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Last Name

Carole C Upshur EdD

InstitutionUniversity of Massachusetts Medical School
DepartmentFamily Medicine and Community Health
AddressUniversity of Massachusetts Medical School
55 Lake Avenue North
Worcester MA 01655
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    Other Positions
    InstitutionUMMS - School of Medicine
    DepartmentFamily Medicine and Community Health

    InstitutionUMMS - School of Medicine
    DepartmentPopulation and Quantitative Health Sciences

    Collapse Biography 
    Collapse education and training
    University of Southern California, Los Angeles, CA, United StatesBAPsychology
    Harvard University, Cambridge, MA, United StatesED MResearch In Instruction
    Harvard University, Cambridge, MA, United StatesED DClinical Psychology

    Collapse Overview 
    Collapse overview


    Carole Upshur, EdD, Professor of Family Medicine and Community Health, joined the department in 2001 with over 30 years of experience as an evaluation and policy researcher in the areas of education, mental health, disability, and health care. Her most recent work has examined health care quality and access issues in minority Medicaid consumers in Massachusetts. She is currently PI of a study of patient and provider views about the treatment of chronic pain funded by the Agency for Health Care Research and Quality and Co-PI for the Robert Wood Johnson Foundation Depression in Primary Care Project. She has extensive teaching experience at the undergraduate and graduate level and has mentored over two dozen health services research dissertations.

    Carole Upshur, EdD


    Ed.D. Clinical Psychology and Public Practice
    1975 Harvard University
    Ed.M. Research in Instruction
    1970 Harvard University
    A.B. Experimental Psychology
    1969 University of Southern California

    Click here to view Dr. Upshur's curriculum vitae


    American Psychological Associaton
    Academy Health
    American Public Health Association
    North American Primary Care Research Group
    Society for Behavioral Medicine
    Society for Prevention Research
    Society for Teachers of Family Medicine

    Scholarly Activity

    Research Support:
    Co-Principal Investigator
    National Institute of Mental Health, R34 MH085881(Weinreb)
    Integrated Care Model for Homeless Mothers (ICMHM)
    This is an intervention development grant to adapt the Chronic Care Model for disease management and build on other primary care depression management studies for homeless mothers.

    Co-Principal Investigator
    National Institute of Alcohol Abuse and Alcoholism, R21 AA018311 (Weinreb)
    A Model for Primary Care Management of Alcohol Use Disorders Among Homeless Women
    This is a pilot RCT to test a brief intervention for reducing risky alcohol use among homeless women receiving primary care in a health care for the homeless program.

    Principal Investigator
    National Institute of Mental Health, R34 1R34MH73830 (Upshur) 4/1/07-3/31/11
    Addressing Behavior Problems in Preschool Settings
    This is an RCT involving community based child care centers testing a primary prevention intervention for social/emotional regulation and prevention of childhood behavior problems.

    Co-PI and Director, Research and Evaluation Plan
    Health Resources Services Administration,(HSRA 1D58 HP08304)
    Family Medicine Residency Training
    This project is implementing chronic pain management guidelines in clinical practices and training preceptors and residents on guideline-concordant care. Evaluation of the educational programs and research on diffusion of guideline adaptation will be conducted.

    Principal Investigator of UMMS Research Subcontract
    Agency for Health Care Quality and Research, R03 HS015987-01(Granger)
    Investigating the correlates and outcomes of depression in adult diabetics-a Practice Based Research Network Project in the Connecticut Primary Care Network/New England Clinician’s Forum

    Principal Investigator
    Agency for Health Care Quality and Research, R03 HS012455-01A1(Upshur)
    Treatment of Chronic Pain: Consumer and Provider Concerns
    This grant is investigating barriers to adequate chronic pain treatment as perceived by both patients and physicians in primary care.

    Co-Principle Investigator
    HSRA Title VII Academic Departments of FamilyMedicine
    Building the Research Infrastructure for Family Medicine
    This grant is designed to mentor junior family practice physicians to learn research skills.

    Co-Principal Investigator
    Robert Wood Johnson Foundation #048172
    Depression in Primary Care: Clinical and Systems Strategies
    This grant is implementing a chronic illness care model for adult Medicaid patients with depression by training primary care providers. The grant is a collaboration with the state Medicaid agency.

    Consulting Editor/AD HOC Reviewer

    Journal of the American Board of Family Medicine, 2009-present
    Family Systems and Health, 2008-present
    Prevention Science, 2008-present
    Journal of Psychiatric Services,2006-present
    International Journal of Integrated Care, 2006-present
    Early Childhood Research Quarterly, 2006-present
    Journal of General Internal Medicine, 2003-present
    Public Health Reports, 1998-present
    Mental Retardation, 1981-1999
    American Journal on Mental Retardation, 1987-1999
    Infant Mental Health Journal, 1991-1993

    American Association for the Advancement of Science: Life Sciences Research Infrastructure and Junior investigator research pilot program: Reviewer, 2006-present
    National Institutes of Health, Research Review Committee Study Section, Psychosocial Development, Risk and Prevention: 2009

    Public Service Appointments

    Massachusetts Division of Medical Assistance, Medical Advisory Board: 1994-present
    Health Care for All: Cummings Foundation Advisory Board: Project for healthcare needs for special populations: 2000-2008
    Massachusetts Department of Early Education and Care, Advisory Committee on Child Assessment: 2009
    Massachusetts Department of Mental Retardation, Community Development Committee: 19967-97
    Massachusetts Department of Mental Retardation, Region 6 Training Committee: 1992-93
    Governor's Committee on Facility Consolidation: 1991-92


    Dr Upshur has mentored undergraduate and graduate medical students as well as health services doctoral students. She also teaches in the MPH program on campus.


    Health disparities
    Chronic pain
    Behavioral health
    Primary care
    Child mental health

    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
    List All   |   Timeline
    1. Wenz-Gross M, Yoo Y, Upshur CC, Gambino AJ. Pathways to Kindergarten Readiness: The Roles of Second Step Early Learning Curriculum and Social Emotional, Executive Functioning, Preschool Academic and Task Behavior Skills. Front Psychol. 2018; 9:1886. PMID: 30369893.
      View in: PubMed
    2. Weinreb L, Wenz-Gross M, Upshur C. Postpartum outcomes of a pilot prenatal care-based psychosocial intervention for PTSD during pregnancy. Arch Womens Ment Health. 2018 Jun; 21(3):299-312. PMID: 29116416.
      View in: PubMed
    3. Upshur CC, Jenkins D, Weinreb L, Gelberg L, Orvek EA. Homeless women's service use, barriers, and motivation for participating in substance use treatment. Am J Drug Alcohol Abuse. 2018; 44(2):252-262. PMID: 28806101.
      View in: PubMed
    4. Upshur CC, Jenkins D, Weinreb L, Gelberg L, Orvek EA. Prevalence and predictors of substance use disorders among homeless women seeking primary care: An 11 site survey. Am J Addict. 2017 Oct; 26(7):680-688. PMID: 28677919.
      View in: PubMed
    5. Upshur CC, Wrighting DM, Bacigalupe G, Becker J, Hayman L, Lewis B, Mignon S, Rokop ME, Sweet E, Torres MI, Watanabe P, Woods C. The Health Equity Scholars Program: Innovation in the Leaky Pipeline. J Racial Ethn Health Disparities. 2017 May 19. PMID: 28526974.
      View in: PubMed
    6. Wenz-Gross M, Weinreb L, Upshur C. Screening for Post-traumatic Stress Disorder in Prenatal Care: Prevalence and Characteristics in a Low-Income Population. Matern Child Health J. 2016 Oct; 20(10):1995-2002. PMID: 27400916.
      View in: PubMed
    7. Upshur CC, Wenz-Gross M, Weinreb L, Moffitt JJ. Using Prenatal Advocates to Implement a Psychosocial Education Intervention for Posttraumatic Stress Disorder during Pregnancy: Feasibility, Care Engagement, and Predelivery Behavioral Outcomes. Womens Health Issues. 2016 Sep-Oct; 26(5):537-45. PMID: 27480668.
      View in: PubMed
    8. Potts S, Shields S, Upshur C. Preparing Future Leaders: An Integrated Quality Improvement Residency Curriculum. Fam Med. 2016 Jun; 48(6):477-81. PMID: 27272426.
      View in: PubMed
    9. Weinreb L, Upshur CC, Fletcher-Blake D, Reed G, Frisard C. Managing Depression Among Homeless Mothers: Pilot Testing an Adapted Collaborative Care Intervention. Prim Care Companion CNS Disord. 2016; 18(2). PMID: 27486545.
      View in: PubMed
    10. Upshur C, Weinreb L, Bharel M, Reed G, Frisard C. A randomized control trial of a chronic care intervention for homeless women with alcohol use problems. J Subst Abuse Treat. 2015 Apr; 51:19-29. PMID: 25488504.
      View in: PubMed
    11. Upshur C, Wenz-Gross M, Reed G. A pilot study of a primary prevention curriculum to address preschool behavior problems. J Prim Prev. 2013 Oct; 34(5):309-27. PMID: 23897498.
      View in: PubMed
    12. Upshur CC, Weinreb L, Cheng DM, Kim TW, Samet JH, Saitz R. Does experiencing homelessness affect women's motivation to change alcohol or drug use? Am J Addict. 2014 Jan-Feb; 23(1):76-83. PMID: 24313245.
      View in: PubMed
    13. Upshur CC, Weinreb L, Bharel M. Homeless women and hazardous drinking: screening results in a primary health care setting. Am J Addict. 2014 Mar-Apr; 23(2):117-22. PMID: 25187047.
      View in: PubMed
    14. Wenz-Gross M, Upshur C. Implementing a Primary Prevention Social Skills Intervention in Urban Preschools: Factors Associated with Quality and Fidelity. Early Educ Dev. 2012 Jan 1; 23(4):427-450. PMID: 22791957.
      View in: PubMed
    15. Upshur CC, Bacigalupe G, Luckmann R. "They don't want anything to do with you": patient views of primary care management of chronic pain. Pain Med. 2010 Dec; 11(12):1791-8. PMID: 21029353.
      View in: PubMed
    16. Upshur C, Weinreb L. A survey of primary care provider attitudes and behaviors regarding treatment of adult depression: what changes after a collaborative care intervention? Prim Care Companion J Clin Psychiatry. 2008; 10(3):182-6. PMID: 18615167.
      View in: PubMed
    17. Clark LG, Upshur CC. Family medicine physicians' views of how to improve chronic pain management. J Am Board Fam Med. 2007 Sep-Oct; 20(5):479-82. PMID: 17823465.
      View in: PubMed
    18. Upshur CC, Luckmann RS, Savageau JA. Primary care provider concerns about management of chronic pain in community clinic populations. J Gen Intern Med. 2006 Jun; 21(6):652-5. PMID: 16808752.
      View in: PubMed
    19. Belnap BH, Kuebler J, Upshur C, Kerber K, Mockrin DR, Kilbourne AM, Rollman BL. Challenges of implementing depression care management in the primary care setting. Adm Policy Ment Health. 2006 Jan; 33(1):65-75. PMID: 16215660.
      View in: PubMed
    20. Upshur CC. Crossing the divide: primary care and mental health integration. Adm Policy Ment Health. 2005 Mar; 32(4):341-55. PMID: 15844853.
      View in: PubMed
    21. Cohen R, Chopra P, Upshur C. Primary care work-up of acute and chronic symptoms. Geriatrics. 2001 Nov; 56(11):26-7, 30, 33-4, 37. PMID: 11710812.
      View in: PubMed
    22. Cohen RI, Chopra P, Upshur C. Guide to conservative, medical, and procedural therapies. Geriatrics. 2001 Nov; 56(11):38-42, 44, 47. PMID: 11710814.
      View in: PubMed
    23. Hauser-Cram P, Warfield ME, Shonkoff JP, Krauss MW, Sayer A, Upshur CC. Children with disabilities: a longitudinal study of child development and parent well-being. Monogr Soc Res Child Dev. 2001; 66(3):i-viii, 1-114; discussion 115-26. PMID: 11677873.
      View in: PubMed
    24. Hauser-Cram P, Warfield ME, Shonkoff JP, Krauss MW, Upshur CC, Sayer A. Family influences on adaptive development in young children with Down syndrome. Child Dev. 1999 Jul-Aug; 70(4):979-89. PMID: 10446730.
      View in: PubMed
    25. Warfield ME, Krauss MW, Hauser-Cram P, Upshur CC, Shonkoff JP. Adaptation during early childhood among mothers of children with disabilities. J Dev Behav Pediatr. 1999 Feb; 20(1):9-16. PMID: 10071940.
      View in: PubMed
    26. Upshur CC, Benson PR, Clemens E, Fisher WH, Leff HS, Schutt R. Closing state mental hospitals in Massachusetts: policy, process, and impact. Int J Law Psychiatry. 1997; 20(2):199-217. PMID: 9178062.
      View in: PubMed
    27. Shonkoff JP, Hauser-Cram P, Krauss MW, Upshur CC. Development of infants with disabilities and their families: implications for theory and service delivery. Monogr Soc Res Child Dev. 1992; 57(6):v-vi, 1-153. PMID: 1283200.
      View in: PubMed
    28. Erickson M, Upshur CC. Caretaking burden and social support: comparison of mothers of infants with and without disabilities. Am J Ment Retard. 1989 Nov; 94(3):250-8. PMID: 2478171.
      View in: PubMed
    29. Upshur CC. Developing a sensible fund raising strategy. Fund Raising Manage. 1983 Jul; 14(5):39-41, 79. PMID: 10260824.
      View in: PubMed
    30. Upshur CC. Getting started: what to do before you ask for the money. Fund Raising Manage. 1983 Feb; 13(12):16-8, 25. PMID: 10298994.
      View in: PubMed
    31. Upshur CC. An evaluation of home-based respite care. Ment Retard. 1982 Apr; 20(2):58-62. PMID: 6210823.
      View in: PubMed
    32. Upshur CC. Respite care for mentally retarded and other disabled populations: programs models and family needs. Ment Retard. 1982 Feb; 20(1):2-6. PMID: 6178001.
      View in: PubMed
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