While her medical center experience is diverse, including stand-alone, community owned facilities as well as large multi-facility organizations Karen has always worked within integrated delivery systems. Karen has been a part of the Weld/Larimer Crisis Intervention Teams (CIT), first joining the steering committee in 2004. She has been a CIT trainer since the establishment of the first Weld/Larimer class, a coalition which later expanded to include Boulder County. She became a Mental Health Consultant for the Hostage Negotiations Team of Larimer County Sheriff’s Office in 2013, completing the FBI Negotiations course in September of that year. Karen also responds to crisis negotiation calls in Boulder County through the Longs Peak Crisis Negotiators, as well as in Weld County. Karen has instructed on identifying and de-escalating psychiatric crisis to Colorado State University law enforcement as well as annual Ranger Excellence School. She has studied forensic psychology under Roy Hazelwood, Reed Meloy, Kris Mohandie, Phillip Resnick and John Douglas. FRTC is excited to have Karen as another, “Culturally Competent” Clinician working with First Responders on both FRTC’s Regional All Agency Peer Support Response Team and also working as an interface with Medical and Behavioral Health Clinician, Facilities, (in and out patient) and First Responders, their families and departments, in the logistics of their specific care needs.