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
- 2023 participated in the 27-member, inaugural cohort of the NIH funded Babson L-SPRINT
- 2022 Corazon San Antonio Community Partner of the Year Award
- 2022 Best 25 Nurses of South-Central TX
- 2021 Mary Jane Ihle Clark Professor, Caregiving
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
- 2023 – Pres Epstein, K. Undergraduate Nursing Research ImmerSion Experience (SUNRISE) student, UT Health San Antonio, Perinatal Substance Use
- 2021 – 05/2022 Alonzo, A., Maternal-Infant Interaction, Stress Reactivity and Recovery, & Attunement, Summer Undergraduate Nursing Research Immersion Experience Student (SUNRISE) Advisor/Mentor, UT Health San Antonio
- 2021 - Present Davila, V., Texas Targeted Opioid Response, undergraduate student Advisor/Mentor
- 2021 – Present Flowers-Joseph, B., The Impact of Prenatal Stimulant Exposure, Pre-Doctoral Fellow, Advisor/Mentor UT Health San Antonio
- 2020 – 12/2021 Crawford, A., PhD student, UTHSCSA, Chair of Dissertation Committee: The experiences of incarcerated Latina mothers
- 2020 – 08/2020 Smith, J., Master’s in Public Health, University of Minnesota, The Mommies Toolkit-revised and the Texas Targeted Opioid Response 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
Institutional
- 2023 –Member: County/City Substance Use TIGER Team to better coordinate treatment and recovery support services in our community
- 2023 – Chair: UT San Antonio School of Public Health Search Committees Open Rank Faculty, Health Behavior and Society and Quantitative and Qualitative Health Sciences
- 2022 – Chair Elect: School of Nursing Promotion, Tenure, & Appointment Committee
- 2022 – 2022 Appointed Member: UT Health Women in Science Taskforce
- 2022 – 2022 Appointed Member: Search Committee for Dean, UT Health/UTSA School of Public Health
- 2021 – 2022 Appointed Member: Search Committee for Dean, School of Nursing
- 2020 – 2022 Appointed Member: UT System Early Childhood Steering Committee
- 2019 – 2021 Appointed Member: School of Nursing Scholarship Committee
- 2018 – Present Training Faculty: ReACH Center Population Health Fellowship Training Program
- 2018 – 2021 Elected Member: Council of Principal Investigators
- 2018 – 2019 Elected Member: Search Committee, School of Nursing
- 2018 – Present Member: Institute for Integration of Medicine and Science, Clinical and Translational Science Award (IIMS-CTSA) Leadership Advisory Council
Service to the Profession
- 2023 – Invited Expert: NICHD funded Expert Panel on Developing Quality Measures for Opioid-Exposed Infants.
- 2022 – 2022 Invited Expert: Institute for Healthcare Improvement (IHI) & the Alliance for Innovation in Maternal Health (AIM) in service of developing a change package that complements the AIM Care for Pregnant & Postpartum People with Substance Use Disorder Patient Safety Bundle
- 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 TX
- 2018 - Present, Journal Reviewer, Intensive & Critical Care Nursing
- 2018 - Present, Journal Reviewer, Acta Pediatrican
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
- *Crawford, A, Rick, TN, McGlothen-Bell, K, McGrath, J, Abbayad, C. Polinard, E, Cleveland, LM. Conditions that Influence Coping Mechanisms in Women Influenced by Incarceration, Research in Nursing and Health. (under review).
- * Crawford, A, Testa, A, McGlothen-Bell, K, McGrath, J, Cleveland, LM. Exploration of the Effects of Incarceration on the Health of Latina Women and Their Children. Public Health Nursing. (under review).
- *Mathias, CW, Cavazos, DM, McGlothen-Bell, K, Crawford, AD, Flowers-Joseph, B, Wang, Z, Cleveland, LM. Opioid overdose prevention education in Texas during the COVID-19 pandemic. Harm Reduction Journal. https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-023-00769-y.
- *Crawford, A, McGlothen-Bell, K, Marsh, LN, Cleveland, LM. “We’re still human”: A Reproductive Justice Analysis of the Experiences of Justice-Involved Latina Mothers. Journal of Aggression, Maltreatment, and Trauma. 32: 1-2, 262-281. https://doi.org/10.1080/10926771.2022.2162467.
- *Cleveland LM, McGlothen-Bell, K, Scott, L, Choi, BY, Gelfond, JM, Brownell, E, Bibriescas, N, McGrath, JM. Prenatal Opioid Exposure and Maternal-Infant Coregulation as an Indicator of Early Infant Neurodevelopment. Infant Mental Health Journal. (under revision).
- 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
- KSAT 12, Camelia Juarez, Expanded women’s substance recovery home in SA to include nursery, on-site clinic. June 10, 2023.
- KSAT 12, Stephania Jimenez, Fighting Fentanyl: How to get life-saving medication sent to your home for free (ksat.com). June 10, 2023.
- KSAT 12, Myra Arthur, What is Narcan? KSAT Explains. May 15, 2023.
- UT Health News Room, Rosanne Fohn, Women’s Wellness Campus well underway. May 1, 2023.
- KSAT 12, Courtney Friedman, Local team’s virtual Narcan training reaches almost half of all Texas counties. UT Health San Antonio School of Nursing has also sent Narcan to 73 percent of all Texas counties. May 1, 2023.
- News 4 (WOAI) and Fox29 (KABB), Mariza Medoza, Narcan sold over the counter, but how affordable is it? | WOAI (news4sanantonio.com) March 31, 2023.
- Education Week, Sarah Scwartz, Schools Have Been Hit Hard by the Opioid Epidemic. How One Program Is Trying to Help. March 7, 2023.
- Community Impact, Edmond Ortiz, SXSW EDU: Speakers stress early intervention, naloxone access to curb drug abuse. March 7, 2023.
- Bigler, E., Cavazos, D. Cleveland, LM, Worabo, H. Increasing Utilization of Mindfulness Practices through a Program for Mothers Recovering from Opioid Use Disorder. 47th Biennial Sigma Nursing Convention, San Antonio, TX. November 2022.
- Davila, V, Scott, L, Mathias, CW, Levos, T, Cleveland, LM. Casa Mia: Educational support for mothers in recovery housing for opioid misuse. 7th annual Cultural Inclusion Institute meeting, San Antonio, TX. April 2022. 3rd Place Winner
- Emmerich, A, Cleveland, LM, Scott, LA, Mathias, CW. (2022, April). moreNARCANplease: Distribution of Opioid Overdose Reversal Nasal Spray in Texas 2018-2022. 7th annual Cultural Inclusion Institute meeting, San Antonio, TX. April 2022.
- Cavazos, DM, Cleveland, LM, Emmerich, A, Mathias, CW, Wang, Z. Overdose Prevention and Education Training: Transition to Virtual during COVID-19. 7th annual Cultural Inclusion Institute meeting, San Antonio, TX. April 2022.
- Emmerich, A, Cleveland, LM, Scott, LA, Mathias, CW. (2022, March). moreNARCANplease: Distribution of Opioid Overdose Reversal Nasal Spray in Texas 2018-2022. Texas Substance Use Symposium (TXSUS), Corpus Christi, TX. March 2022.
- Cavazos, DM, Cleveland, LM, Emmerich, A, Mathias, CW, Wang, Z. Overdose Prevention and Education Training: Transition to Virtual during COVID-19. Texas Substance Use Symposium (TXSUS), Corpus Christi, TX, March 2022.
- Cavazos, DM, Cleveland, LM, Emmerich, A, Mathias, CW, Wang, Z. Narcan® Trainings during the COVID-19 pandemic. National Association of Hispanic Nurses, Miami, FL. March 2022.
- Meireles, C, Cleveland, LM, Martinez, M. Nutrition Supporting Recovery Program for Women with Opioid Use Disorder in South Central Texas Nutrition Care: Promoting Well-Being and Nurturing Promising Futures for Underserved Youth. 2021 Food & Nutrition Conference & Expo.™ October 2021.
- Cleveland, LM, Puga, F, McGlothen-Bell, KS, Emmerich, A, Scott, L. Kangaroo Mother Care: A Nursing Intervention for Neonatal Abstinence Syndrome. The Council for the Advancement of Nursing Science, Washington, D.C., October 2019.
- 2023 Clinical and Policy Transformation for A Novel Continuum of Care for Neonatal Abstinence Syndrome TX NAS Symposium, Corpus Christi, TX. (Invited Speaker)
- 2023 Casa Mia Recovery Model for Women and Children NOWS the Time, A Collaborative Care Workshop for the Treatment of Neonatal Opioid Withdrawal Syndrome, Tucson, AZ. (Invited Speaker)
- 2023. Ending the Opioid Crisis with Schools SXSW Edu, Austin, TX. (Invited Panelist)
- 2023 School Based Interventions to Address the Opioid Crisis State of the State: The View from Bexar County Texas Substance Use Symposium (TXSUS), San Antonio, TX. (Invited Panelist)
- 2022 Statewide Pre-Hospital Program Scale-Up During a Global Pandemic NIDA’s National Drug Abuse Treatment Clinical Trials Network: Prehospital Treatment for Opioid Use Disorder, Virtual Meeting. (Invited Speaker)
- 2022 UT Health San Antonio-School of Nursing NAS-RRH Expansion & NAS-TASH Texas Housing and Health Collaborative, Virtual Meeting. (Invited Speaker)
- 2022 A Community Driven Approach to Substance Use Recovery for Women and Children HHSC Institute, San Marco, 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)
- 2023 Increasing Utilization of Mindfulness Practices through a Program for Mothers Recovering from Opioid Use Disorder. 47th Biennial Sigma Nursing Convention, San Antonio, TX. (Co-Author with DNP Student Presenter).
- 2022 Opioid Overdose Prevention Training in Texas during the COVID-19 Public Health Emergency Declaration. 2022 STRAC Regional Emergency Healthcare Systems Conference, San Antonio, TX. (Co-Author with Undergraduate Student Presenter).
- 2022 Opioid Overdose Reversal Medication Distribution in Texas 2018-2022. 2022 STRAC Regional Emergency Healthcare Systems Conference, San Antonio, TX. (Co-Author)
- 2022 Casa Mia: Educational Support for Mothers in Recovery Housing for Opioid Misuse. 7th annual Cultural Inclusion Institute meeting, San Antonio, TX. (Co-Author with Undergraduate Student Presenter). *3rd Place Winner*
- 2022 moreNARCANplease: Distribution of Opioid Overdose Reversal Nasal Spray in Texas 2018-2022. 7th annual Cultural Inclusion Institute meeting, San Antonio, TX. (Co-Author).
- 2022 Overdose Prevention and Education Training: Transition to Virtual during COVID-19. 7th annual Cultural Inclusion Institute meeting, San Antonio, TX. (Co-Author).
- 2022 moreNARCANplease: Distribution of Opioid Overdose Reversal Nasal Spray in Texas 2018-2022. Texas Substance Use Symposium (TXSUS), Corpus Christi, TX. (Co-Author).
- 2022 Overdose Prevention and Education Training: Transition to Virtual during COVID-19. Texas Substance Use Symposium (TXSUS), Corpus Christi, TX, (Co-Author).
- 2022 Narcan® Trainings during the COVID-19 pandemic. National Association of Hispanic Nurses, Miami, FL. (Co-Author).
Peer-reviewed Articles (*indicates data-based)
Webinars, Videos, Web-Based Publications, & Press:
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