Our Leadership

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Sharen Barboza, PhD, CCHP-MH

Dr. Barboza has spent her entire career working in and consulting on mental health services in correctional settings. She has experience in all types of facilities – juvenile, jails, and prisons – and is well-versed in all of the issues faced by correctional mental health programs. She has deep knowledge of handling sexual offenders and individuals prone to self-injury and has been training others in their care for over a decade. Dr. Barboza is intimately familiar with NCCHC’s Mental Health Standards, having served on the task force that drafted them. She is a sought-after speaker on the challenges of providing quality mental health care in the correctional setting and in 2018 was honored with NCCHC’s B. Jaye Anno Award of Excellence in Communication for her work in this field. Dr. Barboza is licensed in New York and Florida and holds a Certificate in Wholebeing Positive Psychology (CiWPP) from the Wholebeing Institute. 

Doris Battle, MSHA, RN, CCHP

Ms. Battle is a senior correctional health professional with extensive nursing experience, much of it in management. She served as the Director of Nursing for the clinic at U.S. Air Force Base Rhein-Main in Germany and as the senior nurse executive for the Department of Medicine and Emergency Department at Andrews Air Force Base. She has worked as the health services administrator for the City of Newport News and the Hampton County Sheriff’s Office in Virginia, where she was responsible for coordinating medical care, managing staff, and developing and implementing policies and procedures that met NCCHC standards. Ms. Battle currently is the Quality Assurance and Training Manager for MEDIKO Correctional Health Care, where she is responsible for developing comprehensive, objective measures to analyze outcomes to improve patient care and providing training to nursing staff on quality improvement and nursing documentation. Ms. Battle is also a lead surveyor for NCCHC’s accreditation program.

Russell Blair, DNP, MSN, CCHP

During his 25 years in correctional nursing, Dr. Blair’s career arc at the New York State Department of Corrections and Community Supervision culminated in a position as Regional Health Service Administrator – Operations/Management. In that role he oversaw health service operations in 22 facilities; conducted preaccreditation audits and monitored facilities for compliance with local, state, and federal standards; coordinated approvals for staffing and equipment; and was responsible for review of quality assurance programs. In the middle of that arc, he spent several years with the New York State Commission of Correction as a senior utilization review nurse; he also conducted mortality investigations and monitored standards compliance.

In 2015 Dr. Blair began an academic career, serving as an adjunct clinical instructor at Maria College, Albany, NY. He was hired as full-time faculty in 2016 (he then resigned from NYSDOCCS), and over the following two years was promoted to assistant professor and to Associate Chair in Nursing for Administration.

In his work with NCCHC Resources, Dr. Blair’s primary area of expertise is evaluation of policies, procedures, and practices with particular focus on compliance with NCCHC Standards for Health Services.

Nancy Booth, MSN, CCM, CCHP-RN

Ms. Booth brings over 45 years of experience in managing, educating, and leading health care teams. Now an independent consultant, she formerly served as both Director of Nursing Services and Supervisor of Case Management for San Diego County jails, a system with over 84,000 annual admissions. Ms. Booth has also managed infection control for the County’s jails and supervised the women’s detention facility. A skilled communicator and educator, she ensures that all stakeholders – from physicians, attorneys, and law enforcement to insurance adjusters, patients, and families – understand the steps needed to successfully care for each patient both during incarceration and upon reentry. She is an expert speaker who has presented on a wide variety of topics. Ms. Booth also serves on NCCHC’s Accreditation and Standards Committee.

Richard Clarke, MD, CCHP-P

Dr. Clarke has been engaged in correctional health care for over 25 years: For 20+ years he oversaw all health care in his county correctional institution and today he remains highly involved with the National Commission and NCCHC Resources. A NCCHC accreditation surveyor for 20 years, he has been an active member of the surveyor advisory committee since its inception. Dr. Clarke served on the task forces that revised the 2014 and 2018 editions of the Standards for Health Services and has regularly presented seminars on the Jail Standards at NCCHC conferences.

As a consultant with NCCHC Resources, Dr. Clarke has conducted long-term evaluations of health care systems and ongoing assessments of effective implementation of corrective actions for major metropolitan jails. His primary focus is to establish continuity of care as the underlying clinical principle for maintaining the highest standard of health care, and he has been a leader in incorporating this principle into dynamic practices. A secondary focus has been to develop continuous quality improvement programs that foster a team approach to identifying health system issues, developing and implementing corrective actions, and monitoring those implementations for efficacy.


Mr. Cook has been engaged in the practice of architecture, engineering, and design for more than 20 years, cultivating dynamic, highly collaborative relationships with clients that have resulted in unique projects that solve programmatic complexities and fulfill aspirations. Throughout his career, each of these relationships has been focused on quality of design and clarity of process. Mr. Cook’s strengths lie in his client-centric consultative approach to problem solving, team building, and design process management at all levels. He is a recognized thought leader in justice facility planning and design, having written and spoken extensively on restorative design concepts that positively influence the human experience. In 2010, he became the first architect in the nation to become a Certified Correctional Health Professional, highly regarded as a symbol of a professional’s knowledge, understanding, and application of standards and guidelines essential to the delivery of appropriate health care in the correctional environment.

William Elliott, PhD, CCHP

Dr. Elliott has honed his expertise in correctional mental health since the start of his career, when, as a newly minted MS in criminology, he became a counselor at a state prison. He later earned a PhD in counseling psychology and began a trajectory that led him to oversee the work of countless mental health professionals in the Federal Bureau of Prisons and two state prison systems. During his 20 years at the U.S. Penitentiary in Terre Haute, IN, he rose to become chief of psychology services, responsible for mental health services to adult males housed in a maximum- and minimum-security facilities. At Wexford Health Sources he became a regional mental health director for the Illinois Department of Corrections. Notable areas of expertise include statewide policies and procedures, psychological assessment, suicide prevention, crisis intervention, substance abuse treatment, sex offender treatment and curriculum development, residential treatment programs, clinical staff training, telepsychiatry, vendor monitoring, and interagency collaboration.

Currently, Dr. Elliott is an independent consultant as well as a national presenter for PESI, a nonprofit organization that provides professional continuing education. He has written a book and several professional journal articles on correctional mental health treatment.

 Deborah Gross, PsyD, JD

Dr. Gross is a licensed psychologist with a practice focused in corrections. She is retired from Correctional Health Services in Maricopa County, Arizona. In her role as Lead Psychologist – Mental Health Unit, she was responsible for administrative supervision of mental health staff on acute psychiatric unit within a major metropolitan accredited jail health system. Dr. Gross’s correctional mental health experience dates to 2004, with an internship and postdoctoral position with CHS. She later joined the Arizona Department of Corrections in 2007 before returning to CHS in 2010. She also has worked for NAMI Arizona, ValueOptions, and the MARC Center. She currently serves as Board Chair for Recovery Empowerment Network and is a member of the Board of Arizona Behavioral Health. She has served on the Board of the Arizona Foundation for Behavioral Health, and the Arizona Coalition for Tomorrow (a Head Start-related entity) and the Star Centers, (formerly known as Survivors on Our Own). Dr. Gross has been a surveyor in the NCCHC accreditation program since 2017 and recently became a lead surveyor.

Steven Helfand, PsyD, CCHP

Dr. Helfand has directed mental health programs in corrections and community settings at county, city, and state levels for over 20 years. Since 2015 he has served as executive director of Bleuler Psychotherapy Center, Forest Hills, NY. Previous positions include senior vice president of operations for Correct Care Solutions, overseeing mental health and health services in jails throughout the East Coast; statewide director of mental health for Connecticut jails and prisons; deputy director/acting director of mental health at Rikers Island jails; director of forensic mental health at Nassau County Correctional Center; and director of mental health/health service administrator at the New York City Department of Juvenile Justice.

Dr. Helfand has extensive experience in policy development, program development, staff training, and implementation in mental health services. He is well versed in mental health standards and regulatory issues and has developed systems for the assessment and treatment of people with mentally illness as alternatives to incarceration and segregation. He has also worked successfully to reduce use of force with mental health patients and has championed programs for community linkage.

Edward Kern, MD, CCHP

Dr. Kern has served as the Alabama Department of Corrections’ Director of Psychiatry since this position was created in 2018, overseeing all aspects of the mental health program, including policy development and clinical oversight. For 8 years before that, he worked for MHM Services providing treatment to severely mentally ill patients on the stabilization and residental treatment units at Alabama DOC’s Bullock Correctional Facility. Overall he has 21 years of experience in correctional psychiatry, including 4 years working with the mental health team at the Lee County (AL) Detention Center to develop its first psychiatric treatment program and 7 years at the State Correctional Institution – Pittsburgh while continuing work as a part-time medical school faculty member. Dr. Kern was an important contributor to the NCCHC’s Suicide Prevention Resource Guide, developed with support from the American Foundation for Suicide Prevention.

Nanendra Kuber, RPh

Mr. Kuber possesses thorough knowledge of the principles, methods, practices, techniques, and materials of pharmacy operations, including formulary management and applicable federal and state laws and rules. As the Director of Central Pharmacy for the Wisconsin Department of Corrections, he leads a staff of 53 who operate a centralized pharmacy distribution system and manages an annual budget of $35 million for pharmaceuticals. This system is designed for optimal patient care with satellite pharmacy services at 38 prisons serving 19,000 incarcerated patients and use of a pharmacy management information system. Quality assurance is integral to the department’s work. Mr. Kuber serves as the primary contract for the 340B program for the Wisconsin DOC and is attuned to cost-saving opportunities and newer treatment options. He has served on RFPs for electronic health records and automated dispensing technology and is well-versed in the vendor evaluation process.

Ross MacDonald, MD

Dr. MacDonald is the Chief Medical Officer/Senior Assistant Vice President for NYC Health + Hospitals/Correctional Health Services, the largest public hospital system in the United States. In this role he oversees the provision of medical, mental health, substance use, nursing, pharmacy, and dental services for patients in the New York City jail system. The 10-facility system features 24-hour clinics staffed by MDs, innovative mental health programming units design to reduce the use of solitary confinement, crisis intervention teams, and the nation’s largest jail-based opioid treatment program. A practicing internal medicine physician, Dr. MacDonald has expertise in substance use disorders and complex care delivery systems. He also is a clinical assistant professor at the NYU School of Medicine. He received his medical degree from Weill Cornell Medical College and completed a residency in social internal medicine at Montefiore Medical Center.

Marci Mackenzie, PhD, LCSW, CCHP

Ms. Mackenzie has worked tirelessly throughout her career to improve the quality of health care in jails and prisons. She has retired as the Director of Health Operations, Standards, and Accreditation for Rutgers University-University Correctional Health Care, where she oversaw the medical, mental health, and dental operations for 12 adult prisons and 2 juvenile secure care facilities. She has led multiple teams to successful NCCHC accreditation/reaccreditation, as well as assisting a facility to achieve its initial JCAHO accreditation. Ms. Mackenzie holds a PhD in clinical social work from New York University as well as NCCHC’s Certified Correctional Health Professional designation. She has published several peer-reviewed articles on correctional health care, and continues to train and educate both health staff and correctional officers in the importance of suicide prevention and all other aspects of correctional mental health care.

Barbara Mariano, RN, CCHP

Ms. Mariano is a senior correctional health professional with expertise in clinical services. A registered nurse licensed in New Jersey, Barb spent more than 20 years at the Monmouth County (NJ) Correctional Institution, first as a head nurse and then as the nursing supervisor, where she was responsible for the delivery of health services as well as the development and implementation of policies and procedures to support compliance with standards. Barb has long been an advocate for quality health care within correctional facilities. In addition to her work as a lead consultant for NCCHC Resources, Barb is a lead surveyor for NCCHC’s accreditation program. She has served on the advisory committees to review and revise standards for opioid treatment programs in corrections and, separately, to revise prison health care standards. She currently serves on the surveyor advisory subcommittee.

Kendra Meyer, RN, CCHP-RN

Ms. Meyer is an experienced health care leader adept at training and leading successful teams focused on delivering exceptional care to all patients. She has been a registered nurse for over two decades, with most of that time spent in leadership roles. With experience in juvenile and adult detention facilities, as well as home health and hospice care, Kendra has over 10 years of service as a health services administrator and holds NCCHC’s Certified Correctional Health Care Professional - RN certification.

Kimberly Pearson, MHA, MBA, RN, CCHP

Ms. Pearson has worked in health care settings for 37 years as both a registered nurse and manager/administrator with progressive leadership roles. Now a consultant, she was Deputy Agency Director for the Orange County Health Care Agency - Correctional Health Services Division for 10 years. The Orange County system is one of the country’s largest, with 60,000 adult and juvenile admissions per year, a health care staff of 350, and an annual budget of over $71 million. Ms. Pearson had executive oversight for health services and the conditional release program for mentally ill individuals. Responsibilities included clinical operational oversight, strategic planning, regulatory compliance, management of legal and risk issues, contract management, and labor relations. She engaged in interagency collaborations with the sheriff’s department, Immigrations and Customs Enforcement, Department of Justice, Board of State and Community Corrections, and state licensing entities. Ms. Pearson serves on the Academy of Correctional Health Professionals’ Board of Directors and has served on the Board for the American Correctional Health Services Association’s CA/NV chapter. She also has been a surveyor for NCCHC’s accreditation program.

Becky Pinney, MSN, RN, CCHP-RN, CCHP-A

Ms. Pinney possesses extraordinary leadership skills, evidenced by her role advancements to Senior Vice President, Chief Nursing Officer, at Corizon Health, from which she recently retired after 25 years, with more than 30 years in this field. Her experience encompasses both clinical and nonclinical roles, having managed large jail programs and serving as the lead on several state prison contracts. Her career has given her a deep understanding of clinical trends and operations practices and how they can impact the daily custody and clinical management of the inmate population. Through collaboration with other clinical and operations executives, Ms. Pinney takes a comprehensive, systemwide approach to nursing issues, standards, training, education, and staffing that supports patient safety and quality efforts.

A member of the American Nurses Association and Georgia Nurses Association, Ms. Pinney has significant involvement with NCCHC. She assisted with development of the 2014 editions of the Standards for Health Services manuals for prisons and jails, served on the committee that launched the Certified Correctional Health Professional - Registered Nurse (CCHP-RN) program, and is a member of the CCHP-RN subcommittee, the NCCHC Nurse Advisory Council, and the NCCHC Correctional Health Care Foundation.

Denise Rahaman, MBA, RN, CCHP-RN, CCHP-A

Ms. Rahaman began her career as a staff nurse and served as a Nurse Corps Officer in the U.S. Air Force. She then worked in both public and private sector environments before moving into correctional health care. She is currently the Executive Director of a major East Coast correctional health system. In this capacity, she provides oversight and leadership for the correctional line of service. She works with the organization leadership in the planning, implementation, and coordination of correctional programs, services, and strategies Ms. Rahaman has extensive experience with both medical and behavioral health aspects of correctional health systems. Ms. Rahaman has been invited to present at several NCCHC conferences, and has served in an advisory role to both the American Nurses Association and NCCHC in the development of their standards. She has continued to supplement her education with post-master’s and leadership training to continually enhance her skills.

Clayton Ramsue, MD, CPE, CHCQM, CCHP-P

Dr. Ramsue has held progressive leadership positions during his career, encompassing senior medical officer, medical director, chief of staff, regional medical director, and vice president of medical affairs. His correctional experience began in 2005, and currently, he is Statewide Medical Director for Centurion Managed Care in Mississippi. A Certified Executive Coach, Dr. Ramsue also operates a consultancy focused on leadership development for health care executives and clinicians and has expertise in performance improvement and risk management. He also is consultant for diversity and inclusion initiatives.

Dr. Ramsue is a veteran of both the U.S. Navy and U.S. Air Force, retiring after 25 years of service as a Lieutenant Colonel. He holds a master’s degree in health care management and is a Fellow of the American Academy of Family Medicine.

Erin Schafer, BA

Ms. Schaffer honed her knowledge of jail administration through her work advising Milwaukee County as it investigated a potential move from vendor-provided health services to self-operation of a system estimated at $20 million annually. This entailed complex project management, analysis, and problem solving as well as liaison with technical experts and elected officials. During the COVID-19 pandemic, Ms. Schaffer served as an emergency support function lead responsible for coordinating the collaboration among 17+ municipal entities to procure emergency supplies. She has extensive legal training through her pursuit of a juris doctor, which she did not complete as her career interests led her to the government sector in information technology and contract management. As a contract manager, she develops, documents, disseminates, and ensures countywide use of best-class contracting methodology and universal compliance with statutes and ordinances, and manages all aspects of planning, training, development, negotiation, implementation, and oversight of contracts and leases.

Randall Stoltz, MD, CCHP

Dr. Stoltz is board certified in family medicine and has broad experience in general medicine, correctional health care, and pharmaceutical research. He has been medical director for the Vanderburgh County Detention Center since 1998 and in 2017 took on that role for the Warrick County Correctional Center, both in Indiana. He develops and implements patient health care plans and works with local public agencies to ensure ongoing health care after reentry. Areas of expertise include clinical operation policies and procedures, quality improvement, and clinical staff oversight. Dr. Stoltz is also a staff member at two hospitals and served for many years as medical director at a nursing home, as well as a faculty member at the Indiana University School of Medicine. He is a physician surveyor for NCCHC’s accreditation program and has served as an expert witness in many correctional cases. He also is a member of the Academy of Correctional Health Professionals and the American College of Correctional Physicians.

Donna Strugar-Fritsch, MPA, BSN, CCHP

Ms. Strugar-Fritsch is a nationally recognized expert and thought leader in the interface of the Affofrdable Care Act and justice systems, innovative models of care and population health management strategies in prison and jail health systems, integration of behavioral health and medical care in correctional settings, and managing withdrawal and treating substance use disorders behind bars.

Now an independent consultant, Ms. Strugar-Fritsch was a Principal with Health Management Associates for 18 years, serving as practice leader in correctional health care. She has deep experience in all aspects of prison health care design, operation, and evaluation and advises prisons, jails, policy makers, correctional health vendors, and justice system stakeholders in correctional health care operations, process improvements, best practices, and emerging trends. She has worked closely with the NCCHC Resources team as a subject matter expert for educational presentations, trainings, and published works.

Jim Voisard, BS, CCHP-A

Jim Voisard is a senior correctional health professional and will serve as project lead. In his role as Director, Correctional Health Division for Team Health/Premier Physician Services, Jim had oversight of 23 facilities including jails, prisons, juvenile detention, and community residential with average daily populations ranging from 50 to 2,000. He was responsible for managing the contracts for these facilities, ensuring that quality health care was provided in a cost-effective manner. Prior to his work with Team Health, Jim was the medical director for the Montgomery County, Ohio, jail.

Jim has long been an advocate for quality health care within correctional facilities. In addition to his work as a lead consultant for NCCHC Resources, Jim is a Senior Lead Accreditation Surveyor and a Lead Surveyor Trainer for NCCHC. He has served on a number of board committees and task forces for the organization. He is a past board member of the Academy of Correctional Health Professionals and the American Correctional Health Services Association.