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Seattle-Denver Center of Innovation (COIN)


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COIN Investigators & Staff

COIN Investigators


John Fortney, PhD
Title:PhD Fellowship Co-Director, Seattle
Senior Career Research Scientist
Seattle Director, Division of Population Health
Professor, Psychiatry & Behavioral Sciences, University of Washington
Location: Seattle
University of Washington webpage
See Dr. Fortney's Dimensions profile that includes: publications, grants, datasets, patents and clinical trials
I conduct pragmatic trials and implementation trials to test the effectiveness of clinical interventions and the success of strategies designed to promote the uptake of evidence-based practices. My research focuses on rural health disparities, access to care, and the integration of mental health care and primary care.
I chose this work because I believe access to high quality healthcare is a basic right.
I hope to help overcome health disparities by using virtual technologies to improve access to effective mental health care.

The following images visualize Dr. Fortney's work. The word cloud is drawn from publication titles. The research collaboration map shows research relationships (click the image to enlarge):

Dr. Fortney's publication titles indicate primary work is Veteran care
Word cloud from pub titles
Dr. Fortney's collaborations are primarily from the University of Washington
Research collaboration map
The following research fields have been used to summarize Dr. Fortney's publications and grants. The categories are based on 225 publications and 9 grants.
Publications Grants
Clinical Research Clinical Research
Mental Health Health Services
Health Services Rural Health
Behavioral and Social Science Behavioral and Social Science
Brain Disorders Mental Health
Depression Brain Disorders
Clinical Trials and Supportive Activities Clinical Trials and Supportive Activities
Rural Health Prevention
Post-Traumatic Stress Disorder (PTSD) Comparative Effectiveness Research
Prevention Substance Abuse

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Recent Publications




Barnard LM, Johnson RL, Brandspigel S, Rooney LA, McCarthy M, Meador L, Rivara FP, Rowhani-Rahbar A, Knoepke CE, Fortney JC, Peterson RA, Betz ME. Voluntary, temporary out-of-home firearm storage: A survey of firearm retailers and ranges in two states. Prev Med. 2022 Aug 26:107220. doi: 10.1016/j.ypmed.2022.107220. Epub ahead of print. PMID: 36037869
Learn more about this publication at Dimensions

Cerimele JM, Johnson M, Blanchard BE, Russo J, Unützer J, Fortney JC. Bipolar disorder in primary care: Medication treatment by co-located psychiatrists versus primary care clinicians supported by psychiatrists. Gen Hosp Psychiatry. 2022 Aug 4;78:108-110. doi: 10.1016/j.genhosppsych.2022.08.001. Epub ahead of print. PMID: 35985201
Learn more about this publication at Dimensions

Sterling RA, Liu CF, Hebert PL, Fortney JC, Swankoski KE, Katon JG, Wong ES. How did Veterans' Reliance on Veterans Health Administration Outpatient Care Change After Expansion of the Veterans Community Care Program? Med Care. 2022 Aug 11. doi: 10.1097/MLR.0000000000001764. Epub ahead of print. PMID: 35950930.
Learn more about this publication on Dimensions

Munson SA, Friedman EC, Osterhage K, Allred R, Pullmann MD, Areán PA, Lyon AR; UW ALACRITY Center Researchers. Usability Issues in Evidence-Based Psychosocial Interventions and Implementation Strategies: Cross-project Analysis. J Med Internet Res. 2022 Jun 14;24(6):e37585. doi: 10.2196/37585. PMID: 35700016
Learn more about this publication at Dimensions

Hall JD, Danna MN, Hoeft TJ, Solberg LI, Takamine LH, Fortney JC, Nolan JP, Cohen DJ. Patient and Clinician Perspectives on Two Telemedicine Approaches for Treating Patients with Mental Health Disorders in Underserved Areas. J Am Board Fam Med. 2022 May-Jun;35(3):465-474. doi: 10.3122/jabfm.2022.03.210377. PMID: 35641048
Learn more about this publication at Dimensions

Austin EJ, Briggs ES, Ferro L, Barry P, Heald A, Curran GM, Saxon AJ, Fortney J, Ratzliff AD, Williams EC. Integrating Routine Screening for Opioid Use Disorder into Primary Care Settings: Experiences from a National Cohort of Clinics. J Gen Intern Med. 2022 May 25:1–9. doi: 10.1007/s11606-022-07675-2. Epub ahead of print. PMCID: PMC9132563. PMID: 35614169
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Fortney JC, Rajan S, Reisinger HS, Moeckli J, Nolan JP, Wong ES, Rise P, Petrova VV, Sayre GG, Pyne JM, Grubaugh A, Simsek-Duran F, Grubbs KM, Morland LA, Felker B, Schnurr PP. Deploying a telemedicine collaborative care intervention for posttraumatic stress disorder in the U.S. Department of Veterans Affairs: A stepped wedge evaluation of an adaptive implementation strategy. Gen Hosp Psychiatry. 2022 Mar 26;77:109-117. doi: 10.1016/j.genhosppsych.2022.03.009. Epub ahead of print.
PMID: 35596963.
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Fortney JC, Carey EP, Rajan S, Rise PJ, Gunzburger EC, Felker BL. A Comparison of Patient-Reported Mental Health Outcomes for the Department of Veterans Affairs' Regional Telehealth and Community Care Programs. Health Serv Res. 2022 Apr 25. doi: 10.1111/1475-6773.13993. Epub ahead of print.
PMID: 35467011.
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Severe J, Pfeiffer PN, Palm-Cruz K, Hoeft T, Sripada R, Hawrilenko M, Chen S, Fortney J. Clinical Predictors of Engagement in Teleintegrated Care and Telereferral Care for Complex Psychiatric Disorders in Primary Care: a Randomized Trial. J Gen Intern Med. 2022 Feb 2. doi: 10.1007/s11606-021-07343-x. Epub ahead of print.
PMID: 35106719
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LaRocco-Cockburn A, Jakupcak M, Bauer AM, Bowen DJ, Bechtel J, Koconis N, Fortney JC. Care managers' experiences in a collaborative care program for the treatment of bipolar disorder and PTSD in underserved communities. Gen Hosp Psychiatry. 2022 Mar 7;76:16-24. doi: 10.1016/j.genhosppsych.2022.03.004. Epub ahead of print.
PMID: 35313202
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Locke ER, Young JP, Battaglia C, Simpson TL, Trivedi R, Simons C, Fortney JC, Hebert P, Swenson ER, Edelman J, Fan VS. Care-seeking and delay of care during COPD exacerbations. NPJ Prim Care Respir Med. 2022 Feb 15;32(1):7. doi: 10.1038/s41533-022-00269-9.
PMID: 35169140

Grubbs KM, Abraham TH, Pyne JM, Greene CJ, Teng EJ, Fortney JC. Enhancing Problem-Solving Therapy With Smartphone Technology: A Pilot Randomized Controlled Trial. Psychiatr Serv. 2022 Feb 10:appips201900254. doi: 10.1176/ Epub ahead of print.
PMID: 35139654
Learn more about this publication at Dimensions



Buck B, Gagen EC, Halverson TF, Nagendra A, Ludwig KA, Fortney JC. A systematic search and critical review of studies evaluating psychometric properties of patient-reported outcome measures for schizophrenia. J Psychiatr Res. 2021 Dec 27;147:13-23. doi: 10.1016/j.jpsychires.2021.12.053. Epub ahead of print.
PMID: 35007807

Blanchard BE, Johnson M, Hawrilenko M, Bechtel JM, Shushan S, Fortney JC. Psychometric properties of the Telepsych User Experience Scale (TUES). J Rural Health. 2021 Dec 27. doi: 10.1111/jrh.12640. Epub ahead of print.
PMID: 34957607

Littman AJ, Bratman GN, Lehavot K, Engel CC, Fortney JC, Peterson A, Jones A, Klassen C, Brandon J, Frumkin H. Nature versus urban hiking for Veterans with post-traumatic stress disorder: a pilot randomised trial conducted in the Pacific Northwest USA. BMJ Open. 2021 Sep 23;11(9):e051885. doi: 10.1136/bmjopen-2021-051885.
PMID: 34556516

Commiskey P, Armstrong AW, Coker TR, Dorsey ER, Fortney JC, Gaines KJ, Gibbons BM, Nguyen HQ, Singla DR, Szigethy E, Krupinski EA. A Blueprint for the Conduct of Large, Multisite Trials in Telemedicine. J Med Internet Res. 2021 Sep 20;23(9):e29511. doi: 10.2196/29511.
PMID: 34542417.

Fortney JC, Bauer AM, Cerimele JM, Pyne JM, Pfeiffer P, Heagerty PJ, Hawrilenko M, Zielinski MJ, Kaysen D, Bowen DJ, Moore DL, Ferro L, Metzger K, Shushan S, Hafer E, Nolan JP, Dalack GW, Unützer J. Comparison of Teleintegrated Care and Telereferral Care for Treating Complex Psychiatric Disorders in Primary Care: A Pragmatic Randomized Comparative Effectiveness Trial. JAMA Psychiatry. 2021 Aug 25. doi: 10.1001/jamapsychiatry.2021.2318. Epub ahead of print.
PMID: 34431972.

Newman MW, Hawrilenko M, Jakupcak M, Chen S, Fortney JC. Access and attitudinal barriers to engagement in integrated primary care mental health treatment for rural populations. J Rural Health. 2021 Aug 24. doi: 10.1111/jrh.12616. Epub ahead of print.
PMID: 34427352.

Chen JA, Jakupcak M, McCann R, Fickel JJ, Simons CE, Campbell DG, Stryczek KC, Hoerster KD, Chaney EF, Oishi SM, Miner MN, Bonner LM, Fortney JC, Felker BL. Posttraumatic stress disorder collaborative care: A quality improvement study in veterans affairs primary care. Fam Syst Health. 2021 Jun;39(2):198-211. doi: 10.1037/fsh0000623.
PMID: 34410768.

Cerimele JM, Blanchard BE, Bechtel JM, Fortney JC. Clinician preferences for using bipolar disorder symptom severity and quality of life scales for measurement-based care. Gen Hosp Psychiatry. 2021 Aug 9:S0163-8343(21)00112-2. doi: 10.1016/j.genhosppsych.2021.08.003. Epub ahead of print.
PMID: 34392976

Bhat A, Nanda A, Murphy L, Ball AL, Fortney J, Katon J. A systematic review of screening for perinatal depression and anxiety in community-based settings. Arch Womens Ment Health. 2021 Jul 11. doi: 10.1007/s00737-021-01151-2. Epub ahead of print. PMID: .
PMID: 34247269

Suresh M, Young J, Fan V, Simons C, Battaglia C, Simpson TL, Fortney JC, Locke ER, Trivedi R. Caregiver Experiences and Roles in Care Seeking During COPD Exacerbations: A Qualitative Study. Ann Behav Med. 2021 Jun 24:kaab045. doi: 10.1093/abm/kaab045. Epub ahead of print.
PMID: 34165138

Lin LA, Fortney JC, Bohnert ASB, Coughlin LN, Zhang L, Piette JD. Comparing telemedicine to in-person buprenorphine treatment in U.S. veterans with opioid use disorder. J Subst Abuse Treat. 2021 May 28:108492. doi: 10.1016/j.jsat.2021.108492. Epub ahead of print.
PMID: 34175175.

Cerimele JM, Russo J, Bauer AM, Hawrilenko M, Pyne JM, Dalack GW, Kroenke K, Unützer J, Fortney JC. The Patient Mania Questionnaire (PMQ-9): a Brief Scale for Assessing and Monitoring Manic Symptoms. J Gen Intern Med. 2021 Jun 18. doi: 10.1007/s11606-021-06947-7. Epub ahead of print.
PMID: 34145517.

Carlo AD, Chan G, Arao RF, Vredevoogd MA, Fortney JC, Powers DM, Russo JE, Unützer J. Assessing the Impact of Different Depression Treatment Success Metrics on Organizational Performance. Psychiatr Serv. 2021 Apr 15:appips202000364. doi: 10.1176/ Epub ahead of print.
PMID: 33853382.

Malte CA, Dulin PL, Baer JS, Fortney JC, Danner AN, Lott AMK, Hawkins EJ. Usability and Acceptability of a Mobile App for the Self-Management of Alcohol Misuse Among Veterans (Step Away): Pilot Cohort Study. JMIR Mhealth Uhealth. 2021 Apr 8;9(4):e25927. doi: 10.2196/25927.
PMID: 33830064.

Fischer EP, Curran GM, Fortney JC, McSweeney JC, Williams DK, Williams JS. Impact of Attitudes and Rurality on Veterans' Use of Veterans Health Administration Mental Health Services. Psychiatr Serv. 2021 Mar 11:appips201900275. doi: 10.1176/ Epub ahead of print.
PMID: 33691490.

Chen JA, Matson TE, Lehavot K, Raue PJ, Young JP, Silvestrini MC, Fortney JC, Williams EC. Provider Perspectives on Implementing Shared Decision Making for PTSD Treatment in VA Primary Care. Adm Policy Ment Health. 2021 Feb 24. doi: 10.1007/s10488-021-01119-5. Epub ahead of print.
PMID: 33625623.

Fortney JC, Pyne JM, Hawrilenko M, Bechtel JM, Moore D, Nolan JP, Pfeiffer P, Shushan S, Shore JH, Bowen D. Psychometric Properties of the Assessment of Perceived Access to Care (APAC) Instrument. J Ambul Care Manage. 2021 Jan/Mar;44(1):31-45. doi: 10.1097/JAC.0000000000000358.
PMID: 33165120.



Bechtel JM, Lepoire E, Bauer AM, Bowen DJ, Fortney JC. Care manager perspectives on integrating an mHealth app system into clinical workflows: A mixed methods study. Gen Hosp Psychiatry. 2021 Jan-Feb;68:38-45. doi: 10.1016/j.genhosppsych.2020.10.004. Epub 2020 Oct 17.
PMID: 33310012.

Pyne JM, Kelly PA, Fischer EP, Miller CJ, Connolly SL, Wright P, Zamora K, Koenig CJ, Seal KH, Fortney JC. Initial concurrent and convergent validity of the Perceived Access Inventory (PAI) for mental health services. Psychol Serv. 2020 Oct 8. doi: 10.1037/ser0000504. Epub ahead of print.
PMID: 33030947.

Howland M, Tennant M, Bowen DJ, Bauer AM, Fortney JC, Pyne JM, Shore J, Cerimele JM. Psychiatrist and Psychologist Experiences with Telehealth and Remote Collaborative Care in Primary Care: A Qualitative Study. J Rural Health. 2020 Oct 6. doi: 10.1111/jrh.12523. Epub ahead of print.
PMID: 33022079.

Unützer J, Carlo AC, Arao R, Vredevoogd M, Fortney J, Powers D, Russo J. Variation In The Effectiveness Of Collaborative Care For Depression: Does It Matter Where You Get Your Care? Health Aff (Millwood). 2020 Nov;39(11):1943-1950. doi: 10.1377/hlthaff.2019.01714.
PMID: 33136506.

Bauer AM, Jakupcak M, Hawrilenko M, Bechtel J, Arao R, Fortney JC. Outcomes of a health informatics technology-supported behavioral activation training for care managers in a collaborative care program. Fam Syst Health. 2020 Aug 27. doi: 10.1037/fsh0000523. Epub ahead of print.
PMID: 32853001.

Katon JG, Callegari LS, Bossick AS, Fortney J, Gerber MR, Lehavot K, Lynch KE, Ma E, Smith R, Tartaglione E, Gray KE. Association of Depression and Post-Traumatic Stress Disorder with Receipt of Minimally Invasive Hysterectomy for Uterine Fibroids: Findings from the U.S. Department of Veterans Affairs. Womens Health Issues. 2020 Sep-Oct;30(5):359-365. doi: 10.1016/j.whi.2020.06.005. Epub 2020 Jul 22.
PMID: 32712008.

Goldberg SB, Fortney JC, Chen JA, Young BA, Lehavot K, Simpson TL. Military Service and Military Health Care Coverage are Associated with Reduced Racial Disparities in Time to Mental Health Treatment Initiation. Adm Policy Ment Health. 2020 Jul;47(4):555-568. doi: 10.1007/s10488-020-01017-2. PMCID: PMC7357226.
PMID: 31989399.

Campbell SB, Erbes C, Grubbs K, Fortney J. Social Support Moderates the Association Between Posttraumatic Stress Disorder Treatment Duration and Treatment Outcomes in Telemedicine-Based Treatment Among Rural Veterans. J Trauma Stress. 2020 Aug;33(4):391-400. doi: 10.1002/jts.22542. Epub 2020 Jun 10.
PMID: 32521100.

Cerimele JM, LePoire E, Fortney JC, Hawrilenko M, Unützer J, Bauer AM. Bipolar disorder and PTSD screening and telepsychiatry diagnoses in primary care. Gen Hosp Psychiatry. 2020 Jul-Aug;65:28-32. doi: 10.1016/j.genhosppsych.2020.05.006. Epub 2020 May 19.
PMID: 32447194.

Campbell SB, Gray KE, Hoerster KD, Fortney JC, Simpson TL. Differences in functional and structural social support among female and male veterans and civilians. Soc Psychiatry Psychiatr Epidemiol. 2020 Apr 6;. Doi: 10.1007/s00127-020-01862-4. [Epub ahead of print] PubMed
PMID: 32249329.



Katon JG, Bossick AS, Doll KM, Fortney J, Gray KE, Hebert P, Lynch KE, Ma EW, Washington DL, Zephyrin L, Callegari LS. Contributors to Racial Disparities in Minimally Invasive Hysterectomy in the US Department of Veterans Affairs. Med Care. 2019 Dec;57(12):930-936. doi: 10.1097/MLR.0000000000001200.
PMID: 31730567.

Fortney JC, Heagerty PJ, Bauer AM, Cerimele JM, Kaysen D, Pfeiffer PN, Zielinski MJ, Pyne JM, Bowen D, Russo J, Ferro L, Moore D, Nolan JP, Fee FC, Heral T, Freyholtz-London J, McDonald B, Mullins J, Hafer E, Solberg L, Unützer J. Study to promote innovation in rural integrated telepsychiatry (SPIRIT): Rationale and design of a randomized comparative effectiveness trial of managing complex psychiatric disorders in rural primary care clinics. Contemp Clin Trials. 2020 Mar;90:105873. doi: 10.1016/j.cct.2019.105873. Epub 2019 Oct 31.
PMID: 31678410.

Browne KC, Chen JA, Hundt NE, Hudson TJ, Grubbs KM, Fortney JC. Veterans self-reported reasons for non-attendance in psychotherapy for posttraumatic stress disorder. Psychol Serv. 2019 Jul 22:10.1037/ser0000375. doi: 10.1037/ser0000375. Online ahead of print. PMC7147996
PMID: 31328929.

Browne KC, Hoerster KD, Piegari R, Fortney JC, Nelson KN, Post EP, Fihn SD, Mori AM, Trivedi RB. Clinical Care Quality Among Veterans Health Administration Patients With Mental Illness Following Medical Home Implementation. Psychiatr Serv. 2019 Sep 1;70(9):816-823. doi: 10.1176/ Epub 2019 Jul 16.
PMID: 31310189.

Pyne JM, Kelly PA, Fischer EP, Miller CJ, Wright P, Zamora K, Koenig CJ, Stanley R, Seal K, Fortney JC. Development of a Perceived Access Inventory for Community Care Mental Healthcare Services for Veterans. Mil Med. 2019 Jul 1;184(7-8):e301-e308. doi: 10.1093/milmed/usy429. PMC7521611
PMID: 30690462.

Campbell SB, Fortney J, Simpson TL, Jakupcak M, Wagner A. Change in social support while participating in behavioral activation for PTSD. Psychol Trauma. 2019 Nov;11(8):905-908. doi: 10.1037/tra0000470. Epub 2019 May 20.
PMID: 31107046.

Owen RR, Woodward EN, Drummond KL, Deen TL, Oliver KA, Petersen NJ, Meit SS, Fortney JC, Kirchner JE. Using implementation facilitation to implement primary care mental health integration via clinical video telehealth in rural clinics: protocol for a hybrid type 2 cluster randomized stepped-wedge design. Implement Sci. 2019 Mar 21;14(1):33. doi: 10.1186/s13012-019-0875-5. PMC6429823
PMID: 30898129.

Goldberg SB, Simpson TL, Lehavot K, Katon JG, Chen JA, Glass JE, Schnurr PP, Sayer NA, Fortney JC. Mental Health Treatment Delay: A Comparison Among Civilians and Veterans of Different Service Eras. Psychiatr Serv. 2019 May 1;70(5):358-366. doi: 10.1176/ Epub 2019 Mar 7. PMC6510540
PMID: 30841842.

Wong ES, Maciejewski ML, Hebert PL, Fortney JC, Liu CF. Spillover Effects of Massachusetts Health Reform on Mental Health Use by VA and Medicare Dual Enrollees. Adm Policy Ment Health. 2019 Mar;46(2):145-153. doi: 10.1007/s10488-018-0900-z.
PMID: 30343347.

Spottswood M, Fortney J, Chen JA, Davydow D, Huang H. Posttraumatic Stress Disorder in the Primary Care Setting: Summary of Recommended Care. Harv Rev Psychiatry. 2019 Mar/Apr;27(2):87-93. doi: 10.1097/HRP.0000000000000201.
PMID: 30614927.

Chen JA, Fortney JC, Bergman HE, Browne KC, Grubbs KM, Hudson TJ, Raue PJ. Therapeutic alliance across trauma-focused and non-trauma-focused psychotherapies among veterans with PTSD. Psychol Serv. 2020 Nov;17(4):452-460. doi: 10.1037/ser0000329. Epub 2019 Feb 11. PMCID: PMC6689461.
PMID: 30742471.

Cerimele JM, Goldberg SB, Miller CJ, Gabrielson SW, Fortney JC. Systematic Review of Symptom Assessment Measures for Use in Measurement-Based Care of Bipolar Disorders. Psychiatr Serv. 2019 May 1;70(5):396-408. doi: 10.1176/ Epub 2019 Feb 5. PMC6543835
PMID: 30717645.

Bensley KM, Fortney J, Chan G, Dombrowski JC, Ornelas I, Rubinsky AD, Lapham GT, Glass JE, Williams EC. Differences in Receipt of Alcohol-Related Care Across Rurality Among VA Patients Living With HIV With Unhealthy Alcohol Use. J Rural Health. 2019 Jun;35(3):341-353. doi: 10.1111/jrh.12345. Epub 2019 Jan 31. PMC6639081
PMID: 30703856.

Cerimele JM, Fortney JC, Pyne JM, Curran GM. Bipolar disorder in primary care: a qualitative study of clinician and patient experiences with diagnosis and treatment. Fam Pract. 2019 Jan 25;36(1):32-37. doi: 10.1093/fampra/cmy019. PMC6346633
PMID: 29659789.

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Virtual Care QUERI Program: Implementation of Technology Facilitated Evidence Based Practices to Improve Access to High Quality Care for Rural Veterans

NIH website:

Collaborating to Heal Addiction and Mental Health in Primary care (CHAMP)

NIH website:

Comparing Two Approaches to Provide Complex Mental Health Care for Patients in Rural Areas -- The SPIRIT Study

NIH website:

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Media (Webinars, podcasts, etc)


Veteran Reported Outcomes for Referrals to Community Care Providers Compared to Referrals to Regional Tele-Mental Health Hubs

Wednesday, March 17, 2021 12PM (noon) ET

Veterans with poor access to mental health services at VA Medical Centers are eligible for Community Care or regional Telemental Health Hubs. This project compared patient reported outcomes for veterans referred to Community Care and Telemental Health Hubs.
Intended Audience: Researchers, clinicians, staff, and policy makers interested in make or buy decisions, and evaluating referral options for veterans in underserved CBOCs.