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Carley Castellanos, LMFT

Regional Director of Early Start, Perinatal Substance Use Intervention Program
Kaiser Permanente, NCAL
Sacramento, California

Carley Castellanos is a Licensed Marriage and Family Therapist with a BA in Psychology from the University of California, Davis, and an MA in Clinical Psychology from Santa Clara University. She brings over 15 years of expertise in Behavioral Health, Addiction Medicine, and Perinatal Substance Use Intervention, with a focus on advancing evidence-based practices and health equity in maternal care.

Carley began her career in Adolescent and Family Addiction Medicine treatment before transitioning into leadership roles at Kaiser Permanente. She then led Kaiser Addiction Medicine programs in the Bay Area and served as the Clinical Director of Psychiatry at the Kaiser South Sacramento Medical Center, where she oversaw comprehensive behavioral health services, including Adult and Child Psychiatry, Addiction Medicine, and Intensive Outpatient Services.

Since 2023, Carley has served as the Regional Director for Kaiser Permanente's Early Start Program, an award-winning perinatal substance use intervention program. Under her leadership, the program has published multiple groundbreaking studies in collaboration with the Division of Research, highlighting the implications of substance use in pregnancy on maternal and neonatal health outcomes. She has also driven initiatives to address provider bias in SUD diagnostics, optimize care pathways for pregnant patients, and improve provider-patient communication about substance use.

Carley is a passionate advocate for viewing substance use disorders from a public health lens, and is committed to promoting patient-centered, harm-reduction approaches that address systemic barriers to care, while empowering providers to deliver compassionate, evidence-based support to pregnant individuals at risk of substance use.

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