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Director, Center for Polytrauma Care
VA Puget Sound Health Care System
I do not have any relevant financial / non-financial relationships with any proprietary interests.
OMB No. 0925-0001 and 0925-0002 (Rev. 03/2020 Approved Through 02/28/2023)
BIOGRAPHICAL SKETCH
Provide the following information for the Senior/key personnel and other significant contributors.
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NAME: Del Piero, Larissa Borofsky
eRA COMMONS USER NAME (credential, e.g., agency login):
POSITION TITLE: Clinical Psychologist, Rehab Care Service
EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, include postdoctoral training and residency training if applicable. Add/delete rows as necessary.)
INSTITUTION AND LOCATION DEGREE
(if applicable)
Completion Date
MM/YYYY
FIELD OF STUDY
Pomona College, Claremont, CA B.A. 05/2007 Psychology, Neuroscience
University of Southern California, Los Angeles, CA Ph.D. 05/2016 Clinical Psychology
VA Puget Sound, Seattle Division, Seattle, WA Post-Doctoral Fellowship 10/2018 Rehabilitation Psychology
A. Personal Statement
My background is as a clinical psychologist with advanced specialty training in Rehabilitation Psychology, Clinical Neuropsychology, and clinical video telehealth (CVT) mental health treatment. As the Director of the Center for Polytrauma Care for the VA Puget Sound Health Care System, I oversee all clinical operations in our specialty traumatic brain injury clinic including staffing, provider training, monitoring, and evaluation of the Comprehensive TBI Evaluation (CTBIE). I coordinate and oversee the services for the 16 interdisciplinary providers who are part of the VA Puget Sound Polytrauma program and represent the TBI services of VISN 20 at the national level as the VISN 20 Polytrauma program manager. I also have a strong background in dissemination of rehabilitation research, as evidenced by my presentation and publication history. As such, I am very well positioned to (1) help with the integration of this study into the Comprehensive TBI Evaluation Clinics. (2) monitor systems level changes that could affect study design and work with the team to make necessary adjustments, and (3) participate in dissemination activities, including the presentation of the study findings at scientific conferences, national VA Polytrauma meetings, and in published papers.
B. Positions and Honors
Academic/Clinical Positions
2021- present Director, Center for Polytrauma Care/VISN 20 Clinical Program Manager, VA Puget Sound Health Care System, Seattle, Washington
2020 – present Assistant Professor, Department of Rehabilitation Medicine, University of Washington School of Medicine
2018 – 2021 Attending Psychologist, Rehabilitation Care Services, VA Puget Sound Health Care System, Seattle, Washington
Other Experience and Professional Memberships
2018-present American Academy of Clinical Neuropsychology (Affiliate Member)
2018-present National Academy of Neuropsychology
2016-present American Psychological Association, Division 22
2016-present Pacific Northwest Neuropsychological Society
2010-present American Psychological Association, Division 40
2010-present International Neuropsychological Society
2017 Ad Hoc Reviewer, Journal of Head Trauma Rehabilitation (co-written review)
2014 Ad Hoc Reviewer, Developmental Science
2014 Ad Hoc Reviewer, Review of General Psychology
2012 Ad Hoc Reviewer, Journal of Family Issues (co-written review)
2012 Ad Hoc Reviewer, NeuroImage (co-written review)
Honors
2010-2013 National Science Foundation Graduate Research Fellowship
2011 Mind and Life Summer Research Institute Research Fellowship
2010, 2014 USC Psychology Department Summer Research Award
2009, 2013 Wallis Annenberg Fellowship
2009 John Merck Fund Summer Institute on the Biology of Developmental Disabilities Fellowship
2009 USC Valentine Endowed Fellowship
C. Contributions to Science
1. Biological Correlates of Social and Language Processes. My early research focused on understanding biological correlates (primarily fMRI responses) of different social and linguistic processes in adolescence, both in typically developing youth and youth with early onset schizophrenia.
a. Borofsky, L., McNealy, K., Siddartha, P., Wu, K., Dapretto, M., & Caplan, R. (2010). Syntactic and semantic processing and thought disorder in childhood schizophrenia: Insights from fMRI. Journal of Neurolinguistics, 23(3), 204-222. doi:10.1016/j.jneuroling.2009.07.004
b. McNealy, K., Martin, A., Borofsky, L., Mazziotta, J. C., Dapretto, M. (2009). Tracking Developmental Changes in the Neural Mechanisms of Speech Parsing from Early Childhood through Adulthood with fMRI. NeuroImage, 47, Supplement 1, S118. doi:10.1016/S1053-8119(09)71102-4
c. Masten, C. L., Eisenberger, N. I., Borofsky, L., Pfeifer, J. H., McNealy, K., Mazziotta, J. C. & Dapretto, M. (2009). Neural correlates of social exclusion during adolescence: Understanding the distress of peer rejection. Social Cognitive and Affective Neuroscience, 4(2), 143-157. doi:10.1093/scan/nsp007
d. Pfeifer, J. H., Masten, C. L., Borofsky, L., Dapretto, M., Fuligni, A. J., & Lieberman, M. D. (2009). Neural correlates of direct and reflected self-appraisals in adolescents and adults: When social perspective-taking informs self-perception. Child Development, 80(4), 1016-1038. doi:10.1111/j.1467-8624.2009.01314.x
2. Multi-method analyses of function. I developed expertise in various biological methodologies, including structural and functional MRI analysis, as well as an interest in examining the interaction between biological, social, and psychological factors in coping with challenges during development, particularly early exposure to community violence and family aggression. In this research, I again employed diverse research methodologies including neuroimaging, cortisol analysis, and qualitative analysis/behavioral coding.
a. Del Piero, L. B., Saxbe, D. E., & Margolin, G. (2016). Basic emotion processing and the adolescent brain: Task demands, analytic approaches, and trajectories of changes. Developmental Cognitive Neuroscience, 19, 174-189. doi:10.1016/j.dcn.2016.03.005
b. Saxbe, D. E., Del Piero, L. B., Kaplan, J. T., Immordino-Yang, M. H., & Margolin, G. (2015). Neural mediators of the intergenerational transmission of family aggression. Development and Psychopathology, 28(2), 595-606. doi:10.1017/S0954579415000528
c. Saxbe, D. E., Del Piero, L. B., Margolin, G. (2015). Neural correlates of parent-child HPA axis coregulation. Hormones and Behavior, 75, 25-32. doi:10.1016/j.yhbeh.2015.07.010
d. Borofsky, L., Kellerman, I., Baucom, B., Oliver, P., & Margolin, G. (2013). Community violence exposure and adolescents’ school engagement and academic achievement over time. Psychology of Violence, 3(4), 381-395. doi:10.1037/a0034121
3. Application of the Biopsychosocial Model in Rehabilitation Populations. Towards the end of graduate school and through my postdoctoral fellowship and early clinical career in rehabilitation psychology, I developed an interest in expanding this biopsychosocial approach to understanding coping following adversity to individuals with different medical illnesses and injuries. In particular, this work has primarily examined factors that are associated with different functional outcomes following traumatic brain injury.
a. Del Piero, L. B., Williams, R. M., Mamiya, K., & Turner, A. P. (2020). The role of interprofessional teams in the biopsychosocial management of limb loss. Current Physical Medicine and Rehabilitation Reports, 8, 396–404. doi:10.1007/s40141-020-00293-1
b. Del Piero, L. B., Williams, R. M., Ehde, D. M., Dikmen, S., & Hoffman, J. M. (2019, February). Perceived career impact following TBI in Veterans with chronic pain. Poster presented at the Annual meeting of Division 22 of the American Psychological Association, Orlando, FL.
c. Moran, L. M., Babikian, T., Del Piero, L. B., Kernan, C. L., Newman, N., Giza, C., … & Asarnow, R. (2016). The UCLA study of predictors of cognitive functioning following moderate/severe pediatric traumatic brain injury. Journal of the International Neuropsychological Society, 22, 1-8. doi:10.1017/S1355617716000175
4. Telehealth and Rehabilitation. Building on my research background studying biopsychosocial factors in coping with adversity, and incorporating my current clinical areas of expertise in rehabilitation psychology and CVT, I have completed numerous recent presentations on safety and ethical issues when implementing rehabilitation treatments via telehealth. Four examples are presented below:
a. Del Piero, L. B. & Belfit, S. (October, 2020). Telerehabilitation: Overview, Best Practices, and Ethical Challenges. Invited talk in VA Puget Sound Healthcare System PM&R Resident Seminar.
b. Bertolin, M., Del Piero, L. B., & Mamiya, K. (April, 2020). Home-based Cognitive Rehabilitation Group for Polytrauma Patients – Opportunities, Challenges, and Best Practices. Invited talk in eleRehabilitation Enterprise Wide Initiative National Grand Rounds.
c. Del Piero, L. B. & Mellon, L. (February, 2020). Adapting Telehealth Technologies & Practice for Rehabilitation Populations. Symposium presentation at the Annual Rehabilitation Psychology Conference, San Diego, CA.
d. Del Piero, L. B. & Kaufman, M. S., Olney, A., & Turner, A. (October, 2019). Telerehabilitation Care: A Novel Approach to Meeting Clinical Needs of Veterans with Disabilities. Paper presented at the Annual APA Technology, Mind, & Society Conference, Washington, DC.
