AfterDeployment is a core project within the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE PH-TBI), and based at the National Center for Telehealth & Technology Center (T2) located at Joint Base Lewis-McChord near Tacoma, Washington.

Brian J. Grady, MD, Acting Director

A former Marine officer, Dr. Grady graduated from the Uniformed Services University of the Health Sciences School of Medicine and is a board-certified psychiatrist with extensive experience in telemental health (TMH) services. He established the primary behavioral health care division at the National Naval Medical Center, which included establishing TMH clinics at Navy and Army facilities in five states. After military retirement in 2005, Dr. Grady led telemental health services for the Sheppard Pratt Health System; the Division of Child Psychiatry at the University of Maryland School of Medicine; the Maryland Mental Hygiene Administration and the Center for School Mental Health; and the Maryland Department of Veterans Affairs/Veterans Integrated Services Network 5.

Tim Hoyt, PhD, Deputy Director

After receiving his Ph.D. in clinical psychology from the University of New Mexico, Dr. Hoyt was an officer in the Medical Service Corps of the U.S. Army. He has authored publications on combat-related stress and posttraumatic stress disorder, was a site investigator for the first clinical trial of exposure-based therapy conducted in the deployed environment, and worked to establish the first Embedded Behavioral Health clinic on Joint Base Lewis-McChord. Dr. Hoyt left active duty in 2014 to become a civilian supervisor and faculty member at Madigan Army Medical Center; prior to joining T2, he was the director of Madigan’s Intensive Outpatient Program.

Robert Ciulla, PhD, Chief of Mobile Health Program

Dr. Ciulla leads T2's web-based development efforts to deliver behavior-change strategies to the military and provider community. His experience has focused on developing psychological materials and surveillance tools across a broad spectrum of technology platforms. Dr. Ciulla is a licensed clinical psychologist who completed his Ph.D. at the University of Massachusetts. Before joining T2, Dr. Ciulla served as the Chief of Madigan Army Medical Center’s Soldier Readiness Service and the Soldier Wellness Assessment Pilot Program.

Bob Kayl, MSSE & MHR, Chief of Technology

Bob Kayl brings a unique blend of technology management expertise. He holds a master's degree in both software engineering and human relations. In addition, Mr. Kayl has numerous professional trainings, specialized licenses and graduate certificates. His extensive software and database development experience and IT/IS management experience enable a robust technology systems program. Mr. Kayl leads and manages all technical aspects of T2’s vision, mission, goals, objectives and operations. Prior to joining T2, Mr. Kayl was the Information Technology Director at Univera, Inc. and completed 20 years of active duty service in the Air Force specializing in information security, system and network administration.

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