Alma B Granillo

Interests

Research

Raise mental health awareness and reduce the stigma associated with access to and treatment of mental health illnesses among Hispanic populations; advance behavioral health interventions in the delivery of oral health services in both public and private practice; reduce healthcare provider burnout by enhancing whole health initiatives to support work and life balance; and create a coalition of a diverse set of practitioners to improve the health of communities through evidence-based behavioral health interventions using holistic strategies.

Teaching

Public Health Emergency Preparedness;Mine Health and Safety;Exercise Design and Conduct;Behavioral Health and Lifestyle Medicine.

Courses

Scholarly Contributions

Journals/Publications

• Granillo, A. B., Bentele, K. G., Brady, B. R., Samorano, S., Nuñez, G., Moore, J., Mahoney, A., Lutz, R., Lowther, J., Garnette, I., Alfar, A., Downer, M., Russell, D. M., & Meyerson, B. E. (2022). Opportunities and Challenges: Hepatitis C testing and treatment access experiences among people in methadone and buprenorphine treatment during COVID, Arizona,. AJPM FOCUS. doi:https://doi.org/10.1016/j.focus.2022.100047
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  IntroductionThe purpose of this study was to characterize hepatitis C virus screening and treatment access experiences among people in treatment for opioid use disorder in Arizona during COVID-19.MethodsArizonans receiving treatment for opioid use disorder from methadone clinics and buprenorphine providers during COVID-19 were interviewed about hepatitis C virus testing, curative treatment, and knowledge about screening recommendations. Interviews were conducted with 121 people from August 4, 2021 to October 10, 2021. Qualitative data were coded using the categories of hepatitis C virus testing, knowledge of screening recommendations, diagnosis, and experiences seeking curative treatment. Data were also quantitated for bivariate testing with outcome variables of last hepatitis C virus test, diagnosis, and curative treatment process. Findings were arrayed along an adapted hepatitis C virus cascade framework to inform program and policy improvements.ResultsJust over half of the sample reported ever having tested for hepatitis C virus (51.2%, n=62) and of this group, 58.1% were tested in the past 12 months. Among those who were ever tested, 54.8% reported a hepatitis C virus diagnosis and 16.1% reported either being in treatment or having been declared cured of the hepatitis C virus. Among those who were diagnosed with hepatitis C, 14.7% indicated that they unsuccessfully tried to access curative treatment and would not attempt to again. Reasons cited for not accessing or receiving curative treatment included beliefs about treatment safety, barriers created by access requirements, natural resolution of the infection, and issues with healthcare coverage and authorization.ConclusionsStructural barriers continue to prevent curative hepatitis C virus treatment access. Given that methadone and buprenorphine treatment providers serve patients who are largely undiagnosed or treated for hepatitis C virus, opportunities exist for them to screen their patients regularly and provide support for and/or navigation to hepatitis C virus curative treatment.
• Granillo, A. B. (2022). Nothing really changed: Arizona patient experience of methadone and buprenorphine access during COVID.. PLoS ONE, 17(10). doi:https://doi.org/10.1371/journal.pone.0274094
• Granillo, A. B. (2018). Experiential Adult Learning: A Pathway to Enhancing Medical Countermeasures Capabilities. American journal of public health, 108(Suppl5), S378–S380..
• Granillo, A. B. (2018). Strategies From American Indian and Alaska Native Community Partners on Effective Emergency Response Collaboration. American journal of public health,, 108(Suppl5), S366–S368. doi:https://dx.doi.org/10.2105%2FAJPH.2018.304842
• Granillo, A. B. (2018). Using systems evaluation theory to improve points of dispensing planning, training, and evaluation.. Journal of emergency management, 16(3), 149-157. doi:https://doi.org/10.5055/jem.2018.0364
• Granillo, A. B. (2014). Lessons learned in testing the feasibility of evaluating transfer of training to an operations setting.. Journal of Public Health Management and Practice, Suppl 5, S30-6. doi:https://doi.org/10.1097/PHH.0000000000000059
• Granillo, A. B. (2012). Developing a comprehensive, integrated and meaningful multi-year training and exercise plan. Journal of emergency Management, 10(5), 383-392. doi:https://doi.org/10.5055/jem.2012.0115
• Granillo, A. B. (2012). Emergency preparedness training of tribal community health representatives.. Journal of immigrant and minority health, 14(2), 6. doi:10.1007/s10903-011-9438-9
• Granillo, A. B. (2012). Using root cause analysis (RCA) to facilitate corrective actions, after action reports (AARs), and improvement plans. Journal of Emergency Management, 10(6), 6. doi:http://dx.doi.org/10.5055/jem.2012.0121
• Granillo, A. B. (2011). U.S.-Mexico cross-border workforce training needs: survey implementation. Journal of injury & violence research,, 3(1), 11. doi:10.5249/jivr.v3i1.55
• Burgess, J. L., Granillo, A. B., Renger, R., & Wakelee, J. (2010). Utilization of the Native American Talking Circle to teach incident command system to tribal community health representatives. Journal of community health, 35(6).
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  The public health workforce is diverse and encompasses a wide range of professions. For tribal communities, the Community Health Representative (CHR) is a public health paraprofessional whose role as a community health educator and health advocate has expanded to become an integral part of the health delivery system of most tribes. CHRs possess a unique set of skills and cultural awareness that make them an essential first responder on tribal land. As a result of their distinctive qualities they have the capability of effectively mobilizing communities during times of crisis and can have a significant impact on the communities' response to a local incident. Although public health emergency preparedness training is a priority of federal, state, local and tribal public health agencies, much of the training currently available is not tailored to meet the unique traits of CHRs. Much of the emergency preparedness training is standardized, such as the Federal Emergency Management Agency (FEMA) Training Programs, and does not take into account the inherent cultural traditions of some of the intended target audience. This paper reports on the use of the Native American Talking Circle format as a culturally appropriate method to teach the Incident Command System (ICS). The results of the evaluation suggest the talking format circle is well received and can significantly improve the understanding of ICS roles. The limitations of the assessment instrument and the cultural adaptations at producing changes in the understanding of ICS history and concepts are discussed. Possible solutions to these limitations are provided.

Presentations

• Williams, . C., Granillo, A. B., Burgess, J. L., & Ross, B. J. (2020, February). Sharing Critical Controls. SME National Conference. Denver: SME.
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  Presentation and paper update on NIOSH research on sharing critical controls.
• Granillo, A. B. (2017, October). Usage Paradigms for Serious Games: Strategies and Lessons Learned. MSHA's Training Resources Applied to Mining Conference (TRAM). West Virginian- MSHA Training Center: MSHA.
• Granillo, A. B. (2016, October). Incident Command, Escape & Rescue: A Competency-Based Training Program in Emergency Preparedness and Response. 12th Annual Safety and Health Conference. Las Vegas, NV: MSHA.
• Granillo, A. B., & Johnson, L. (2013, March/Spring). Improving Tribal Public Health Emergency Preparedness Programs Through Strategic Planning. Public Health Preparedness Summit. Atlanta, GA: National Association for City and County Health Officials.

Poster Presentations

• Granillo, A. B. (2018, May). Patient-Centered Oral Health Care Using Motivational Interviewing. 3rd Annual El Rio - Wright Center for GME Health Research Fair. Manning House, Tucson, AZ: El Rio Community Health Center.

Others

• Granillo, A. B. (2023, April). Nuevo Camino (New Path). A program to enhance and expand a system of care in Pima County, Arizona providing integrated comprehensive treatment, early intervention, and recovery support services for adolescents and transition age youth (TAY) ages 12-21 who are experiencing SUDs and/or co-occurring disorders..
• Granillo, A. B. (2023, April). Business Impact Analysis Report.. Tohono O'odham Nation.
• Granillo, A. B. (2023, December). New Dawn-Warrior Women. A program to enhance and expand access to affirming culturally tailored substance use disorder (SUD) and co-occurring disorder (COD) harm reduction, treatment, and recovery support services for under-resourced Indigenous and Hispanic women. . Tucson, AZ: University of Arizona, Southwest Institute for Research on Women..
• Granillo, A. B. (2023, December). Nuevo Camino (New Path). A program to enhance and expand a system of care in Pima County, Arizona providing integrated comprehensive treatment, early intervention, and recovery support services for adolescents and transition age youth (TAY) ages 12-21 who are experiencing SUDs and/or co-occurring disorders..
• Granillo, A. B. (2023, December). Continuity of Operations Plan. Tohono O'odham Nation.
• Granillo, A. B. (2023, May). Safe Haven: A program providing MAT, OUD assessment, assessment of co-occurring disorders, and recovery support services. .
• Williams, J. M., Murphy, S. U., & Granillo, A. B. (2021, July). Arizona Science, Engineering, and Math Scholars Program Evaluation and Scale-up Study, Report 1.
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  Report on phase one of a research project evaluating the impacts and best practices of the Arizona Science, Engineering, and Math Scholars Program
• Granillo, A. B., Bentele, K. G., & Korchmaros, J. D. (2020, July). Safe Haven: Behavioral Health MAT Team Focus Group Report– July 2020. Tucson, AZ: University of Arizona, Southwest Institute for Research on Women.