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    Brie Williams, MD

    TitleAssociate Professor
    SchoolUCSF School of Medicine
    DepartmentMedicine
    Address3333 Calif. St,Laurel Heights
    San Francisco CA 94143
    Phone415-514-0720

       Overview 
       Overview
      Overview
      Dr. Brie Williams is an Associate Professor of Medicine and Associate Director of the UCSF Program for the Aging Century. As a clinician-researcher, Dr. Williams is a national leader in assessing and improving the health and functional status of older adults involved in the criminal justice system. Dr. Williams also serves as Medical Director of the San Francisco VA Geriatrics Clinic and attends on the San Francisco VA Acute Care for Elders Unit and on the Palliative Care Consult Service. As Associate Director for Discovery and Communication in the UCSF Program for the Aging Century, Dr. Williams directs the strategic vision and investment opportunities in aging-related research and community outreach in order to catalyze the transformation of healthcare for older adults and their family members. Dr. Williams attended medical school at the Mount Sinai School of Medicine in New York where she simultaneously received a Master’s Degree in Community Medicine. She then completed an Internal Medicine Primary Care residency at UCSF-San Francisco General Hospital and a Geriatrics clinical and research fellowship at UCSF. She is board certified in Geriatrics, Hospice and Palliative Medicine, and Internal Medicine.

      Research
      Dr. Williams works with collaborators from the criminal justice, correctional health and legal fields to apply the principles of geriatrics and palliative medicine to transform the care of older adults in the criminal justice system. She has served as a consultant for jails, prisons and legal organizations nationwide, including the California Department of Corrections and Rehabilitation and the National ACLU. She was a member of the Workshop on Incarceration and Health sponsored by the Institute of Medicine and the National Academy of Sciences. Her research calls for new methods for responding to the unique health needs of incarcerated older adults— including an evidence-based approach to inform compassionate release policies and the design of a new assessment for physical functioning in older prisoners. Her work has also led to the inclusion of questions about incarceration in a national health survey of older adults. Her current research focuses on understanding the nature, prevalence, and healthcare utilization consequences of multi-morbidity, distressing symptoms, and functional and cognitive impairments in older jail inmates. Dr. Williams’ research has been supported by the Hartford Foundation, the Brookdale Foundation, the Jacob and Valeria Langeloth Foundation, the National Palliative Care Research Center, and the National Institutes of Health.

      Academic Focus
      Dr. Williams joined the UCSF Division of Geriatrics with a research focus on assessing and improving the health of disenfranchised older adults. Because of the strong link between age, declining health and cost, the growing number of older prisoners and jail inmates has become a healthcare and economic crisis for state and local economies. In her work as an educator, Dr. Williams focuses on the preparedness of health and non-health professionals for an aging criminal justice system. She has conducted needs assessments and trainings to expose diverse groups of professionals to the essential elements of geriatrics and palliative medicine in order to optimize care for older adults during and after incarceration. These professionals have included police, judges, attorneys, social workers and discharge case managers. Most recently, Dr. Williams has served as a lead editor of the upcoming Current Geriatrics Diagnosis and Treatment, 2nd Edition to be published by McGraw Hill in 2014.

       Interests
      Implementation Science, Older adults, Prisoners, criminal justice system, People with limited English proficiency, Socioeconomically marginalized groups, Persons with physical disability, Persons with mental illness, Policy advocacy, incarceration, aging, age-related functional decline, serious progressive illness, Mentoring junior faculty or trainees, Interdisciplinary research collaboration

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       Bibliographic 
       Publications
      Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help.
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      1. Chodos AH, Ahalt C, Cenzer IS, Myers J, Goldenson J, Williams BA. Older jail inmates and community acute care use. Am J Public Health. 2014 Sep; 104(9):1728-33.
        View in: PubMed
      2. Rich JD, Allen SA, Williams BA. Responding to hepatitis C through the criminal justice system. N Engl J Med. 2014 May 15; 370(20):1871-4.
        View in: PubMed
      3. Soones T, Ahalt C, Garrigues S, Faigman D, Williams BA. "My older clients fall through every crack in the system": geriatrics knowledge of legal professionals. J Am Geriatr Soc. 2014 Apr; 62(4):734-9.
        View in: PubMed
      4. Rich JD, Chandler R, Williams BA, Dumont D, Wang EA, Taxman FS, Allen SA, Clarke JG, Greifinger RB, Wildeman C, Osher FC, Rosenberg S, Haney C, Mauer M, Western B. How health care reform can transform the health of criminal justice-involved individuals. Health Aff (Millwood). 2014 Mar; 33(3):462-7.
        View in: PubMed
      5. Su CT, McMahan RD, Williams BA, Sharma RK, Sudore RL. Family Matters: Effects of Birth Order, Culture, and Family Dynamics on Surrogate Decision-Making. J Am Geriatr Soc. 2014 Jan 2.
        View in: PubMed
      6. Ahalt C, Trestman RL, Rich JD, Greifinger RB, Williams BA. Paying the price: the pressing need for quality, cost, and outcomes data to improve correctional health care for older prisoners. J Am Geriatr Soc. 2013 Nov; 61(11):2013-9.
        View in: PubMed
      7. Williams BA, Stern MF, Mellow J, Safer M, Greifinger RB. Aging in correctional custody: setting a policy agenda for older prisoner health care. Am J Public Health. 2012 Aug; 102(8):1475-81.
        View in: PubMed
      8. Williams BA, Goodwin JS, Baillargeon J, Ahalt C, Walter LC. Addressing the aging crisis in U.S. criminal justice health care. J Am Geriatr Soc. 2012 Jun; 60(6):1150-6.
        View in: PubMed
      9. Chen B, Covinsky KE, Stijacic Cenzer I, Adler N, Williams BA. Subjective social status and functional decline in older adults. J Gen Intern Med. 2012 Jun; 27(6):693-9.
        View in: PubMed
      10. Sun VK, Stijacic Cenzer I, Kao H, Ahalt C, Williams BA. How safe is your neighborhood? Perceived neighborhood safety and functional decline in older adults. J Gen Intern Med. 2012 May; 27(5):541-7.
        View in: PubMed
      11. Smith AK, Williams BA, Lo B. Discussing overall prognosis with the very elderly. N Engl J Med. 2011 Dec 8; 365(23):2149-51.
        View in: PubMed
      12. Chang A, Chur E, Kao H, Kawahara S, Williams B. Training clinicians and building systems for an aging century. San Francisco Medicine. 2011; 6(27):693-699.
      13. Ahalt C, Binswanger IA, Steinman M, Tulsky J, Williams BA. Confined to ignorance: the absence of prisoner information from nationally representative health data sets. J Gen Intern Med. 2012 Feb; 27(2):160-6.
        View in: PubMed
      14. Williams BA, Sudore RL, Greifinger R, Morrison RS. Balancing punishment and compassion for seriously ill prisoners. Ann Intern Med. 2011 Jul 19; 155(2):122-6.
        View in: PubMed
      15. Teleki SS, Damberg CL, Shaw R, Hiatt L, Williams B, Hill TE, Asch SM. The current state of quality of care measurement in the California Department of Corrections and Rehabilitation. J Correct Health Care. 2011 Apr; 17(2):100-21.
        View in: PubMed
      16. Asch SM, Damberg CL, Hiatt L, Teleki SS, Shaw R, Hill TE, Benjamin-Johnson R, Eisenman DP, Kulkarni SP, Wang E, Williams B, Yesus A, Grudzen CR. Selecting performance indicators for prison health care. J Correct Health Care. 2011 Apr; 17(2):138-49.
        View in: PubMed
      17. Castillo LS, Williams BA, Hooper SM, Sabatino CP, Weithorn LA, Sudore RL. Lost in translation: the unintended consequences of advance directive law on clinical care. Ann Intern Med. 2011 Jan 18; 154(2):121-8.
        View in: PubMed
      18. Smith AK, Cenzer IS, Knight SJ, Puntillo KA, Widera E, Williams BA, Boscardin WJ, Covinsky KE. The epidemiology of pain during the last 2 years of life. Ann Intern Med. 2010 Nov 2; 153(9):563-9.
        View in: PubMed
      19. Williams BA, McGuire J, Lindsay RG, Baillargeon J, Cenzer IS, Lee SJ, Kushel M. Coming home: health status and homelessness risk of older pre-release prisoners. J Gen Intern Med. 2010 Oct; 25(10):1038-44.
        View in: PubMed
      20. Baillargeon J, Williams BA, Mellow J, Harzke AJ, Hoge SK, Baillargeon G, Greifinger RB. Parole revocation among prison inmates with psychiatric and substance use disorders. Psychiatr Serv. 2009 Nov; 60(11):1516-21.
        View in: PubMed
      21. Williams BA, Baillargeon JG, Lindquist K, Walter LC, Covinsky KE, Whitson HE, Steinman MA. Medication prescribing practices for older prisoners in the Texas prison system. Am J Public Health. 2010 Apr; 100(4):756-61.
        View in: PubMed
      22. Mehta KM, Stewart AL, Langa KM, Yaffe K, Moody-Ayers S, Williams BA, Covinsky KE. "Below average" self-assessed school performance and Alzheimer's disease in the Aging, Demographics, and Memory Study. Alzheimers Dement. 2009 Sep; 5(5):380-7.
        View in: PubMed
      23. Williams BA, Lindquist K, Hill T, Baillargeon J, Mellow J, Greifinger R, Walter LC. Caregiving behind bars: correctional officer reports of disability in geriatric prisoners. J Am Geriatr Soc. 2009 Jul; 57(7):1286-92.
        View in: PubMed
      24. Sudore RL, Landefeld CS, Pérez-Stable EJ, Bibbins-Domingo K, Williams BA, Schillinger D. Unraveling the relationship between literacy, language proficiency, and patient-physician communication. Patient Educ Couns. 2009 Jun; 75(3):398-402.
        View in: PubMed
      25. Lee SJ, Sudore RL, Williams BA, Lindquist K, Chen HL, Covinsky KE. Functional limitations, socioeconomic status, and all-cause mortality in moderate alcohol drinkers. J Am Geriatr Soc. 2009 Jun; 57(6):955-62.
        View in: PubMed
      26. Schickedanz AD, Schillinger D, Landefeld CS, Knight SJ, Williams BA, Sudore RL. A clinical framework for improving the advance care planning process: start with patients' self-identified barriers. J Am Geriatr Soc. 2009 Jan; 57(1):31-9.
        View in: PubMed
      27. Baillargeon J, Snyder N, Soloway RD, Paar D, Baillargeon G, Spaulding AC, Pollock BH, Arcari CM, Williams BA, Raimer BG. Hepatocellular carcinoma prevalence and mortality in a male state prison population. Public Health Rep. 2009 Jan-Feb; 124(1):120-6.
        View in: PubMed
      28. Baillargeon J, Binswanger IA, Penn JV, Williams BA, Murray OJ. Psychiatric disorders and repeat incarcerations: the revolving prison door. Am J Psychiatry. 2009 Jan; 166(1):103-9.
        View in: PubMed
      29. Baillargeon J, Thomas CR, Williams B, Begley CE, Sharma S, Pollock BH, Murray OJ, Pulvino JS, Raimer B. Medical emergency department utilization patterns among uninsured patients with psychiatric disorders. Psychiatr Serv. 2008 Jul; 59(7):808-11.
        View in: PubMed
      30. Williams B, Greifinger R. Elder care in jails and prisons: Are we prepared?. J Correct Health Care. 2008; 4(14):4-6.
      31. Sudore RL, Schickedanz AD, Landefeld CS, Williams BA, Lindquist K, Pantilat SZ, Schillinger D. Engagement in multiple steps of the advance care planning process: a descriptive study of diverse older adults. J Am Geriatr Soc. 2008 Jun; 56(6):1006-13.
        View in: PubMed
      32. Williams BA, Lindquist K, Sudore RL, Covinsky KE, Walter LC. Screening mammography in older women. Effect of wealth and prognosis. Arch Intern Med. 2008 Mar 10; 168(5):514-20.
        View in: PubMed
      33. Sudore RL, Landefeld CS, Barnes DE, Lindquist K, Williams BA, Brody R, Schillinger D. An advance directive redesigned to meet the literacy level of most adults: a randomized trial. Patient Educ Couns. 2007 Dec; 69(1-3):165-95.
        View in: PubMed
      34. Pollack CE, Chideya S, Cubbin C, Williams B, Dekker M, Braveman P. Should health studies measure wealth? A systematic review. Am J Prev Med. 2007 Sep; 33(3):250-64.
        View in: PubMed
      35. Baillargeon J, Soloway RD, Paar D, Giordano TP, Murray O, Grady J, Williams B, Pulvino J, Raimer BG. End-stage liver disease in a state prison population. Ann Epidemiol. 2007 Oct; 17(10):808-13.
        View in: PubMed
      36. Lindner SA, Davoren JB, Vollmer A, Williams B, Landefeld CS. An electronic medical record intervention increased nursing home advance directive orders and documentation. J Am Geriatr Soc. 2007 Jul; 55(7):1001-6.
        View in: PubMed
      37. Williams BA, Lindquist K, Moody-Ayers SY, Walter LC, Covinsky KE. Functional impairment, race, and family expectations of death. J Am Geriatr Soc. 2006 Nov; 54(11):1682-7.
        View in: PubMed
      38. Sudore RL, Landefeld CS, Williams BA, Barnes DE, Lindquist K, Schillinger D. Use of a modified informed consent process among vulnerable patients: a descriptive study. J Gen Intern Med. 2006 Aug; 21(8):867-73.
        View in: PubMed
      39. Williams BA, Lindquist K, Sudore RL, Strupp HM, Willmott DJ, Walter LC. Being old and doing time: functional impairment and adverse experiences of geriatric female prisoners. J Am Geriatr Soc. 2006 Apr; 54(4):702-7.
        View in: PubMed
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