Faculty ProfilesBrie Williams, MD
3333 California Street
San Francisco, CA 94118
Dr. Brie Williams is a Professor of Medicine in the UCSF Division of Geriatrics, Director of the Criminal Justice & Health Program at UCSF and Director of the Criminal Justice and Aging Project of Tideswell at UCSF.
Research and Academic Focus
Dr. Williams' works focuses on bringing the science of geriatrics and palliative care to criminal justice reform. She collaborates with colleagues from diverse disciplines (including criminal justice, public safety and the law) to conduct impact-oriented research and education.
Dr. Williams' clinical research has called for improved responses to disability, cognitive impairment, and symptom distress in older or seriously ill prisoners; a more scientific development of compassionate release policies; and a broader inclusion of prisoners in national health datasets and in clinical research. She has developed new methods for responding to the unique health needs of criminal justice-involved older adults — including an evidence-based approach to reforming compassionate release policies and the design of a new tool to assess physical functioning in older prisoners.
Dr. Williams served as a member of the Workshop on Incarceration and Health sponsored by the Institute of Medicine and the National Academy of Sciences. Her research has been supported by the John A. Hartford Foundation, the Brookdale Foundation, the Jacob and Valeria Langeloth Foundation, the National Palliative Care Research Center, the National Institute on Aging, the UC Office of the President and the Cambia Foundation.
Program Development and Consultation
Dr. Williams is the Founding Director of the UC Criminal Justice & Health Consortium, a UC-wide community of over 120 faculty and graduate students spanning more than 20 academic departments which brings evidence-based healthcare solutions to criminal justice reform.
She directs the Criminal Justice Aging Project, which develops and delivers geriatrics and palliative care training to criminal justice professionals including police, correctional officers, judges, attorneys, and healthcare providers. Dr. Williams also runs the European-U.S. Criminal Justice Innovation Program, an immersion program that introduces U.S. prison and government officials to health-oriented criminal justice systems throughout Europe.
Dr. Williams has served as a consultant for jails, prisons and legal organizations nationwide, including the California Department of Corrections and Rehabilitation and the National ACLU. She has served as an expert witness in several lawsuits related to the physical health effects of solitary confinement. In 2016, Dr. Williams provided expert testimony to the US Sentencing Commission on proposed changes to Compassionate Release policies.
Education and Training
|Location||Degree or Training||Specialty||Date|
|University of California, San Francisco||Residency||School of Medicine - Primary Care|
|The Icahn School of Medicine||MS - Community Medicine||Community Medicine|
|University of California, San Francisco||Geriatrics Fellowship||Division of Geriatrics|
|The Icahn School of Medicine at Mount Sinai||MD||School of Medicine|
|University of California, San Francisco||Training in Aging Research||Division of Geriatrics|
Implementation Science, Interdisciplinary research collaboration, Mentoring junior faculty or trainees, Older adults, Policy advocacy, Prisoners, Socioeconomically marginalized groups, age-related functional decline, aging, criminal justice system, health disparities, incarceration, palliative care, serious progressive illnessRecent Articles (63)
Metzger L, Ahalt C, Kushel M, Riker A, Williams B. Mobilizing cross-sector community partnerships to address the needs of criminal justice-involved older adults: a framework for action. Int J Prison Health. 2017 Sep 11; 13(3-4):173-184.
Ahalt C, Sudore R, Bolano M, Metzger L, Darby AM, Williams B. "Teach-to-Goal" to Better Assess Informed Consent Comprehension among Incarcerated Clinical Research Participants. AMA J Ethics. 2017 Sep 01; 19(9):862-872.
Rothman A, McConville S, Hsia R, Metzger L, Ahalt C, Williams BA. Differences between incarcerated and non-incarcerated patients who die in community hospitals highlight the need for palliative care services for seriously ill prisoners in correctional facilities and in community hospitals: A cross-sectional study. Palliat Med. 2017 Sep 01; 269216317731547.
Brie Williams, Alex Rothman, and Cyrus Ahalt. For Seriously Ill Prisoners, Consider Evidence-Based Compassionate Release Policies, Health Affairs http://healthaffairs.org/blog/2017/02/06/for-seriously-ill-prisoners-consider-evidence-based-compassionate-release-policies/. 2017.
Baillargeon J, Pulvino JS, Leonardson JE, Linthicum LC, Williams B, Penn J, Williams RS, Baillargeon G, Murray OJ. The changing epidemiology of HIV in the criminal justice system. Int J STD AIDS. 2017 Jan 01; 956462417705530.
Bolano M, Ahalt C, Ritchie C, Stijacic-Cenzer I, Williams B. Detained and Distressed: Persistent Distressing Symptoms in a Population of Older Jail Inmates. J Am Geriatr Soc. 2016 Nov; 64(11):2349-2355.
Flatt JD, Williams BA, Barnes D, Goldenson J, Ahalt C. Post-traumatic stress disorder symptoms and associated health and social vulnerabilities in older jail inmates. Aging Ment Health. 2017 Oct; 21(10):1106-1112.
Lisa C. Barry and Brie A. Williams. A call to understand the mental health needs of older prisoners. SGIM Forum. 2015; 1(38).
Soones T, Ahalt C, Garrigues S, Faigman D, Williams BA. "My older clients fall through every crack in the system": geriatrics knowledge of legal professionals. J Am Geriatr Soc. 2014 Apr; 62(4):734-9.
Rich JD, Chandler R, Williams BA, Dumont D, Wang EA, Taxman FS, Allen SA, Clarke JG, Greifinger RB, Wildeman C, Osher FC, Rosenberg S, Haney C, Mauer M, Western B. How health care reform can transform the health of criminal justice-involved individuals. Health Aff (Millwood). 2014 Mar; 33(3):462-7.
Ahalt C, Trestman RL, Rich JD, Greifinger RB, Williams BA. Paying the price: the pressing need for quality, cost, and outcomes data to improve correctional health care for older prisoners. J Am Geriatr Soc. 2013 Nov; 61(11):2013-9.
Chang A, Chur E, Kao H, Kawahara S, Williams B. Training clinicians and building systems for an aging century. San Francisco Medicine. 2011; 6(27):693-699.
Ahalt C, Binswanger IA, Steinman M, Tulsky J, Williams BA. Confined to ignorance: the absence of prisoner information from nationally representative health data sets. J Gen Intern Med. 2012 Feb; 27(2):160-6.
Teleki SS, Damberg CL, Shaw R, Hiatt L, Williams B, Hill TE, Asch SM. The current state of quality of care measurement in the California Department of Corrections and Rehabilitation. J Correct Health Care. 2011 Apr; 17(2):100-21.
Asch SM, Damberg CL, Hiatt L, Teleki SS, Shaw R, Hill TE, Benjamin-Johnson R, Eisenman DP, Kulkarni SP, Wang E, Williams B, Yesus A, Grudzen CR. Selecting performance indicators for prison health care. J Correct Health Care. 2011 Apr; 17(2):138-49.
Castillo LS, Williams BA, Hooper SM, Sabatino CP, Weithorn LA, Sudore RL. Lost in translation: the unintended consequences of advance directive law on clinical care. Ann Intern Med. 2011 Jan 18; 154(2):121-8.
Williams BA, McGuire J, Lindsay RG, Baillargeon J, Cenzer IS, Lee SJ, Kushel M. Coming home: health status and homelessness risk of older pre-release prisoners. J Gen Intern Med. 2010 Oct; 25(10):1038-44.
Baillargeon J, Williams BA, Mellow J, Harzke AJ, Hoge SK, Baillargeon G, Greifinger RB. Parole revocation among prison inmates with psychiatric and substance use disorders. Psychiatr Serv. 2009 Nov; 60(11):1516-21.
Williams BA, Baillargeon JG, Lindquist K, Walter LC, Covinsky KE, Whitson HE, Steinman MA. Medication prescribing practices for older prisoners in the Texas prison system. Am J Public Health. 2010 Apr; 100(4):756-61.
Mehta KM, Stewart AL, Langa KM, Yaffe K, Moody-Ayers S, Williams BA, Covinsky KE. "Below average" self-assessed school performance and Alzheimer's disease in the Aging, Demographics, and Memory Study. Alzheimers Dement. 2009 Sep; 5(5):380-7.
Williams BA, Lindquist K, Hill T, Baillargeon J, Mellow J, Greifinger R, Walter LC. Caregiving behind bars: correctional officer reports of disability in geriatric prisoners. J Am Geriatr Soc. 2009 Jul; 57(7):1286-92.
Sudore RL, Landefeld CS, Pérez-Stable EJ, Bibbins-Domingo K, Williams BA, Schillinger D. Unraveling the relationship between literacy, language proficiency, and patient-physician communication. Patient Educ Couns. 2009 Jun; 75(3):398-402.
Lee SJ, Sudore RL, Williams BA, Lindquist K, Chen HL, Covinsky KE. Functional limitations, socioeconomic status, and all-cause mortality in moderate alcohol drinkers. J Am Geriatr Soc. 2009 Jun; 57(6):955-62.
Schickedanz AD, Schillinger D, Landefeld CS, Knight SJ, Williams BA, Sudore RL. A clinical framework for improving the advance care planning process: start with patients' self-identified barriers. J Am Geriatr Soc. 2009 Jan; 57(1):31-9.
Baillargeon J, Snyder N, Soloway RD, Paar D, Baillargeon G, Spaulding AC, Pollock BH, Arcari CM, Williams BA, Raimer BG. Hepatocellular carcinoma prevalence and mortality in a male state prison population. Public Health Rep. 2009 Jan-Feb; 124(1):120-6.
Baillargeon J, Thomas CR, Williams B, Begley CE, Sharma S, Pollock BH, Murray OJ, Pulvino JS, Raimer B. Medical emergency department utilization patterns among uninsured patients with psychiatric disorders. Psychiatr Serv. 2008 Jul; 59(7):808-11.
Williams B, Greifinger R. Elder care in jails and prisons: Are we prepared?. J Correct Health Care. 2008; 4(14):4-6.
Sudore RL, Schickedanz AD, Landefeld CS, Williams BA, Lindquist K, Pantilat SZ, Schillinger D. Engagement in multiple steps of the advance care planning process: a descriptive study of diverse older adults. J Am Geriatr Soc. 2008 Jun; 56(6):1006-13.
Sudore RL, Landefeld CS, Barnes DE, Lindquist K, Williams BA, Brody R, Schillinger D. An advance directive redesigned to meet the literacy level of most adults: a randomized trial. Patient Educ Couns. 2007 Dec; 69(1-3):165-95.
Lindner SA, Davoren JB, Vollmer A, Williams B, Landefeld CS. An electronic medical record intervention increased nursing home advance directive orders and documentation. J Am Geriatr Soc. 2007 Jul; 55(7):1001-6.
Sudore RL, Landefeld CS, Williams BA, Barnes DE, Lindquist K, Schillinger D. Use of a modified informed consent process among vulnerable patients: a descriptive study. J Gen Intern Med. 2006 Aug; 21(8):867-73.
Williams BA, Lindquist K, Sudore RL, Strupp HM, Willmott DJ, Walter LC. Being old and doing time: functional impairment and adverse experiences of geriatric female prisoners. J Am Geriatr Soc. 2006 Apr; 54(4):702-7.