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Department of Psychiatry

Department of Psychology

Alexis Giese, MD Professor and Residency Director

          Alexis Giese, MD

 

Recent Publications

 

 

 

Alexis Giese, MD

Professor and Vice Chair


 

ACADEMIC APPOINTMENTS, PROFESSIONAL POSITIONS, AND HONORS

Positions:

Instructor, Dept. of Psychiatry, Georgetown University Medical Center 1987-89

Medical Director, Psychiatric Day Treatment Center, Georgetown University Medical Center 1987-89

Staff Psychiatrist, Veterans Administration Medical Center, Washington DC 1987-88

Assistant Professor, Dept. of Psychiatry, UCDenver SOM 1989-1998

Associate Professor, Dept. of Psychiatry, UCDenver SOM  1998-2009

Professor, Dept. of Psychiatry, UCDenver SOM 2009-present

Co-director, Programs for Public Psychiatry, Dept. of Psychiatry, UCHSC 1999-present

Psychiatry Consultant, Colorado Division of Mental Health, Dept. of Human Services 1999-2009

Director, Psychiatry Residency Program, Dept. of Psychiatry, UCDenver SOM 2004-present

Vice Chair for Graduate Medical Education, Dept. of Psychiatry, UCDenver SOM 2005-present

Psychiatry Consultant, Colorado Division of Behavioral (Mental) Health 1999-2009

Senior Medical Director, Colorado Access 2008-2009

Vice President for Behavioral Health, Colorado Access 2009-present

Honors:

Eleanor A. Steele Award, Dept. of Psychiatry, UCDenver SOM 2008

Fellow, American Psychiatric Association 1999

Distinguished Fellow, American Psychiatric Association 2003

Nancy C. A. Roeske, MD Award, American Psychiatric Association 1998

Ebaugh Junior Faculty Development Award, Dept. of Psychiatry, UCDenver SOM 1994

 

TEACHING ACTIVITIES

Psychiatry Residency Didactics & Supervision Activities (University of Colorado Denver School of Medicine):

Resident Supervision (PGY 1 through PGY-4)
Individual supervision, 1989-present

Psychodynamic Psychotherapy Track
Co-chair of curriculum development committee; coordinate with Denver Institute for Psychoanalysis  2003-present

Supportive Psychotherapy (PGY-1 Residents)
Develop and teach curriculum including content, skills training, and skills assessment tool  2005-present

Psychiatric Interviewing, DSM-IV, & Case Formulation (PGY-1 & PGY-2 Residents
Psychiatric history-taking, interviewing technique, diagnostic schema, differential diagnosis, case formulation 2005-present

Diagnosis and Phenomenology Course (PGY-2 Residents)
Phenomenology and nosology of personality disorders, models of personality measurement and diagnosis 1994-1999

Inpatient Psychiatry Course (PGY-2 Residents)
Inpatient assessment and management of acute psychiatric disorders1989-2007 (Co-director 1991-1996, director 2006-2007)

Outpatient Psychiatry Course (PGY-3 Residents)
Practice management, evidence-based treatment of mental illnesses, cognitive-behavioral and interpersonal therapies, advanced psychopharmacology, legal issues, confidentiality/HIPAA, managed care  Course Director 2001-2005

Consultation-Liaison Psychiatry Course (PGY-3 Residents)
Personality disorders/styles in medical illness, psychosocial factors in late life, gender issues, older adults 2002-2005

Geriatric Psychiatry (PGY-3 Residents)
Mood disorders, personality issues, psychosocial factors, and gender issues in older adults  1998-2002

Public and Administrative Psychiatry (PGY-4 Residents)
Antipsychotic medication management in community settings, state/public mental health funding and systems, leadership and physician roles in public mental health settings, recovery models 1994-present (co-director 2001-2002)

Career Planning/Transition to Practice Course (PGY-4 Residents)
Career planning, job search, APBN preparation, MOC planning, practice management, lifestyle and financial issues, professionalism and ethics in practice, supervision of non-physicians, supervision of residents  2005-present

Georgetown University Medical Center Psychiatry Residency
Psychopharmacology of Drug and Alcohol Abuse Course 1988 Organic Mental Disorders Course 1988-1989

 

Medical Student Education University of Colorado Denver School of Medicine

Medical student career development activities
Specialty selection and residency interviewing workshops 2005-present

Third year medical student psychiatry clerkship
Supervision and case-based teaching 1989-2005

 

Cross-disciplinary and Interdepartmental Education University of Colorado Denver School of Medicine

Chancellor’s Diversity Award Evidence and Ethnicity:  Application of Cognitive Behavior Therapy to the Hispanic Patient (Conference); Sub-investigator (Josette Harris, PI) 2007

Administration and Evaluation Post-Doctoral Psychology Fellowship Department of Psychiatry interdisciplinary training program in administration and evaluation in mental health services delivery systems: lecture in culture and gender issues in the workplace, administrative theory and practice leadership 1999-present 

Department of Medicine/Geriatric Medicine Division University of Colorado Hospital Seniors’ Clinic: clinical consultation/supervision for geriatric medicine faculty, fellows, and residents, multi-disciplinary teaching “pearls” conference: SSRI side effects, management of major depression in older adults, atypical antipsychotic medications, integrated care of older adults 1999-2001

 

CLINICAL ACTIVITIES University of Colorado Hospital/Colorado Psychiatric Hospital

Medical Staff Appointment                     1989-present

Practice Director, Outpatient Psychiatry   2001-2005

Medical Director, Acute Care Psychiatry   2000-2001

UCH Seniors Clinic Psychiatry Consultant   1996-2001

Medical Director, Inpatient Psychiatry       1993-2000

Inpatient Attending Psychiatrist               1989-2000

 

Department of Psychiatry, University of Colorado Denver School of Medicine

Director of Community Programs and Outreach  UCDenver Depression Center     2008-present

Co-director, Clinical Investigation Program    2005-2007        

Co-director, Programs for Public Psychiatry   1999-present

Outpatient psychiatry practice (UPI faculty practice plan) 1989-present

 

Other Professional Appointments & Activities

Vice President for Behavioral Health, Colorado Access  2009-present

Senior Medical Director, Colorado Access  2008-2009

Psychiatry Consultant Colorado Division of Mental (Behavioral) Health 1999-2009

Medical Director University Mental Health Services 1998-1999

Medical Director, Mental Health Services, Inc. 1997-1998

Medical Director, Psychiatric Day Treatment Center Georgetown UMC 1987-1989

Staff Psychiatrist, Veterans’ Administration Medical Center, Washington, DC   1987-1988

 

SCHOLARSHIP AND PUBLICATIONS

Papers published in refereed journals

Morris CM, Tedeschi GJ, Waxmonsky JA, May M, Giese AA: Tobacco quitlines and persons with mental illnesses: perspective, practice, and direction.  Journal of the American Psychiatric Nurses Association 2009; 15: 32-40

Morris CD, Waxmonsky JA, May M, Giese A: What do persons with mental illnesses need to quit smoking? Mental health patient and provider perspectives.  Psychiatric Rehabilitation Journal 2009; 32(4): 276-284

Stubbe D, Martin A, Bloch M, Belitsky R, Carter D, Ebert M, Friedman A, Giese A, Kirwin P, Ross RG, Leckman JF: Model curriculum for academic child and adolescent psychiatry training.  Academic Psychiatry 2008; 32:366-376

Morris CD, Giese AA, Turnbull JJ, Dickinson M, Johnson-Nagel N: Predictors of tobacco use among persons with mental illnesses in a statewide population.  Psychiatric Services 2006; 57:1035-1038

Valuck RJ, Libby AM, Sills MR, Giese AA, Allen RR: Antidepressant treatment and risk of suicide attempt by adolescents with major depressive disorder: a propensity-adjusted retrospective cohort study.  CNS Drugs 2004; 18(15):1119-1132

Savin D, Seymour D, Littleford LN, Bettridge J, Giese AA: Findings from mental health screening of newly arrived refugees in Colorado.  Public Health Reports May-June 2005; 120(3):224-229

Morris DM, Miklowitz DJ, Wisniewski SR, Giese AA, Thomas MR, Allen MA: Care satisfaction, hope, and life functioning among adults with bipolar disorder: data from the first 1,000 participants in the Systematic Treatment Enhancement Program. Comprehensive Psychiatry 2004; 46(2):98-104 

Giese AA, Thomas MR, Dubovsky SL, Hilty S: The impact of a history of childhood abuse on hospital outcome of affective episodes.  Psychiatric Services 1998; 49:77-81

Dubovsky SL, Giese A: Selected issues in the psychopharmacologic treatment of women with psychiatric disorders.  Journal of Practical Psychiatry and Behavioral Health 1997; 3:275-284

Thomas MR, Kassner CT, Fryer GE, Giese AA, Rosenberg SA, Dubovsky SL:  Impact of shorter lengths of stay on status at discharge in bipolar mania.  Annals of Clinical Psychiatry 1997; 9:139-143

Thomas MR, Stoyva J, Rosenberg SA, Kassner C, Fryer GE, Giese AA, Dubovsky SL:  Selection bias in an inpatient outcomes monitoring project.  General Hospital Psychiatry 1997; 19:56-61

Thomas MR, Rosenberg SA, Giese AA, Fryer GE, Dubovsky SL, Shore JH:  Shortening length of stay without increasing recidivism on a university-affiliated inpatient unit.  Psychiatric Services 1996; 47:996-998

Giese AA, Thomas MR, Dubovsky SL:  Dissociative symptoms in psychotic mood disorders: an example of symptom non-specificity.  Psychiatry 1997; 60:60-66

Baker NJ, Giese AA:  Reorganization of a private psychiatric unit to promote collaboration with managed care.  Hospital and Community Psychiatry 1992; 43:1126-1129

Giese AA, Leibenluft E, Filson CR, Zimmerman EA, Gardner DL: The effect of borderline personality disorder on the hospital course of affective illness.  Hospital and Community Psychiatry 1990; 41:988-992

Leibenluft E, Green SA, Giese AA:  Mourning and milieu: staff reaction to the death of an inpatient.  The Psychiatric Hospital 1988; 19:169-173

Books, chapters, and other publications

Giese AA, Vogl M, Allen MH, et al: Building on assets, opportunities for change: an assessment of the behavioral health and wellness status, strengths and challenges in the Aspen community.  For the Aspen Valley Medical Foundation 2009

Giese AA: Closing the gap between guidelines for bipolar disorder treatment and clinical practice (editorial).  American Journal of Psychiatry 2009; 166:1205-1206

Morris C, Waxmonsky J, Giese A, Graves M, Turnbull J: Smoking cessation for persons with mental illnesses: a toolkit for mental health providers.  State Tobacco Education and Prevention Partnership, Colorado Department of Public Health and Environment, 2007

Rothberg B, Giese AA, Morris CD, Haimowitz S: Strategies for medication acquisition and prescribing practices. Guam Department of Mental Health and Substance Abuse, 2005

Giese AA, Baron B, Morris CD: Colorado work group for evidence-based mental health practices-final report.  For Colorado Department of Human Services, Division of Mental Health, 2004

Morris CD, Giese AA, Hershey L: Program evaluation of the Mental Health Ombuds Program of Colorado.  For Colorado Department of Human Services, Mental Health Services, 2003

Morris CD, Giese AA: In pursuit of consumer directed care.  For Colorado Department of Health Care Policy and Financing, 2003

Giese AA, Morris CD, Olincy A: Needs assessment of persons with mental illnesses for tobacco prevention, exposure, reduction, and cessation. For Colorado Department of Public Health and Environment, 2002

Giese AA, Chapman A, et al: 2001 Colorado best practice work group: atypical antipsychotic medications report and guidelines—an update.  For Colorado Department of Human Services and Health Care Policy and Financing, 2002

Giese AA: Program evaluation re safety, security, and patient rights/restrictions.  For Colorado Mental Health Institute at Pueblo, Institute for Forensic Psychiatry, Colorado Department of Human Services, 2002. 

Giese AA, et al: 2001 Colorado best practice work group, atypical antipsychotic medications report and guidelines.  For Colorado Department of Human Services & Health Care Policy and Financing, 2002

Giese AA, Chapman A, et al: Colorado best practices work group report: atypical antipsychotic medications.  For Colorado Department of Human Services & Health Care Policy and Financing, 2000

Giese AA:  Personality and personality disorders. In Psychiatric Secrets Second Edition, Jacobson J and Jacobson A, Eds. Hanley and Belfus, Philadelphia 2001

Giese AA:  Personality and personality disorders. In Psychiatric Secrets, Jacobson J and Jacobson A, Eds. Hanley and Belfus, Philadelphia 1996

Giese AA, Leibenluft E, Green S, Moricle LA:  Phenelzine-associated inappropriate ADH secretion (letter). Journal of Clinical Psychopharmacology 1989; 9:309-310.

Rosse RB, Giese AA, Deutsch SI, Morihisa JM:  Laboratory and Diagnostic Testing in Psychiatry.  Washington, APA Press, 1989

 

Abstracts presented at scientific meetings

Martin L, Giese A: Teaching Smoking Cessation During Residency.  American Association of Directors of Psychiatry Residency Training 39th Annual Meeting Orlando FL, March 2010

Waxmonsky J, May MG, Morris C, Dickinson M, Giese A, Devine K: Smoking Cessation Interventions for Persons with Mental Illnesses: 12-Month Treatment Outcomes from a Community-Based Sample.  Joint Conference of the Society for Research on Nicotine and Tobacco and SRNT-Europe  Dublin, Ireland, April 2009

Morris C, Waxmonsky J, Graves M, Giese A: Effectiveness of Two Community-Based Tobacco Cessation Interventions for Persons with Mental Illnesses.  14th World Conference on Tobacco and Health Mumbai, India, March 2009

Graves M, Morris C, Waxmonsky J, Giese A, et al: Smoking Cessation Interventions for Persons with Mental Illnesses: A Randomized Trial.  Public Health in the Rockies 2008 Conference Breckenridge CO, September 2008

Morris C, Waxmonsky J, Graves M, Giese A, Belikova O: Multiple perspectives of smoking cessation needs for persons with mental illnesses. Society for Research on Nicotine and Tobacco 9th Annual Conference of the SRNT Europe Madrid, Spain, October 2007

Graves M, Giese AA, et al: Smoking Cessation Interventions for Persons with Mental Illnesses: A Randomized Trial.  Society for Research on Nicotine and Tobacco's 14th Annual Meeting Portland OR, February-March 2008

Morris CM, Miklowitz DJ, Wisniewski SR, Giese AA, Thomas MR, Allen MH:  Care satisfaction, hope, and life functioning among adults with bipolar disorder: data from the first 1,000 participants in the Systematic Treatment Enhancement Program 44th Annual New Clinical Drug Evaluation Unit Meeting June 2004

George E, Giese AA, Miklowitz DJ:  Expressed emotion attitudes among depressed patients and mental health providers on an inpatient unit.  Society for Research in Psychopathology 10th Annual Meeting Iowa City IA, 1995

Giese AA, Dubovsky SL, Thomas MR, Riemer M:  Dissociation and major depression.  American Psychiatric Association Annual Meeting Miami FL, 1995

Giese AA, Adler LE, Montgomery P, et al.  Sensory physiology and catecholamines in post traumatic stress disorder:  P-50 auditory gating.  International Society for Traumatic Stress Studies Annual Meeting Chicago IL, 1994

Baker NJ, Giese AA:  An alternative model of hospitalization for managed care systems:  reduced length of stay and costs. 43rd Institute on Hospital and Community Psychiatry Los Angeles CA, 1991

Giese AA, Baker NJ:  Male borderline inpatients—clinical characteristics.  43rd Institute on Hospital and Community Psychiatry Los Angles CA, 1991           

Koppleman LW, Giese AA:  The focus of family intervention in acute psychiatric day treatment.  American Association for Partial Hospitalization Annual Meeting Denver CO, 1988

Giese AA, Rappaport SL: The impact of multi-system involvement on a hospital-based day treatment center.  American Association for Partial Hospitalization Annual Meeting Denver CO, 1988

 

GRANTS AND CONTRACTS (RECENT)

Principal Investigator: Rural mental health: improving evidence-based practices for depression.  NIMH R34, RFA-MH-05-004, 2005-2009.  The project’s aims are to 1) establish community mental health center infrastructure to provide an integrated depression care program; 2) evaluate the success of program implementation from the perspective of the patient, providers, and payer; 3) estimate adoption and maintenance costs; and 4) describe further adaptations to the program that may be needed to increase its ability to deliver evidence-based care to a depressed rural population. 

Sub-Investigator: Tobacco cessation intervention study for persons with mental illnesses.  Colorado Department of Public Health and Environment, State Tobacco Education and Prevention Program Grant (Chad Morris, PhD, PI) 10/1/06-9/30/08.  The project’s aims are to: 1) implement a pilot study testing evidenced-based tobacco cessation strategies for persons with mental illnesses at community mental health centers; and 2) compare the effectiveness of two enhanced tobacco cessation strategies to treatment as usual by mental health providers.

Sub-Investigator: Tobacco control in persons with mental illnesses-toolkit development.  Colorado Department of Public Health and Environment, State Tobacco Education and Prevention Program Grant (Chad Morris, PhD, PI) 1/1/06-9/30/06.  The project’s aim was to develop a shelf-ready toolkit for tobacco control specifically designed for persons with mental illnesses.

Principal Investigator: Needs Assessment of Persons with Mental Illnesses for Tobacco Prevention, Exposure Reduction, and Cessation.  Colorado Department of Public Heath and Environment  2001-2002.  The project’s aims were to: 1) Identify needs, best practices and model programs for tobacco control in persons with mental illnesses; 2) identify assets, barriers, and resources in Colorado; 3) develop recommendations for service planning and funding.

Co-investigator: Program Evaluation of the Mental Health Ombuds Program in Colorado.  Colorado Department of Human Services, Division of Mental Health, 2002 (Chad Morris, PhD, PI).  The project’s aims were 1) evaluate the performance and effectiveness of Colorado’s ombuds program for the mental health Medicaid capitation program; 2) develop recommendations to enhance program effectiveness and efficiency.