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Angela Wangari Walter

Angela Walter
Angela Wangari WalterAssistant Professor
  • College
    Zuckerberg College of Health Sciences
  • Department
    Public Health
  • Phone
    (978) 934-5374
  • Fax
    (978) 934-3012
  • Office
    O'Leary Library - 540-M
  • Email
  • Profile Links

Research Interests

Professor Walter’s research aims to advance science and practice in ways that will redress racial and ethnic inequities in the access to and quality of health care services. Her studies have focused on alcohol and drug use disorders and co-occurring diagnoses including mental illness and infectious diseases. Professor Walter has a strong background in health care delivery systems and in developing, implementing and evaluating systems of care for complex populations.

Current projects focus on: 1) prevention and treatment of co-occurring mental illness and substance use disorders; 2) pre-arraignment adult diversion alternatives in the wake of the opioid epidemic; 3) coordination and integration of primary care, specialty care and social service systems in care delivery systems such as accountable care organizations (ACOs); and 4) implementation science of the Gabby Preconception Care system - an innovative communication system designed to identify and mitigate health risks for young Black and African American women before pregnancy, as a means of reducing racial health disparities in birth outcomes.

Education

  • Postdoc: Health Policy and Management, (2014), Boston University School of Public Health - Boston, MA
  • Ph D, (2013), Brandeis University, The Heller School for Social Policy and Management - Waltham, MA
    Dissertation/Thesis Title: Alcohol use, HIV knowledge, and HIV related behaviors among women: Quantitative and qualitative analyses
  • MPH: Social and Behavioral Sciences, (2008), Boston University School of Public Health - Boston, MA
  • MSW: Macro Social Work Practice, (2007), Boston University School of Social Work - Boston, MA
  • BS: Health Policy and Management, (2003), Providence College - Providence, RI

Selected Awards and Honors

  • Faculty Award for Excellence in Teaching (2018), Teaching - Department of Public Health, University of Massachusetts Lowell
  • Community Research Innovative Scholar (2017), Scholarship/Research - University of Massachusetts Center for Clinical and Translational Science Institute
  • Faculty Award for Excellence in Teaching (2016), Teaching - Boston University School of Public Health
  • NIH Predoctoral Individual Fellowship (2012), Scholarship/Research - National Institute on Alcohol Abuse and Alcoholism (NIAAA)
  • Dissertation Award (2011), Scholarship/Research - The Heller School for Social Policy and Management, Brandeis University
  • NIH Predoctoral Institutional Training Fellowship (2008), Scholarship/Research - National Institute on Alcohol Abuse and Alcoholism (NIAAA)
  • Sarah Lange Award for Social Change (2007) - Boston University School of Social Work
  • Dean's Scholar (2005) - Boston University School of Social Work
  • Thomas D. Mackey Scholar (2005) - Boston University School of Social Work
  • Fortunato Tomassi Scholar (1999) - Providence College
  • Martin Luther King Scholar (1999) - Providence College

Selected Publications

  • Walter, A.W., Ellis, R.P., Yuan, Y. (2018) "Health care utilization and spending among privately insured children with medical complexity," Journal of Child Health Care [Epub ahead of print] https://doi.org/10.1177/1367493518785778:
  • Sprague Martinez, L., Lundgren, L., Walter, A.W., Sousa, J., Tahoun, N., Steketee, G., Hahm, H., Mueser, K.T., Krull, I., Do, D.L., Saitz, R. () "Behavioral health and primary care integration and the role of social work as a promising strategy for improving health for communities of color: What is the Evidence? A systematic review," Journal of the Society for Social Work and Research
  • Hirschi, M., Walter, A.W., Wilson, K., Jankovsky, K., Dworetzky, B., Comeau, M., Bachman, S. (2018) "Access to care among Children with Special Health Care Needs: The Massachusetts Medicaid buy-in program," Journal of Child Health Care [Epub ahead of print] https://doi.org/10.1177/1367493518777310:
  • Walter, A.W., Morocho, C., King, L., Bartlett, J., Kelsey, D., DeSousa, M., Biesecker, G., Punnett, L. (2018) "Preventing Opioid Use Disorders among Fishing Industry Workers," International Journal of Environmental Research and Public Health 15:4
  • Sprague Martinez, L., Walter, A.W., Acevedo, A., Marilis Lopez, L., Lundgren, L., (2018) "Context matters: Health disparities in substance use disorders and treatment," Journal of Social Work Practice in the Addictions 18:1 pp. 84-98
  • Walter, A.W., Sprague Martinez, L., Lopez, L.M. (2018) "Mental health care in the Affordable Care Act (ACA) era: Harnessing the power of communities," Routledge 3 pp. 314-327
  • Walter, A.W., Yuan, Y., Cabral, H. (2017) "Mental health services utilization and expenditures among children enrolled in employer sponsored health plans," Pediatrics 139:Supplement 2 pp. S127-S135
  • Walter, A.W., Cheng, D.M., Lloyd-Travaglini, C.A., Samet, J.H., Bernstein, J., Saitz, R. (2016) "Are decreases in drug use risk associated with reductions in HIV sex risk behaviors among adults in an urban hospital primary care setting?," Preventive Medicine Reports 4: pp. 410-416
  • Walter, A.W., Yvonne, R., Robbie, T., Kress, H., Morningstar, B., MacArthur, B., Daniels, A. (2016) "Leadership matters: How hidden biases perpetuate institutional racism in organizations," Human Service Organizations: Management, Leadership & Governance 4:3 pp. 213-221
  • Walter, A.W., Lundgren, L., Umez-Eronini, A., Ritter, G.A. (2016) "Alcohol use and HIV testing in a national sample of women," AIDS and Behavior 20:1 pp. 84-96
  • Bachman, S.S., Walter, A.W., Umez-Eronini, A. (2012) "Access to oral health care and self-reported health status among low-income adults living with HIV/AIDS," Public Health Reports 127:Suppl 2 pp. 55
  • Walter, A.W., Bachman, S.S., Reznik, D.A., Cabral, H., Umez-Eronini, A., Nath, A., Flournoy, M.W., Young, N.S. (2012) "Methamphetamine use and dental problems among adults enrolled in a program to increase access to oral health services for people living with HIV/AIDS," Public Health Reports 127:Suppl 2 pp. 25
  • Tobias, C.R., Fox, J.E., Walter, A.W., Lemay, C.A., Abel, S.N. (2012) "Retention of people living with HIV/AIDS in oral health care," Public Health Reports pp. 45-54
  • Bachman, S.S., Walter, A.W., Kuilan, N., Lundgren, L.M. (2008) "Implications of Medicaid coverage in a program for Latino substance users," Evaluation and program planning 31:1 pp. 74-82
  • Betancourt, J.R., Maina, A.W. (2007) "Barriers to eliminating disparities in clinical practice: Lessons from the IOM Report ’Unequal Treatment’," Humana Press pp. 83 - 97
  • Lundgren, L.M., Sullivan, L.M., Maina, A.W., Schilling, R.F. (2007) "Client Factors Associated With Length of Stay in Methadone Treatment among Heroin Users who Inject Drugs: Quantitative Analysis of State-level Substance Abuse Treatment Utilization Data," Journal of Addiction Medicine 1:1 pp. 26
  • Lee, K.C., Winickoff, J.P., Kim, M.K., Campbell, E.G., Betancourt, J.R., Park, E.R., Maina, A.W., Weissman, J.S. (2006) "Resident physicians’ use of professional and nonprofessional interpreters: a national survey," Jama 296:9 pp. 1049-1054
  • Park, E.R., Betancourt, J.R., Kim, M.K., Maina, A.W., Blumenthal, D., Weissman, J.S. (2005) "Mixed messages: residents’ experiences learning cross-cultural care," Academic Medicine 80:9 pp. 874-880
  • Weissman, J.S., Betancourt, J., Campbell, E.G., Park, E.R., Kim, M., Clarridge, B., Blumenthal, D., Lee, K.C., Maina, A.W. (2005) "Resident Physicians’ Preparedness to Provide Cross-Cultural Care," JAMA: Journal of the American Medical Association 294:9 pp. 1058 - 1067
  • Betancourt, J.R., Maina, A.W., Soni, M. (2005) "The IOM report unequal treatment: lessons for clinical practice," Delaware medical journal 77:9 pp. 339
  • Betancourt, J.R., Carrillo, J.E., Green, A.R., Maina, A.W. (2004) "Barriers to health promotion and disease prevention in the Latino population," Clinical cornerstone 6:3 pp. 16-29
  • Betancourt, J.R., Maina, A.W. (2004) "The Institute of Medicine report" Unequal Treatment": implications for academic health centers," The Mount Sinai journal of medicine, New York 71:5 pp. 314-321

Selected Presentations

  • Increasing access to primary and specialty care for homeless and transient Latinx: Results from Patient-Centered Medical Home (PCMH) Program - Annual Association for Medical Education and Research in Substance Abuse (AMERSA) Conference, November 2018 - San Francisco, CA
  • Rumbo a Casa: Outcomes of an integrated behavioral health treatment program for Latinx re-entering citizens post incarceration - Annual Association for Medical Education and Research in Substance Abuse (AMERSA) Conference, November 2018 - San Francisco, CA
  • Increasing access to primary and specialty care for hard-to-reach Latinos with co-occurring mental illness and addiction disorders: Results of the primary and behavioral health care integration program (PBHCI) - Annual Meeting of the American Public Health Association , November 2018 - San Diego, CA
  • A community-based approach to prevent opioid use disorders among commercial fishing industry workers in New Bedford - Sturbridge Symposium, May 2018 - Sturbridge, MA
  • Leadership matters: How hidden biases perpetuate institutional racism in organizations - The National Association of Social Workers, Research and Practice Symposium, April 2018 - Framingham, Massachusetts
  • Preventing opioid use disorders among fishing industry workers: A qualitative study - 7th Annual UMCCTS Community Engagement and Research Symposium, March 2018 - University of Massachusetts Medical School, Worcester, MA
  • Engagement and Retention of Children and Youth in Mental Health Care - Golda Edinburg Lecture, March 2018 - Belmont, Massachusetts
  • Reduced recidivism and relapse among justice-involved Latino adults: The role of a bilingual, culturally relevant, integrated trauma-informed, substance abuse and mental health treatment program - American Public Health Association (APHA), November 2017 - Atlanta, GA
  • Community based prevention to reduce opioid and other drug use disorders among commercial fishing industry workers - Projects in Process Seminar Series (PiPSS), October 2017 - Worcester, MA
  • Trends in substance use treatment and community based approaches to address substance use disorders - Greater Lowell Opioid Task Force, July 2017 - Lowell, MA
  • Implementation of SAMHSA-funded offender re-entry programs addressing substance use and co-occurring disorders among justice involved Latino adults - Academic and Health Policy Conference on Correctional Health, March 2017 - Atlanta, GA
  • Voices from the field: Factors that influence patient and family engagement and retention in mental health care among Black/African American, Latino, and White families - American Public Health Association (APHA), October 2016 - Denver, CO.
  • Mental health services utilization and costs among children enrolled in employer sponsored health plans: Implications for integrated care in the ACA era. - American Public Health Association (APHA)., October 2016 - Denver, CO.
  • The association between alcohol use and HIV testing in a national sample of women. - Society for Social Work and Research (SSWR), 2015 - New Orleans, LA.
  • Mental health services utilization and costs among children and youth (0-17) enrolled in employer sponsored health plans - Value Based Purchasing and Value Based Insurance Design Learning Community Meeting, May 2015 - Oak Grove Village, IL.
  • Alcohol use, HIV knowledge, and HIV testing decision making: A qualitative study with African American women in Massachusetts. - Addictions Health Services Research (AHSR), 2013 - Portland, OR
  • Alcohol use and HIV related behaviors: Results from a nationally representative sample of women. - American Public Health Association (APHA), 2013 - Boston, MA.
  • Factors associated with use of oral health care in an underserved HIV positive population. - American Public Health Association (APHA), 2013 - Boston, MA.
  • Impact of community residence on HIV transmission: Voices from African American women in Massachusetts. - American Public Health Association (APHA), 2013 - Boston, MA.
  • Alcohol use and HIV testing in a national sample of women. - Women and Gender Symposium: annual meeting of the Addictions Health Services Research (AHSR)., 2013 - Portland, OR
  • Alcohol use and HIV testing in a national sample of women. - Annual meeting of the National Institute on Alcohol Abuse and Alcoholism (NIAAA) of the National Institutes of Health (NIH) T32 Training Directors and Trainee Workshop., October 2013 - San Diego, CA
  • Advocating expanded treatment when the political landscape changes. Closing the addiction treatment gap: Preliminary findings and lessons symposium. - Addictions Health Services Research (AHSR), 2010 - Lexington, KY
  • Implications of Medicaid coverage in a program for Latino substance users - Addictions Health Services Research (AHSR), 2008 - Boston, MA
  • HIV prevention service encounters and changes in needle sharing activity among Latino injection drug users: The Case of La Voz (The Voice) - American Public Health Association (APHA), 2008 - San Diego, CA
  • Methadone maintenance treatment (MMT) utilization among opiate dependent pregnant women: A synthesis of findings from 3 research studies. - American Public Health Association (APHA), 2007 - Washington, DC
  • Continuous HIV risk behaviors: Factors associated with injection and sexual risk behaviors over a three month period among a diverse 12 sample of active injection drug users - American Public Health Association (APHA), 2006 - Boston, MA
  • Developing and maintaining a successful community-research partnership: The example of La Voz, a HIV prevention program - The national conference on Public Health Social Work (PHSW) in the 21st Century, 2006 - Boston, MA
  • Residents' preparedness and training to deliver cross-cultural care: A qualitative study - The annual meeting of the Society of Behavioral Medicine (SBM), 2005 - Boston, MA
  • Qualitative assessment of resident physicians' training and preparedness to deliver cross-cultural care - The annual meeting of Academy Health, 2004 - San Diego, CA
  • Preparedness of resident physicians to deliver cross-cultural care: A qualitative study - The annual meeting of the Society of General Internal Medicine (SGIM), 2004 - Chicago, IL
  • Worlds apart: Using documentary films to teach cross-cultural health care. - The annual meeting of the Society of General Internal Medicine (SGIM), 2004 - Chicago, IL
  • Are resident physicians prepared to deliver quality care to diverse populations? - The national conference on Quality Health Care for Culturally Diverse Populations, 2004 - Washington, DC

Selected Contracts, Fellowships, Grants and Sponsored Research

  • Implementation of a Health Information Technology System for Young African American Women into Community-Based Clinical Sites (2017), Grant - Agency for Healthcare Research and Quality (AHRQ)
    Walter, A.W. (Supporting), Jack, B.W. (Principal), Bickmore, T.W. (Co-Principal), Mitchell, S.E. (Supporting), Yinusa-Nyahkoon, L. (Supporting), St. Fleur, M. (Supporting)
  • Impact of the First Pre-Arraignment Adult Diversion Alternatives Program (ADAP) in the Wake of the Opioid Epidemic (2018), Grant - University of Massachusetts Lowell, Office of the Vice Chancellor for Research and Innovation, Sustainability Engagement & Enrichment Development (S.E.E.D.) Fund
    Walter, A.W. (Principal), Rydberg, J. (Co-Principal)
  • Dissemination of the primary and behavioral health care integration project (2017), Contract - Substance Abuse Mental Health Administration (SAMHSA)
    Walter, A.W. (Co-Principal), Lundgren, L. (Principal), Stewart, E. (Principal), Leake, R. (Supporting)
  • Community based prevention to reduce opioid and other drug abuse among industry workers. (2017), Grant - National Center for Advancing Translational Sciences, National Institutes of Health. University of Massachusetts Center for Clinical and Translational Science.
    Walter, A.W. (Principal), Punnett, L. (Supporting), Bartlett, J.J. (Supporting), King, L. (Supporting)
  • Rumbo a Casa: The Way Home (2016), Grant - Department of Health and Human Services, Substance Abuse and Mental Health Administration (SAMHSA)
    Walter, A.W. (Co-Principal), Lundgren, L. (Principal), Stewart, E. (Principal)
  • Impact of case management on early childhood mental health, health care costs, and quality of life (2014), Grant - Deborah Munroe Noonan Memorial Research Fund
    Walter, A.W. (Principal), Cabral, H. (Supporting), Yuan, Y. (Supporting)
  • Alcohol Use and HIV Risk Behaviors Among Women (2012), Grant - National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health. Ruth L. Kirschstein National Research Service Awards (NRSA).
    Walter, A.W. (Principal)