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Social & Community Psychiatry

Group of People Working around a Table with LaptopSocial and community psychiatry at Duke is dedicated to excellence in teaching, research and clinical practice focused on improving the behavioral health of the population with an emphasis on the underserved.

Training programs emphasize evidence-based training in community-based practices with faculty supervision, integrated with didactic instruction and innovative research.


Community Based Substance Use Disorder Research Program

Substance use related disorders are a key driver of poorer health, medical complications and high healthcare costs. A wide range of complex personal, psychosocial, financial and organizational factors have contributed to low or inadequate utilization of treatment services for substance use disorders. Addressing substance use disorders or behavioral health in medical settings is essential to achieving the triple-aim reform and value-based care.


Our Strategic Directions

  • Leverage medical records data to maximize discovery
  • Transform healthcare through data science and informatics
  • Develop patient-clinician-researcher partnerships
  • Engage stakeholders and community-clinical partnerships
  • Integrate the best clinical knowledge into care decisions
  • Promote share-decision making.
  • Improve care continuity and long-term outcomes
  • Monitor the quality of healthcare through performance measures

Our CORE Values

Our CORE values are: Courage, Optimism, Respect and Excellence

Our Mission

  • Conduct and promote community-based and practice-based substance use disorder research
  • Engage stakeholders in need assessment efforts and research projects
  • Mentor and support postdoctoral researchers and young investigators
  • Provide a forum for cross-disciplinary collaboration of potential studies
  • Generate evidence-based data to inform clinical practice and health policy
  • Disseminate research data to communities


Research Grants & Studies

  • COMPUTE 2.0: Clinic-Randomized Trial of Clinical Decision Support for Opioid Use Disorders in Medical Settings (NIH HEAL Initiative); Funding source: NIDA / NorthStar Node of the Clinical Trials Network; Site Principal Investigator: Li-Tzy Wu
  • Integrating Pharmacy-based Prevention and Treatment of Opioid and Other Substance Use Disorders: A Survey of Pharmacists and Stakeholders (NIH HEAL Initiative); Funding source: NIH NIDA UG1DA040317; Principal Investigator: Li-Tzy Wu
  • A Pilot Study to Permit Opioid Treatment Program Physicians to Prescribe Methadone through Community Pharmacies for their Stable Methadone Patients; Funding source: NIDA U01; Supplement Award to Duke; Principal Investigator: Li-Tzy Wu
  • Medication Treatment for Opioid-dependent Expecting Mothers (MOMs): A Pragmatic Randomized Trial Comparing Two Buprenorphine Formulations; Funding source: NIH NIDA UG1DA040317 HEAL Supplement Award to Duke for study site; Node Principal Investigator: Li-Tzy Wu
  • Buprenorphine physician-pharmacist collaboration in the management of patients with opioid use disorder; Funding source: NIH NIDA UG1; Principal Investigator: LT Wu/P Mannelli
  • Developing a prevention model of alcohol use disorder for Pacific Islander young adults; Funding source: NIH NIAAA R21; Subaward from University of California, Riverside, to Duke University (LT Wu)
  • Electronic health record data element study; Funding source: NIH NIDA UG1; Principal Investigator: LT Wu
  • Evaluation of state-mandated acute and post-surgical pain-specific CDC opioid prescribing (UNC Chapel Hill, Duke, and Vanderbilt); Funding source: CDC R01; Subaward from UNC Chapel Hill to Duke University (Site Principal Investigator: LT Wu)
  • INSPIRE, Integrated Health Services to Reduce Opioid Use While Managing Chronic Pain (RTI international, UNC Chapel Hill, Duke, and Vanderbilt); Funding source: PCORI; Subaward from RTI international to Duke University (Site Principal Investigator: LT Wu)
  • Measuring opioid use disorders in secondary electronic health records data; Funding source: Carolinas Collaborative Grant/CTSA; UNC Chapel Hill, Duke (Site Principal Investigator: LT Wu), MUSC, and Wake Forest
  • Mid Southern Node of the NIDA Clinical Trials Network; Funding source: NIH NIDA UG1; Principal Investigator/Program Director: LT Wu
  • Screening, Brief Intervention, and Referral to Treatment (SBIRT) in Primary Care; Funding source: NIH NIDA UG1; Principal Investigator: LT Wu
  • Substance use disorders and treatment use among Asian Americans and Pacific Islanders; Funding source: NIH NIMHD R01; Principal Investigator: LT Wu
  • The Tobacco, Alcohol, Prescription medications, and other Substance (TAPS) Tool (Friends Research Institute, Duke, NYU, VCU); Funding source: NIH NIDA UG1; Principal Investigator: LT Wu



Click on a faculty member’s name to view their profile, including their grants and publications.

You can reach Dr. Wu at or (919) 889-9639.

Program Staff


Services Effectiveness Research Program

The Services Effectiveness Research Program (SERP) is comprised of a team of mental health services researchers.


SERP's mission is to integrate psychiatric and psychological research into clinical practice. Toward this end, SERP faculty conduct mental health services research in four areas:
  • Treatment Effectiveness Research: Evaluating the effectiveness of treatment modalities in the context of "real world" clinical settings to improve outcomes for children and adolescents with serious emotional disorders, as well as adults with severe mental illness.
  • Mental Health Services/Policy: Examining the complex interaction between healthcare policy and psychiatric services and its effect on access to care, quality of care, treatment outcomes and financial cost, particularly when treating at-risk clinical populations.
  • Law and Mental Health: Investigating the impact of the legal system on treatment outcomes for individuals with severe mental illness, as well as risk and protective factors mediating the relationship between violence and mental illness.
  • Intervention/Dissemination/Training: Transferring technology into clinical practice by training not only mental health professionals to utilize evidence-based practices, but empirical investigators in the area of mental health services research as well.

SERP faculty members, Marvin S. Swartz, MD, Jeffrey W. Swanson, PhD and Allison G. Robertson, PhD, are nationally recognized leaders in these fields. Additionally, SERP faculty members actively participate in mentoring postdoctoral fellows through the National Research Service Award (NRSA) postdoctoral fellowship program in Mental Health and Substance Abuse Systems and Services Research, which is co-sponsored by UNC-Chapel Hill and Duke University.



Click on a faculty member’s name to view their profile, including their grants and publications.

Duke Area Health Education Center Program

The Duke Area Health Education Center (AHEC) seeks to help develop the behavioral health workforce in North Carolina through continuing education and technical assistance to providers across North Carolina through the AHEC program. Programs are offered through the nine regional AHECs across North Carolina. The focus is on disseminating and implementing evidence-based practices for rural and underserved populations. The program also sponsors educational experiences for trainees in community-based behavioral health settings.

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National Resource Center on Psychiatric Advance Directives

The National Resource Center on Psychiatric Advance Directives provides information and outreach to patients, families, clinicians and others interested in the use of psychiatric advance directives. The center is directed by Marvin Swartz, MD, and co-directed by Jeffrey Swanson, PhD.

Global Mental Health

Global mental health research reflects the diversity of Duke researchers from clinical research to large population based studies from South Africa to South Asia. Researchers are also active in cross-disciplinary and cross-campus collaborations, with strong ties to the Duke Global Health Institute.