Gregory E. Simon, MD, MPH

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“We bring a practical approach to mental health research, working to break down barriers between research and real-world health care.”

Gregory E. Simon, MD, MPH

Senior Investigator, Kaiser Permanente Washington Health Research Institute
Psychiatrist, Washington Permanente Medical Group
Professor, Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine
Research Professor, Psychiatry and Behavioral Sciences, University of Washington

Biography

Greg Simon, MD, MPH, is a psychiatrist and senior investigator well-known for his extensive research on practical approaches to improving mental health care. He seeks to develop and evaluate effective real-world strategies that support better mental health and wellness.  Current areas of emphasis include identifying and assessing suicide risk, improving care for treatment-resistant depression, and early intervention for mental health conditions in children and youth.

Dr. Simon leads the Mental Health Research Network (MHRN), a consortium of research centers affiliated with 13 large health systems across the United States, including Kaiser Permanente Washington. This network, funded through a cooperative agreement with the National Institute of Mental Health, aims to improve the efficiency, relevance, and impact of mental health clinical and health services research. Now in its second five-year funding cycle, the MHRN is exploring a broad range of issues—including suicide prevention, improving heart health in people with serious mental illness, using electronic medical records to improve follow-up care for depression, and understanding the causes of racial and ethnic disparities in mental health care.

Dr. Simon and his MHRN colleagues are conducting several large studies across MHRN health systems, including:

  • A pragmatic trial in four health systems examining the effect of systematic outreach programs to prevent suicide attempt among people at high risk.
  • Using electronic health records from seven health systems to develop and validate machine learning models to identify people at high risk of suicidal behavior.
  • A pragmatic trial in two health systems evaluating electronic health record tools to reduce risk of cardiovascular disease in people with bipolar disorder and schizophrenia.
  • A rigorous evaluation of Zero Suicide care improvement programs in six health systems
  • Developing measures to assess quality of care for depression in two health systems.

Dr. Simon is an editor for the Cochrane Collaboration’s depression and anxiety review group, sits on the editorial board for General Hospital Psychiatry, and serves on the advisory board for the National Institutes of Health’s All of Us Program (formerly Precision Medicine Initiative).   Earlier, he served on the editorial boards of Psychiatric Services and Psychological Medicine and chaired the scientific advisory board for the Depression and Bipolar Support Alliance. Dr. Simon has practiced adult psychiatry in Kaiser Permanente Washington's Mental Health and Wellness Service since 1990 and is a research professor in psychiatry and behavioral sciences at the University of Washington.​​​

Research interests and experience

  • Mental Health

    Depression; bipolar disorder; suicide prevention; self-management; treatment adherence

  • Chronic Illness Management

    Comorbidity of mental health conditions with obesity, diabetes, heart disease, and substance use disorders.

Recent publications

Simon GE. Benefits and costs of improving depression treatment in people with heart disease: comment on "Centralized, stepped, patient preference-based treatment for patients with post-acute coronary syndrome depression." JAMA Intern Med. 2013 Jun 10;173(11):1004-5. doi: 10.1001/jamainternmed.2013.925. PubMed

Ding VY, Hubbard RA, Rutter CM, Simon GE. Assessing the accuracy of profiling methods for identifying top providers: performance of mental health care providers.  Health Serv Outcomes Res Methodol. 2013;13(1):1-17. Epub 2012 Sep 18. PubMed

Imel ZE, Hubbard RA, Rutter CM, Simon G. Patient-rated alliance as a measure of therapist performance in two clinical settings.  J Consult Clin Psychol. 2013 Feb;81(1):154-65. doi: 10.1037/a0030903. Epub 2012 Dec 10. PubMed

Boudreau DM, Arterburn D, Bogart A, Haneuse S, Theis MK, Westbrook E, Simon G. Influence of body mass index on the choice of therapy for depression and follow-up care. Obesity (Silver Spring). 2013 Mar;21(3):E303-E313. doi: 10.1002/oby.20048. PubMed

Simon GE, Rutter CM, Stewart C, Pabiniak C, Wehnes L. Response to past depression treatments is not accurately recalled: comparison of structured recall and patient health questionnaire scores in medical records.  J Clin Psychiatry. 2012;73(12):1503-8. doi: 10.4088/JCP.12m07883. PubMed

Hunkeler EM, Hargreaves WA, Fireman B, Terdiman J, Meresman JF, Porterfield Y, Lee J, Dea R, Simon GE, Bauer MS, Unutzer J, Taylor CB. A web-delivered care management and patient self-management program for recurrent depression: a randomized trial. Psychiatr Serv. 2012 Nov;63(11):1063-71. doi: 10.1176/appi.ps.005332011. Epub 2012 Sep 15. PubMed

Solberg L, Simon G, Price D, Beck A, Ahmed A, Hunkeler E, Ahmedani B, Coleman K. Ca8-01: Can the HMORN transform itself into a learning health care network? Clin Med Res. 2012;10(3):176. PubMed

Fishman PA, Ding V, Hubbard R, Ludman EJ, Pabiniak C, Stewart C, Morales L, Simon GE. Impact of deductibles on initiation and continuation of psychotherapy for treatment of depression. Health Serv Res. 2012 Aug;47(4):1561-79. doi: 10.1111/j.1475-6773.2012.01388.x. Epub 2012 Feb 29. PubMed

Arterburn D, Westbrook EO, Ludman EJ, Operskalski B, Linde JA, Rohde P, Jeffery RW, Simon GE. Relationship between obesity, depression, and disability in middle-aged women.  Obes Res Clin Pract. 2012;6(3):e197-e206. Epub 2012 Mar 3. PubMed

Simon GE, Imel ZE, Ludman EJ, Steinfeld BJ. Is dropout after a first psychotherapy visit always a bad outcome?  Psychiatr Serv. 2012;63(7):705-7. PubMed

 

Research

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Suicide attempts decreased after adding suicide care to primary care

Safety planning and risk screening improved outcomes for adult patients.

Research

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Can machine learning help treat depression more effectively?

A new grant funds modeling work to make personalized treatment possible.

Research

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Understanding adoption of Lock to Live, a decision aid supporting suicide prevention

KPWHRI research finds ways to increase use of a firearm safety tool.

Research

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A medication that can relieve symptoms of psychosis is underused

Study finds that many patients who might benefit from clozapine don’t receive it.

Research

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Improving and advancing mental health care

KPWHRI researchers are contributing to better mental health care for people nationwide.