify social, environmental, behavioral, and genetic factors that underlie cancer risk among Texans.
The Texas Connect for Cancer study is inviting 25,000 Texans to be part of a study which will include 200,000 people across the U.S. to help build a large, diverse database to better understand the causes of cancer and how to prevent it. By engaging the participation of people and communities who have been left out of medical research, the Baylor Scott and White Health System (BSWH) cohort will include urban, rural, low-income populations across 46 counties in Texas. Because cancer risk may vary based on where people live, their race or ethnicity, their age, and other factors, we will collect biological, environmental, behavioral, and demographic data.
People who get their health care through integrated health care systems like BSWH receive comprehensive care through a range of coordinated facilities and services which store private, protected information about patients’ health from all aspects of care in the form of electronic health records (EHRs). By agreeing to share their information with the Texas Connect for Cancer study, patients can offer a wide variety of data types to researchers — survey responses, physical measurements, biosamples, EHRs — to help speed up cancer research breakthroughs. The long-term collection of data will follow participants as they move, age, develop relationships, get sick, and try treatments.
The Texas Connect for Cancer study focuses on a single integrated health system which covers an expansive geography and includes a comprehensive EHR to allow for passive follow-up that is both cost effective and highly complete, an existing clinical infrastructure for specimen collection, and long-term stability of the patient population. By joining the study and filling out surveys a few times each year about health and things like habits, diet, exercise, and use of alcohol or tobacco, and donating samples of blood, urine, and saliva, health system patients can provide information which can help us find health and behavior patterns that may affect cancer risk.
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PREVENTABLE Study | Duke Clinical and Translational Science Institute
The PREVENTABLE study is the largest dementia prevention studies in adults 75 years or older. The PREVENTABLE study purpose is to learn if taking a statin could help older adults live well for longer by preventing dementia, disability, or heart disease. A statin is a commonly used drug to lower cholesterol.
Researchers and doctors at 100 health systems across the United States are participating in the PREVENTABLE study. PREVENTABLE is a pragmatic study. Pragmatic studies make participating in research easy by using new methods to connect researchers with participants where they live and on their schedule. Pragmatic studies also test if a drug has the expected effects rather than how it works.
Pragmatic studies like PREVENTABLE are particularly ideal for older adults. We will follow study participants by reviewing their health records and through a phone call or a home visit. We will also mail study drug directly to a participant's home.
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Train and EMPOWER A Community Health workforce (TEACH)
NIH Common Fund Transformative Research
In partnership with Harvard EMPOWER lab, the TEACH study aims to transform mental health care by addressing both supply and demand side barriers through provision of accessible and evidence-based care delivered by culturally congruent providers; enabling care to be delivered regardless of a formal diagnosis; and empowering mostly first-generation college-attending students to acquire the skills to respond and become change agents for their communities in Texas, a region with some of the greatest unmet behavioral health needs in the country. Importantly, through specialized training, tangible Community Health Worker certification, and focused mentorship with a team of faculty from historically underrepresented race/ethnic groups, the academic and career trajectory of students at risk for prolonged undergraduate enrollment or, worse, dropout may be altered.
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DiMagi
Ongoing support and supervision of Non-Specialist Providers (NSP) such as community health workers (CHWs), nurses, teachers, or peers in recovery, is critical to the success and sustainability of task sharing. The goal of this NIH funded Small Business Innovation Research (SBIR) Phase II project is to enhance and assess the efficacy of digitally-enabled Measurement Based Peer Supervision (MBPS) with NSPs working trained in mental health counseling and delivering BA.
The study aims to
- Build and enhance measurement-based peer supervision program
- Conduct mixed methods evaluation of digital MBPS and
- Conduct cost analysis for the system under different implementation rollout/volume assumptions
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Brief Intervention for Guided Healing in Trauma (BRIGHT)
The Tepper Foundation supports Dr. Sanchez to extend the ambitious goals of the EMPOWER program to make mental health accessible to all by building out a single session intervention which can be delivered in the moment and act as the first step of a stepped care approach to supporting the recovery of persons struggling with their mental health in community settings. Importantly, we will build out the digital curricula and related tools to build capacity with communities for the early intervention for the prevention of mental health problems following a traumatic event.
Peritraumatic stress reactions comprise emotional, cognitive, and physiological responses that occur during or immediately after exposure to a trauma event. Significant mental health challenges are driven in large part by the unaddressed needs of individuals and communities following traumatic events ranging from extreme weather events owing to the mounting impacts of climate change (e.g., flooding, forest fires, extreme heat) to interpersonal events (e.g., violence, sexual assault) and other events (e.g., transportation accidents, workplace accidents), which occur in greater frequency and greater severity in vulnerable groups, such as racial and ethnic minority groups, migrant populations, and communities facing higher rates of poverty.
We are partnering with Dr. Denise Hernandez at the CHW Partners in Research at the University of Texas Arlington to co-create the curriculum development process. Once fully developed the curriculum will be made available for use among community health workers and lay people.
Previous studies
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TAPS-Electronic Spanish Platform (TAPS-ESP): A Technology to Improve Access to Substance Use Screening and Reduce Behavioral Health Disparities in Hispanic Primary Care Patients | NIH, NIHMD
The TAPS Tool is a newly validated two-stage screening and brief assessment to identify substance use problems in primary care. This Phase 2 STTR project will validate and implement the Spanish-language version of the TAPS Tool in a self-administered mobile/tablet technology platform (the TAPS-Electronic Spanish Platform, or TAPS-ESP).
Language accessibility and cultural awareness are essential elements of quality healthcare. Individuals with limited English proficiency are less likely to self-identify a need for behavioral health services, which results in longer duration of untreated disorders. Accurate identification, diagnosis, and treatment are entirely dependent on a linguistically-accurate screening and assessment, especially for sensitive topics such as substance use. Substance use screening in primary care is now recommended as an evidence-based practice for all adults, but remains underutilized.
The shortcomings of existing substance use screening tools led the NIH to develop and validate the “Tobacco, Alcohol, Prescription drug, and illicit Substance use Tool (TAPS Tool), a two-stage screening and brief assessment tool to detect substance use problems in primary care.
As part of our Phase I NIMHD STTR project, our team led a research-driven adaptation of the TAPS Tool into a Spanish language version, and developed a mobile/tablet technology platform to support its deployment in healthcare settings (the TAPS-Electronic Spanish Platform, or TAPS-ESP). The current Phase II SBIR study builds on this effort.
For Aim 1, we will integrate the TAPS-ESP into the existing health information technology infrastructure of Baylor Scott and White Health (BSWH), a large healthcare system in Texas that serves a large number of Spanish-speaking patients.
For Aim 2, we will conduct a large-scale validation study of the TAPS-ESP against a widely-used diagnostic reference standard, other screening tools, and oral fluid/saliva drug testing in a large sample of 1,000 Spanish-speaking primary care patients.
Separately, for Aim 3 we will conduct a real-world implementation trial in which 10 primary care providers receive training on the TAPS-ESP, incorporate it into standard care, and complete a qualitative interview on barriers and facilitators of implementation from a provider workflow perspective.
To the best of our knowledge, this will be the largest validation study of a Spanish-language substance use screening tool in the US to date. The project could expand access to evidence-based, linguistically-accurate substance use screening and brief assessment for an underserved population that experiences significant behavioral health disparities. Thus, the project could have high scientific and public health impact, along with strong commercialization potential.
Publications
Full publication listing is accessible on Google Scholar: Katherine Sanchez - Google Scholar
2025 publications
PEARLS of Engagement: Lessons from a Patient Advisory Council
T Grant-Gates, K Sanchez, S Reed, T Jones, A Medrano, S Juarez, ...
APHA 2025 Annual Meeting and Expo
Risks for adverse events by sex and age after prescription opioid dose reduction
VE Metz, V Palzes, IA Binswanger, A Altschuler, MN Poulsen, ...
American Journal of Preventive Medicine, 108085
Scaling Up Task ‐ Shared Depression Care in Texas: Evaluating the Preliminary Effectiveness and Acceptability of a Digital Program for Training Non Specialist Providers
S Taha, N Carmio, E Hill, K Floyd, B Rodriguez, B Meredith, R Brune, ...
Psychiatric Research and Clinical Practice
Social Determinants of Health in the Context of Mental Health Among Spanish-Speaking Adults in the United States
K Sanchez, X Wang, B da Graca
2025 Annual Research Meeting
Pursuing HSR Careers Outside of Academia
K Sanchez, AJ Damian, M Edmunds
2025 Annual Research Meeting
Development of a digital program for training non-specialist providers to deliver a psychosocial intervention for depression: a formative study to support scaling up task …
JA Naslund, N Carmio, S Taha, M Amara, S Wood, A Patel, S Romero, ...
Cambridge Prisms: Global Mental Health 12, e23
Use of ICD-10-CM Codes for Adverse Social Determinants of Health Across Health Systems
EN Llamocca, BK Ahmedani, E Lockhart, AL Beck, FL Lynch, SL Negriff, ...
Psychiatric Services 76 (1), 22-29
2024 publications
Centering community expertise in the design of community-based interventions
B Ajoku, D Lee, C Vargas, P Allison, K Robinson, G Madison, K Smith, ...
APHA 2024 Annual Meeting and Expo
Ready? action!: How to implement lessons from co-learning to build trust in a community-based intervention
L Dodgen, B Ajoku, D Lee, C Vargas, P Allison, K Robinson, G Madison, ...
APHA 2024 Annual Meeting and Expo
MENTAL AND BEHAVIORAL HEALTH
K SANCHEZ, MV VILUGRON
The Handbook of Health Behavior Change
Establishing an accountability benchmark for equity, diversity, and inclusion: A 10-year scoping review of Families, Systems, & Health.
BH Eghaneyan, K Sanchez, C Nakanishi, TJ Mendenhall
Families, Systems, & Health
Thinking Strategically About Your Career
K Sanchez, K Sykes, C Juan
2024 Annual Research Meeting
Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems
VE Metz, GT Ray, V Palzes, I Binswanger, A Altschuler, RN Karmali, ...
Journal of general internal medicine 39 (6), 1002-1009
Clozapine use among people with psychotic disorders who experience specific indications for clozapine
GE Simon, RC Rossom, E Iturralde, BK Ahmedani, SC Waring, ...
The Journal of clinical psychiatry 85 (2), 54323
Designing an app to support measurement-based peer supervision of frontline health workers delivering brief psychosocial interventions in Texas: Multimethod study
A Poudyal, DM Lewis, S Taha, AJ Martinez, L Magoun, YX Ho, N Carmio, ...
JMIR Formative Research 8 (1), e55205
The Social Determinants of Mental Health Burden Two Years into the Pandemic: A Brief Report from a Longitudinal Survey
K Sanchez, L Hall, B da Graca, M Bennett, M Powers, AM Warren
Association of initial opioid prescription duration and an opioid refill by pain diagnosis: Evidence from outpatient settings in ten US health systems
AP Nguyen, VA Palzes, IA Binswanger, BK Ahmedani, A Altschuler, ...
Preventive medicine 179, 107828
2023 and previous
The Spanish language version of the TAPS tool: protocol for a validation and implementation study in primary care
J Gryczynski, K Sanchez, SB Carswell, RP Schwartz
Addiction Science & Clinical Practice 18 (1), 69
Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems (2)
VE Metz, GT Ray, V Palzes, I Binswanger, A Altschuler, RN Karmali, ...
Journal of general internal medicine, 1-8
An action research partnership in an urban Texas county to explore barriers and opportunities for collaborative community health needs assessments
M Nava, AS English, L Fulmer, K Sanchez
Frontiers in Public Health 11, 1244143
Use of telehealth early and late in the COVID-19 public health emergency: policy implications for improving health equity (2)
K Sanchez, H Kitzman, M Khan, B da Graca, J Zsohar, F McStay
The Journal of the American Board of Family Medicine 36 (5), 746-754
Response to Letter to the Editor on The Integration of Behavioral Health and Primary Care for Hispanic/Latino Patients with Depression and Comorbid PTSD
BH Eghaneyan, K Sanchez, MO Killian
The Journal of Behavioral Health Services & Research 50 (4), 558-560
Assessing the differential item functioning of PHQ-9 items for diverse racial and ethnic adults with mental health and/or substance use disorder diagnoses: A retrospective … (2)
ML Harry, K Sanchez, BK Ahmedani, AL Beck, KJ Coleman, RY Coley, ...
Journal of affective disorders 338, 402-413
Identifying New Funding Opportunities and Partners
K Sanchez, M Ro, S Greene, T Davis
2023
Annual Research Meeting
Career Pathways for Working in Health Equity
M Edmunds, R Tucker-Seeley, M Ro, M Valenzuela, K Sanchez
2023 Annual Research Meeting
Leadership, Team Building, and Management Skills
M Edmunds, K Sanchez, K Wiley, J Schmidt
2023 Annual Research Meeting
Depression education fotonovela for engagement of Hispanic patients in treatment: a randomized clinical trial (vol 21, 635, 2023)
K Sanchez, BHH Eghaneyan, MOO Killian, LJJ Cabassa, MHH Trivedi
BMC PSYCHIATRY 23 (1)
Correction: Depression education fotonovela for engagement of Hispanic patients in treatment: a randomized clinical trial
K Sanchez, BH Eghaneyan, MO Killian, LJ Cabassa, MH Trivedi
BMC psychiatry 23 (1), 269-269
The risks of attrition bias in longitudinal surveys of the impact of COVID-19 (1)
B Graca, LR Hall, K Sanchez, MM Bennett, MB Powers, AM Warren
Baylor University Medical Center Proceedings 36 (2), 161-164
The experience of COVID-19 among people with depression: Impact on daily life and coping strategies (5)
K Sanchez, LR Hall, B da Graca, MM Bennett, MB Powers, AM Warren
Journal of Affective Disorders 321, 59-65
The integration of behavioral health and primary care for Hispanic/Latino patients with depression and comorbid PTSD (4)
BH Eghaneyan, MO Killian, K Sanchez
The Journal of Behavioral Health Services & Research 50 (1), 95-107
Antidepressant adherence among Hispanics: patients in an integrated health care model (4)
A Kunz-Lomelin, M Killian, BH Eghaneyan, K Sanchez
Journal of multidisciplinary healthcare, 3029-3037
Prescription stimulant use during long-term opioid therapy and risk for opioid use disorder (1)
JF Scherrer, J Salas, R Grucza, T Wilens, PD Quinn, MD Sullivan, ...
Drug and Alcohol Dependence Reports 5, 100122
Attitudes and personal beliefs about the COVID-19 vaccine among people with COVID-19: a mixed-methods analysis (5)
MM Bennett, M Douglas, B da Graca, K Sanchez, MB Powers, AM Warren
BMC public health 22 (1), 1936
The pandemic experience for people with depressive symptoms: Substance use, finances, access to treatment, and trusted sources of information (1)
K Sanchez, B da Graca, LR Hall, MM Bennett, MB Powers, AM Warren
Substance abuse: research and treatment 16, 11782218221126973
Changes in flourishing from adolescence to young adulthood: An 8‐year follow‐up (2)
AN Palmer, M Patel, SC Narendorf, S Sledge, K Sanchez
Child & Family Social Work
Development and implementation of a prescription opioid registry across diverse health systems (4)
GT Ray, A Altschuler, R Karmali, I Binswanger, JM Glanz, CL Clarke, ...
Jamia Open 5 (2), ooac030
Development, feasibility, and preliminary validation of a Spanish language version of the TAPS Tool for substance use screening in primary care
J Gryczynski, K Sanchez, SB Carswell, RP Schwartz
Addiction Science & Clinical Practice 17 (Suppl 1)
Income differences and COVID-19: Impact on daily life and mental health (43)
LR Hall, K Sanchez, B da Graca, MM Bennett, M Powers, AM Warren
Population Health Management 25 (3), 384-391
The relationship between stigma and mental health in a population of individuals with COVID-19 (7)
AM Warren, R Khetan, M Bennett, J Pogue, AC Waddimba, MB Powers, ...
Rehabilitation Psychology 67 (2), 226
Development and Implementation of a Prescription Opioid Registry Across Diverse Health Systems
RG Thomas, A Altschuler, R Karmali, I Binswanger, JM Glanz, CL Clarke, ...
Mathematica Policy Research Reports
Transition to Telehealth for Primary Care and Behavioral Health by Low-income and Ethnic Minority Adults During Covid-19
M Khan, K Sanchez, B da Graca, FW McStay, H Kitzman
Annals of Behavioral Medicine, S656-S656
Contact us
PACER Center
3434 Live Oak St
Dallas, TX 75204
Phone: 214.865.2428
Email: Katherine.Sanchez@BSWHealth.org
Email: Jan.Pillai@BSWHealth.org