Lisa M Cleveland, PhD, APRN, CPNP, IBCLC, FAAN
Professor
Mary Jane Ihle Clark Professor in Caregiving
Dr. Lisa Cleveland is a Pediatric Nurse Practitioner and a tenured Professor at UT Health San Antonio, School of Nursing. Her innovative research with mother-infant dyads impacted by opioid use has contributed to changes in clinical practice and improved outcomes. Her recovery residence, Casa Mia, is a collaborative partnership between the School of Nursing and the nonprofit, Crosspoint, Inc. Casa Mia provides safe and supportive housing for pregnant and parenting women with substance use disorder where they can recover with their children.
In addition, the findings of Dr. Cleveland’s Maternal Opioid Morbidity Study are providing insight into the contextual factors surrounding maternal opioid use relapse and overdose deaths; the leading cause of maternal mortality in TX and a growing cause nationwide. Dr. Cleveland is now developing and psychometrically analyzing a brief screening instrument to help identify women at-risk for overdose death so they may be referred to life-saving resources. Further, Dr. Cleveland is leading the Texas Targeted Opioid Response to ensure access to Narcan, and opioid overdose identification and reversal education: moreNARCANplease.com. She is also leading a statewide community paramedicine program (TTOR Bexar County) to prevent overdose, increase the use of peer recovery services, and improve access to treatment.
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Professional Background
Education
- 2015 - Postdoctoral Fellowship - Health Disparities Research Fellowship - National Institutes of Health (5 P20 MD0006772)
- 2010 - Doctor of Philosophy - Parent/Child Nursing - University of Texas at Austin
- 1999 - Master of Science in Nursing - Pediatric Nurse Practitioner - Medical College of Georgia
- 1992 - Bachelor of Science in Nursing - Nursing - University of South Carolina
Highlights
Licensures and Certifications
- Advanced Practice Registered Nurse (APRN)
- Registered Nurse - Texas Board of Nursing
- Lactation Consultant, International Board Certified (IBCLC)
Honors and Awards
- 2019, Visionary Leader Award: UT Health San Antonio, School of Nursing
- 2018, Fellow: American Academy of Nursing
- 2015, Texas Kenneth Shine Academy of Health Science
- 2015, UT System Women Senior Leaders Network Inaugural Workshop
Appointments
- 2021 - Professor - UT Health San Antonio, School of Nursing
- 2018 - 2021 - Associate Professor - UT Health San Antonio, School of Nursing
- 2016 - Science - Faculty Affiliate - University of California at Irvine; Institute for Interdisciplinary Salivary Bioscience ResearchIrvine
- 2014 - present - Research Consultant-Neonatal Intensive Care Unit - University Health SystemsSan Antonio
- 2013 - present - Pediatric Nurse Practitioner - Healy Murphy High School and Child Development CenterSan Antonio
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Instruction & Training
- 2011 - present , NURS 6615 PNP-PC Diagnosis & Management I: Clinical Application, UT Health San Antonio, School of Nursing
- 2011 - present, NURS 6616 PNP-PC Diagnosis & Management II: Clinical Application, UT Health San Antonio, School of Nursing
- 2017 , NURS 7380 Qualitative Inquiry for Clinical Nursing Research, UT Health San Antonio, School of Nursing
- 2017, NURE 3091 Indt Study in Nursing, UT Health San Antonio, School of Nursing
- 2017, NURE 5091 Independent Study in Nursing, UT Health San Antonio, School of Nursing
- 2016, NURS 6616 PNP-PC Diagnosis & Management II: Clinical Application, UT Health San Antonio, School of Nursing
- 2016, NURS 6615 PNP-PC Diagnosis & Management I: Clinical Application, UT Health San Antonio, School of Nursing
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Research & Grants
Grants
Currently Funded:
- 2017 - 2021, Funder: Texas Health & Human Services Commission, $2,313,492.50. Title: First Responders CARA. Role: Principal Investigator
- 2017 - 2020, Funder: The Texas Health and Human Services Commission/164835, $869,999.20. Title: Maternal Opioid Morbidity Study (MOMS). Role: Principal Investigator
Completed Research/Projects:
- 2019 - 2020, Funder: Texas Health & Human Services Commission/ HHS000420300001, $700,000.00. Title: Texas Neonatal Abstinence Syndrome Collaborative. Role: Principal Investigator
- 2018 - 2020, Funder: Texas Health & Human Services Commission, $349,999.20. Title: Stress & Social Support (SASS). Role: Principal Investigator
- 2019 - 2019, Funder: Texas Department of State Health Services/ HHS000358100001, $290,000.00. Title: Casa Mia-A Recovery Residence for Pregnant & Parenting Women with Opioid Use Disorder. Role: Principal Investigator
- 2018 - 2019, Funder: Texas Health & Human Services Commission/$3,657,667.00. Title: 24-Hour Overdose Prevention “Drop-In” Centers. Role: Principal Investigator
- 2018 - 2019, Funding Agency: Texas Health and Human Services Commission / $309,827.00. Title: Naloxone Training and Fidelity Review. Role: Principal Investigator / HHS000307100001
- 2018 - 2019, Funder: Texas Health & Human Services Commission / $19,371,300.00. Title: Texas Targeted Opioid Response. Role: Principal Investigator
- 2014 - 2019, Funder: Texas Health & Human Services Commission / $1,328,001.00. Title: Substance Use Disorders and Neonatal Abstinence Syndrome. Role: Principal Investigator
- 2016 - 2018, Funder: Patient Centered Outcomes Research Institute (PCORI) / $40,000.00. Title: The Bexar County Neonatal Abstinence Syndrome Collaborative. Role: Principal Investigator
Projects
- 2018 - 2023, Evaluation of the Neonatal Abstinence Syndrome Residential Facility, My team is designing and implementing an evaluation plan for this Center for Health Care Services' (Local Mental Authority) Substance Abuse & Mental Health Services Administration grant.
- 2016 - 2019, Patient Centered Outcomes Research Institute (PCORI), The Bexar County Neonatal Abstinence Syndrome Collaborative. The goal of our Tier I, Pipeline to Proposal project is to establish a well-defined collaborative partnership and structure between four key community agencies, care consumers (patients) and other essential stakeholders with the goal of reducing NAS rates and improving care for this underserved population. The outcomes of our Tier I project will result in a collaborative that will foster the development of a patient centered comparative effectiveness research proposal to address NAS.
- 2017 - 2018, The Maternal Opioid Morbidity Study (MOMS), Opioid overdose death is the 2nd leading cause of maternal mortality in Texas. Yet, little is known about the circumstances that surrounded these deaths. Therefore, the purpose of this exploratory, mixed-methods study
- is to provide insight into the contextual factors that surround maternal opioid overdose deaths. Having this understanding may help predict these occurrences and contribute to the development of targeted preventative interventions.
- 2015 - 2018, Hispanic Grandparents as Primary Caregivers for their Grandchildren, The purpose of this study To explore the experiences of Hispanic grandparents serving as primary care providers for their grandchildren in the context of parental substance abuse. The findings of this study will provide preliminary data for the development of intervention programs aimed at addressing the specific needs of Hispanic grandparents raising their grandchildren. In addition, this study will help inform health care professionals about the unique needs of Hispanic grandparents assuming primary caregiver roles which has been called for by leading researchers in the field.
- 2014 - 2018, Substance Use Disorder and Neonatal Abstinence Syndrome, The purpose of this study is to conduct research to explore the impact of kangaroo care on stress reactivity and attachment in mother-infant dyads who are affected by opioid use.
- 2014 - 2017, The Mommies Training Program, The purpose of this project was to develop a “toolkit” and conduct on-going statewide education to expand a successful, integrated program for treatment of pregnant and parenting women with substance use disorders: http://www.dshs.texas.gov/sa/nas/
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Service
School
Student Mentee/Trainees
- 2019 - Present, Garcia, B., Texas Targeted Opioid Response, UT Health San Antonio, High School student Advisor/Mentor
- 2019 - Present, Cavazos, C., Maternal-Infant Interaction, Stress Reactivity and Recovery, & Attunement, Undergraduate research student Advisor/Mentor UT Health San Antonio
- 2019 - Present, Hungerford, N., Texas Targeted Opioid Response, UT Health San Antonio, Undergraduate research student Advisor/Mentor
- 2019 - Present, Sewell, K., Texas Targeted Opioid Response, UT Health San Antonio, Undergraduate research student Advisor/Mentor
- 2019 - Present, Alrashedi, H., Texas Targeted Opioid Response, UT Health San Antonio, Graduate research student Advisor/Mentor
- 2019 - Present Butler, N., Maternal-Infant Interaction, Stress Reactivity and Recovery, & Attunement, UTSA, Undergraduate research student
- 2019 - Present, Oyervidez, I., Texas Targeted Opioid, UT Health San Antonio, Undergraduate research student Advisor/Mentor
- 2019 - Present, Rubio, L., Colombian doctoral nursing student working on her project: Decision Making Among Parents of Children in Pediatric Intensive Care, Colombian doctoral nursing student Advisor/Mentor, International Student
Institutional
- 2018 - Present, UTHSCSA Council of Principal Investigators, Member
- 2018 - Present, UT Health San Antonio Institute for Integration of Medicine and Science, Clinical and Translation, Member
- 2018 - Present, UT Health SA, School of Nursing Search Committee, Member
- 2018 - Present, UT Health SA, School of Nursing Search Committee for the Vice Dean for Faculty, Member
- 2018 - Present, ReACH Center Population Health Fellowship Training Program Faculty, Training Faculty
- 2018 - Present, Council of Principal Investigators Elected Member
- 2017 - Present, UT Health San Antonio, School of Pharmacology Training Faculty: National Institute on Drug Abuse Training Program . T32 D, Faculty Advisor
- 2016 - Present, UT Health San Antonio, School of Pharmacology Internal Advisory Board for the Addiction Research, Treatment and Training, Board Member
- 09/2013 - Present, UTHSCSA Student Fees Advisory Committee, Member
- 2006 - Present, UT Health SA, School of Nursing Faculty Assembly (FA), Member
Service to the Profession
- 2019 - Present, Appointed Member, Bexar County Joint Opioid Implementation Task Force
- 2018 - Present, Member, National Expert Team on Maternal Opioid Use Disorder
- 2018 - Present, Group Leader, AWHONN AIM State Nurse Leader for Texas
- 2018 - Present, Journal Reviewer, Intensive & Critical Care Nursing
- 2018 - Present, Journal Reviewer, Acta Pediatrica
- 2018 - Present, Member, American Academy of Nursing Expert Panel on Psychiatric, Mental Health & Substance Use
- 2018 - Present, Member, Bexar County Harm Reduction, Syringe Services Program Pilot Project Planning Committee
Professional Affiliations
- 2018 - Present, Texas Nurses Association, Member
- 2018 - Present, American Academy of Nursing, Member
- 2014 - Present, North American Nursing Diagnosis Association-International (NANDA-I), Member
- 2007 - Present, Association of Women‘s Health, Obstetrical, and Neonatal Nurses, Member
- 1992 - Present, Sigma Theta Tau International: Nursing Honor Society, Member
Community
- 2018 - Present, Member, Bexar County Syringe Services Program Pilot Project Planning Committee
- 2017 - Present, Member, Texas Health & Human Services Office of Disability Prevention for Children
- 2016 - Present, Member, Project Advisory Committee (PAC): American Academy of Pediatrics, Physician Engagement and Training Focused on Breastfeeding Project
- 2016 - Present, Member, Workgroup Member: Alliance for Innovation in Maternal Health (AIM), Obstetric Care for Women with Opioid Dependence-patient safety bundle and consensus
- 2016 - Present, Co-Director, Advisory Council: The Bexar County Neonatal Abstinence Syndrome Collaborative
- 2015 - Present, Member, The Texas Neonatal Abstinence Syndrome Collaborative
- 2013 - Present, Pediatric Nurse Practitioner, Child Development Center
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Publications
- Cleveland, PhD, RN, CPNP, IBCL LM. National Partnership for Maternal Safety: Consensus Bundle on Obstetric Care for Women with Opioid Use Disorder. (Under Review) Green Journal
- McGlothen, K.S., Cleveland P, Pados, B. To Consent, or not to Consent, that is the Question: Ethical Issues of Informed Consent for the Use of Donor Human Milk in the NICU Setting. (accepted for publication) Advances in Neonatal Care
- Cleveland, PhD, RN, CPNP, IBCL LM. Health Promotion of the Newborn and Family. (in press) In: Marilyn J. Hockenberry & David Wilson. Wong’s Nursing Care of Infants and Children (12th Ed.). St. Louis, MO: Elsevier
- Cleveland, PhD, RN, CPNP, IBCL LM. First time mother graduates from drug court 2019 May
- Cleveland, PhD, RN, CPNP, IBCL LM. San Antonio facility gives mothers in drug recovery opportunity to live with their children. 2019 May
- Cleveland, PhD, RN, CPNP, IBCL LM. At a home of recovery, women celebrate mother’s day and sobriety with their children. San Antonio: Rivard Report - Institute for Nonprofit News; 2019 May. Available from: https://therivardreport.com/at-a-home-of-recovery-women-celebrate-mothers-day-and-sobriety-with-their-children/?utm_campaign=newsletter&utm_medium=email&utm_source=newsletter-daily&utm_content=editorial&utm_term=health&utm_source=Rivard+Report&utm_campaign=0703696a39-EMAIL_CAMPAIGN_2018_12_21_07_19_COPY_01&utm_medium=email&utm_term=0_1576c62124-0703696a39-84621137
- Cleveland, PhD, RN, CPNP, IBCL LM. New response team taking proactive approach to opioid overdoses. 2019 Apr
- Cleveland, PhD, RN, CPNP, IBCL LM. Opioid response team offers help, hope to overdose survivors. 2019 Mar
- Jessup, M.S., Oerther, S.E., Gance-Cleveland, B., Cleveland P, Czubaruk, K.M., Byrne, M.W., D’Apolito, K., Adam, S.M., Baxter, B.J., Rogers P. Pregnant and Parenting Women with a Substance Use Disorder: Actions and Policy for Enduring Therapeutic Practice. Nursing Outlook 2019 Mar
- Cleveland, PhD, RN, CPNP, IBCL LM. Casa Mia Keeps Families Together Through Recovery from Opioid Addiction. 2019 Mar
- Cleveland, PhD, RN, CPNP, IBCL LM. Housing Program Unites Addicted Moms, Babies. 2019 Feb
- Cleveland, PhD, RN, CPNP, IBCL LM. Drug recovery home for moms and babies could be model for rest of nation. 2019 Feb
- Cleveland, PhD, RN, CPNP, IBCL LM. San Antonio tops statewide list of babies born with drug withdrawals. 2019 Jan
- Cleveland, PhD, RN, CPNP, IBCL LM. Casa Mia, a safe haven in San Antonio for mothers recovering from opioid addiction, opens its doors. 2019 Jan
- Meireles P, Parke D, Smith, J., Cleveland P, Pierce, S., Graham, B., Sickora D. Nutrition Care: Promoting Well-Being and Nurturing Promising Futures for Underserved Youth. 2018 Sep. (Journal of the Academy of Nutrition and Dietetics; vol. 118, no. 9).
- Cleveland L, Bonugli RJ, Puga F. The Maternal Opioid Morbidity Study (MOMS) 2017 Jul. (Sigma Theta Tau 28th International Nursing Research Congress Dublin, Ireland).
- Cleveland P, McGlothen, KS, Puga F. Improving Nursing Care and Outcomes for Mother-Infant Dyads Impacted by Opioid Use Sigma Theta Tau International Nursing Research Congress, Dublin, Ireland; 2017 Jul.
- Hill, C, Cleveland, LM, Civil, R, Kennedy, J.. The Power of Touch-Evidence and Experiences of the Benefits of Human Touch in the Immediate Newborn Period The Association of Women’s Health, Obstetric, and Neonatal Nurses National Convention, New Orleans; 2017 Jun.
- Cleveland, LM. The Criminalization of Pregnant and Parenting Women with Substance Use Disorders Association of Women’s Health, Obstetric, and Neonatal Nurses National Convention, New Orleans; 2017 Jun.
- McGlothen, K, Gill, S, Cleveland, LM.. “I‘m Doing the Best That I Can for Her”: Infant Feeding Decisions Among Mothers Receiving Medication Assisted Treatment (MAT) for an Opioid-Use Disorder The Association of Women’s Health, Obstetric, and Neonatal Nurses National Convention, New Orleans,; 2017 Jun.
- Cleveland, LM, Puga, F. An Inter-professional Collaborative to Improve Care and Outcomes for Mother-Infant Dyads Impacted by Neonatal Abstinence Syndrome International Congress on Nursing Annual Convention, Barcelona, Spain: 2017 Jun.
- 2019, Academic and Community Partnerships to Disseminate Evidence-Based Opioid Risk Mitigation, Collaborative Perspective on Addiction, San Antonio, TX (Invited Speaker)
- 2019, Community overdose Prevention, Opioids and Oral Health Symposium, San Antonio, TX
- 2019, Targeting the Opioid Crisis to Improve Community Health, CTSA Leadership Advisory Council Meeting, San Antonio, TX (Invited Speaker)
- 2019, Opioid Overdose and Narcan Training, San Antonio College, San Antonio, TX (Invited Speaker)
- 2019, Casa Mia: A Community Partnership to Support Women & Children in Recovery, San Antonio Substance Use Symposium, San Antonio, TX (Invited Speaker)
- 2019, Therapeutic Care of the Opioid Impacted Mother-Infant Dyad, Addiction and Pain Management and Prevention Summit, Austin, TX (Invited Speaker)
- 2019, What is Out There? Texas Resources, San Antonio Substance Use Symposium, San Antonio, TX (Panel)
- 2019, Panel on Substance Use & Abuse: Moving the Conversation Forward 2018, Texas Court Appointed Special Advocates for Children, Child Welfare Primer, Austin, TX (Panel)
- 2017, The Maternal Opioid Morbidity Study (MOM), Sigma Theta Tau International Nursing Research Congress, Sigma Theta Tau, Dublin, Ireland (Co-Presenter)
- 2017, An Inter-Professional Collaborative to Improve Care and Outcomes for Mother-Infant Dydas Impacted by Neonatal Abstinence Syndrome, International Congress on Nursing Annual Convention, The International Congress on Nursing, Barcelona, Spain (Co-Presenter)
- 2017, Infant Feeding Decisions Among Mothers Receiving Medication Assisted Treatment For An Opioid Use Disorder, Behavior, Biology, and Chemistry Conference, UT Health San Antonio, San Antonio, TX (Co-Author). Details: Faculty mentor for student poster presentation: Kelly McGlothen
- 2017, Social Support, Stress, and Depressive Symptoms in Opioid Using Pregnant Women, Southern Nursing Research Society’s 2017 Annual Conference, Southern Nursing Research Society, Dallas, TX (Co-Author). Details: Faculty mentor for student poster presentation: Cristina Cruz
Peer-reviewed Articles (*indicates data-based)
Abstracts
Invited Podium Presentations (i. e. keynotes presentations)
Peer Reviewed Podium Presentations
Peer Reviewed Poster Presentations
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Clinical
Board Certifications
- Pediatric Nursing Certification Board