Following a decade of work in a community mental-health center in Cleveland, she was named Chief Clinical Officer of the Alcohol, Drug Addiction, and Mental Health Services (ADAMHS) Board of Cuyahoga County in 2009. She is also medical consultant for the Center for Evidence-Based Practices (CEBP) at Case Western Reserve University and its two Ohio Coordinating Center of Excellence (CCOE) initiatives—the Substance Abuse and Mental Illness (SAMI) CCOE and Supported Employment (SE) CCOE.