Education & Certifications

  • MS, Stanford University, Epidemiology & Clinical Research (2023)
  • BS, University of California, Los Angeles, Computational & Systems Biology (2021)

Contact

  • Work
    mianav@stanford.edu
    University - Staff Department: Psych/Public Mental Health & Population Sciences Position: Soc Science Rsch Prof 2

Additional Info

  • Mail Code: 5717

Links

Work Experience

  • BIDS Project Assistant, California Department of Public Health (9/7/2021 - Present)

    Student intern for the Border Infectious Disease Surveillance program within the CDPH Office of Binational Border Health.

    Location

    San Diego, CA, USA

All Publications

  • Design of a cluster-randomized, hybrid type 1 effectiveness-implementation trial of a care navigation intervention to increase substance use disorder treatment engagement: study protocol. Addiction science & clinical practice Matson, T. E., Navarro, M. A., Idu, A., Bobb, J. F., Patrick, B. M., Phillips, R., Barrett, T. D., Rossi, F. S., Krawczyk, N., Doud, R., Rogers, K., Davis, C. J., Caldeiro, R., Glass, J. E. 2025; 20 (1): 78

    Abstract

    Practical and motivational barriers can deter people from engaging in substance use disorder (SUD) treatment, even those who seek treatment. Care navigation is a psychosocial intervention that seeks to facilitate patients' timely access to care by identifying and intervening upon barriers. Few trials have tested the effectiveness of care navigation when embedding in real-world healthcare, and no trials have studied the process of implementing care navigation into clinical practice. This protocol describes a study that will evaluate whether care navigation can increase treatment engagement among patients seeking SUD treatment.The Addressing Barriers to Care for Substance Use Disorder (ABC-SUD) study is a hybrid type I cluster-randomized effectiveness-implementation trial. It is conducted in a mental health access center of an integrated healthcare system in Washington state. Within this center, licensed mental health clinicians assess patient needs and use shared decision-making to establish SUD treatment plans for patients (usual care). This study tests whether an added care navigation intervention can improve patient engagement in SUD treatment. Care navigation begins after a treatment plan is made and provides up to 7 weeks of support focused on enhancing patient motivation to initiate and engage in treatment, problem-solving barriers (e.g., transportation logistics), and accommodating patient preferences (e.g., preferred language of care, cultural preferences). This trial uses a two period, two sequence crossover design. Clinicians are randomized to offer care navigation to patients during the first or second study period (i.e., clinicians are assigned to an initial study condition and switch conditions halfway through the trial). Care navigation is implemented with several strategies: leadership engagement, clinical workflow specifications, electronic health record (EHR) tools, training, performance improvement, and electronic learning collaborative. The primary outcome-obtained from EHRs and insurance claims-is engagement in SUD treatment, defined as ≥3 SUD treatment visits within 48 days of a treatment plan. This study uses standardized measures of implementation climate and outcomes to examine mechanisms with which the intervention strategies exert their impact on implementation and effectiveness outcomes.The ABC-SUD study will test whether care navigation improves SUD treatment engagement while concurrently generating information about its implementation in healthcare.This study was prospectively registered at www.gov (NCT06729957) on December 9, 2024.

    View details for DOI 10.1186/s13722-025-00605-7

    View details for PubMedID 41035041

    View details for PubMedCentralID PMC12486859

  • A National Snapshot of Training and Technical Assistance Needs Within the Mental Health Workforce. Psychiatric services (Washington, D.C.) Gotham, H. J., Benson, F., Canelo, R., Walker, E. R., Navarro, M., Clayton, C. N., Orobitg-Brenes, D., Carrión-González, I., Tomlin, K., Olson, J. R. 2024: appips20230602

    Abstract

    This report summarizes results from a national survey that aimed to assess the training and technical assistance needs of individuals who work in mental health.A survey was distributed to mental health workers by 10 regional centers of a large, nationwide, federally funded training and technical assistance network during January-October 2021.A total of 2,321 individuals from 58 states and territories responded to the survey. The three training and technical assistance needs they indicated most frequently were equitable and culturally responsive services, co-occurring mental and substance use disorders, and mental health awareness and literacy.The survey findings reflect the continued need to address inequities in mental health services, particularly for communities of color. In addition, a cluster of topics (i.e., mental health awareness and literacy, trauma-informed care, crisis services, grief, and provider well-being) stemmed from the COVID-19 pandemic and its effects on the nation's mental health.

    View details for DOI 10.1176/appi.ps.20230602

    View details for PubMedID 39257311