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Outpatient Mental Health, Trauma & Wellness Services

at St. Vincent Charity Medical Center’s Integrated Care Clinic

Call 216.363.2580, option 2, option 2

At St. Vincent Charity Medical Center, we attend to the physical, mental, emotional and spiritual health of each individual.

Our multidisciplinary team at the Integrated Care Clinic includes psychiatry, psychology, social work, counseling, care coordination and more.

Common concerns/diagnoses we serve include:

  • Adult ADHD
  • Anxiety disorders
  • Couples/marital Issues
  • Depression
  • Dual diagnosis/co-occurring disorders
  • Grief and loss
  • Mood disorders
  • PTSD and trauma
  • Relationship issues
  • Schizophrenia and other psychotic disorders
  • Sexual abuse
  • Sleep problems/insomnia
  • Stress management
  • Substance use disorders

We provide the following services to support your mental health:

  • Care coordination
  • Diagnostic assessment
  • Group therapy
  • Individual therapy
  • Linkage to primary care
  • Medication management
  • Trauma therapy
  • Wellness

Specialized offerings include:

  • Eye Movement Desensitization and Reprocessing (EMDR)

All of our services are tailored to your needs. Recognizing the strong link between mind and body, treatment also focuses on improving general well-being. Our goal is to help our clients better cope with everyday stressors, enhance their relationships, and improve overall mental and emotional health.



Integrated Care Clinic
St. Vincent Medical Office Building
2322 East 22nd Street, Suite 200
Cleveland, OH 44115


Monday through Friday

8:00 a.m. to 4:30 p.m.

To learn more or make an appointment:

Call our office at 216.363.2580, option 2, option 2.

  • Rajalla E. Prewitt, M.D.

    Rajalla E. Prewitt, M.D. joined St. Vincent Charity Medical Center’s Behavioral Health medical staff in October 2021 and currently provides outpatient behavioral health services. She is dual board certified in adult psychiatry and child/adolescent psychiatry.

    Previously, Dr. Prewitt served, beginning in January 2015, as medical director of the adolescent inpatient unit at Snowden at Fredericksburg of Mary Washington Hospital; as an attending psychiatrist for the adult partial hospitalization program at Snowden at Fredericksburg of Mary Washington Hospital; and as an outpatient adult and child/adolescent psychiatrist for Gaertner Psychiatric PC, which is a full service inpatient and outpatient psychiatric medical practice serving Fredericksburg and Richmond, VA. From 2010 to 2014, Dr. Prewitt served as a psychiatrist at the Center for Family Guidance in Marlton, NJ.

    Dr. Prewitt holds a bachelor’s degree in biology from John Carroll University and medical degree from The Ohio State University College of Medicine. She completed her residency in psychiatry at the University of Cincinnati and fellowship in child/adolescent psychiatry at the University of Cincinnati Children’s Hospital Medical Center, where she was chief resident of child/adolescent psychiatry.

    Throughout her career, Dr. Prewitt has consulted with various behavioral health programs throughout the country to extend best practices and improve training.


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    Adult Psychiatry
    Child & Adolescent Psychiatry
  • Mary K. Wills, LISW-S

    Mary K Wills, LISW-S is an outpatient therapist and clinical supervisor. As a behavioral health therapist at St. Vincent Charity Medical Center, Mary is dedicated to improving access to integrated care, so that patients can address both their behavioral health symptoms as well as underlying health concerns. Her experience includes working with a broad range of populations, including adults, children, families, couples, geriatrics, LGBTQIA+, dual diagnosis, developmentally delayed, Medicare/Medicaid beneficiaries, grant funded services, private insurance, and corrections.  And she has experience in diverse social work settings, such as inpatient psychiatric hospital, community-based services, schools, in-home community mental health counseling, corrections and office-based and hospital-based integrated care.  
    Mary is specifically skilled in treating trauma, anxiety and grief/loss. She has developed multiple grief and loss programs based on the Kubler-Ross model, and approaches treatment with empathy and understanding. Mary is trained in treatment modalities, including EMDR, TF-CBT, motivational interviewing and DBT. 
    Mary holds a Bachelor of Arts from the University of Mount Union and a Master of Science in Social Administration and a certificate in Global Health from Case Western Reserve University. While at Case Western Reserve University, Mary studied abroad in Northern India to learn more about the effects of poverty on global health. She completed her undergraduate internships at a subsidized housing program in Stark County and Stark County Family Court with the juvenile pre-trial division. Her graduate school internships were completed at an inpatient behavioral health center in Willoughby, OH and at Marion Sterling Elementary School in Cleveland, Ohio’s Central neighborhood. Many of the murals painted in Marion Sterling were painted by Mary and her students.

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    Social Work
  • Alison R. Jakubowski, LSW

    • Support services
    • Care coordination
    • Patient navigation
    • Case management
    • Assessment and intervention

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    Social Work
  • Michael J. Biscaro, Psy.D., ABPP

    Michael J. Biscaro, Psy.D., ABPP (Forensic) is St. Vincent Charity Medical Center’s director of behavioral health planning. In this position since July 2021, Dr. Biscaro is now responsible for the behavioral health service line’s strategic planning, future growth and development. Furthermore, he continues to serve as a leader and content expert for the clinical teams providing mental health and addiction services in a transformational effort to create an integrated and expanded continuum of services that addresses the holistic needs of patients. Over the previous 18 months, Dr. Biscaro served as the chief of behavioral health, where he assisted the medical center in re-designing and re-imaging one its core service lines, improving access to services, increasing philanthropy and grant funding, and implementing outpatient services.

    Previously, Dr. Biscaro had served at the VA Northeast Ohio Healthcare System since 2009 in the roles of program director and team leader for the Psychosocial Rehabilitation and Recovery Center (PRRC), and clinical psychologist. He took on the expanded role of service line manager for peer support services in 2019 after completing leadership training through a multi-state Veteran Integrated Service Network Leadership Development Institute training program.

    Dr. Biscaro has a special interest improving program access, most notably by implementing one of the first PRRC telehealth programs offering the full complement of services to Veterans in the Akron area. Dr. Biscaro now co-leads a national workgroup focused on developing standards for PRRC telehealth implementation. Through the implementation of telehealth programming, but also enhanced services for people with co-occurring addictions, the PRRC has more than doubled in its capacity and size.

    Dr. Biscaro holds a bachelor’s degree in psychology from John Carroll University, and a master’s degree and doctorate in clinical psychology from Xavier University. He completed his internship and post-doctoral residency in clinical psychology at the Louis Stokes Cleveland VA Medical Center.

    In 2017, Joseph’s Home, the only homeless service provider in Northeast Ohio exclusively focused on medical respite care, named Dr. Biscaro as behavioral health director. Also, Dr. Biscaro consults with various behavioral health programs throughout the community to extend best practices and improve training.


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  • Russell E. Spieth, Ph.D.

    In October 2020, St. Vincent Charity Medical Center named Russell E. Spieth, Ph.D., as director of outpatient services at Rosary Hall. In this role, Dr. Spieth provides leadership and operational oversight of ambulatory addiction treatment services, as well as staff and program development for the expanding continuum of Rosary Hall. He also ensures close coordination with Rosary Hall’s inpatient detoxification services, inpatient behavioral health and other hospital programs.

    Dr. Spieth's diverse experiences helped expand Rosary Hall’s capabilities, which include mental health and dual diagnosis treatment, including serious and persistent mental illness.

    Rosary Hall includes an interdisciplinary team of physicians, fellows, nurse practitioners, social workers, counselors and now peer recovery support. The team serves hundreds of patients, many with co-occurring mental illnesses, per year. Ranked as a top provider in Ohio by, St. Vincent Charity Medical Center is a recognized leader in substance use disorder diagnosis, treatments and innovations.

    Previously, Dr. Spieth’s most recent role was as managing director of campus mental health and consulting and training, and assistant professor of psychiatry, at Northeast Ohio Medical University (NEOMED). In that position, he:

    • Oversaw Project ECHO educational clinics on medication for opioid use disorders. Project Echo is a nationally and globally recognized model for bringing best-practice health care to patients who can’t get it because of where they live.
    • Collaborated with NEOMED’s Center for Student Wellness and Counseling Services staff to introduce enhanced clinical services and monthly outreach programming.
    • Supervised programming for the Ohio Program for Campus Safety and Mental Health.

    Concurrently, Dr. Spieth served as a counselor at The Counseling Center at The University of Akron. Prior, from 2016 to 2019, Dr. Spieth served as senior consultant/trainer of motivational interviewing at NEOMED, where he created and provided interdisciplinary training on motivational interviewing to community partners and pharmacy and medical students. He also conducted training and mentoring on psychosocial aspects of substance use disorder treatment for multidisciplinary professionals. His past experience includes service as director of family services, FrontLine Service; predoctoral intern, The Counseling Center, The University of Akron; program manager, MHS; and counselor and vocational counselor, Su Casa Methadone to Abstinence Residence, Lower Eastside Service Center, in New York, NY.

    Dr. Spieth has given more than 35 lectures nationally and internationally. He has generated more than $7 million in state and federal grants to enhance substance use disorder programming. His training interests include preparing the primary care workforce to address substance use disorders, increasing community collaboration to address mental health issues, and using Project ECHO to change practice and create a new narrative in health care.

    Dr. Spieth earned his Doctor of Philosophy in American Psychological Association (APA) accredited Collaborative Program in Counseling Psychology from the University of Akron in 2014; Master of Education in Counseling Psychology from  Columbia University in 2001; and  Bachelor of Science in Psychology, Minor in Biology from Florida State University in  1994. 

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    Mood and Anxiety Disorders
    Substance use disorders
    Trauma informed care
    Vocational burnout