Fiamma Lucio, MSW, LICSW – Adult Outpatient

Fiamma Lucio was born and raised in Florence, Italy. She came to US in 1996 and attended Delta College, in Stockton, California. She received a Bachelor in Sociology from Stanislaus State University in Turlock, California in 2000 and a Master in Social Work from the same University in May, 2002. Fiamma became a licensed clinical social worker (LICSW) in April 2010. Fiamma worked in California as case manger and therapist with children, families and young adults. Fiamma is also a Child specialist and has 15 units of child development training, and child abuse prevention training.
Fiamma was hired at CRMHS on March 2006 in a management position for Clearview employment services. She then supervised the intake department and the Intensive Case Management team. She is currently supervising the Adult Outpatient Program (AOP) with her colleague Christine Kapral who was hired in 2013. Fiamma will be supervising also the new Centralized Intake Unit.

Other trainings include Management and Supervision, Wellness and Recovery, Evidence Based Practice, Motivational Interviewing, Safety Training (Marty Smith), Cultural Diversity, HIV/AIDS, and some DBT.

In her personal life, Fiamma enjoys sport, outdoor activities, photography, hiking and exercising (especially Zumba). Fiamma likes to work with people and she is very outgoing and friendly.

Kim Nuesse, BA, CDP – Chemical Dependancy

Kim grew up in Kelso, WA and graduated from Evergreen State College with a Bachelor of Arts in Psychology degree. She first came to Columbia River Mental Health Services in 1996, working in the mental health department. During that time Kim went back to college at Lower Columbia College and completed the Chemical Dependence Program. Kim completed her chemical dependency interning hours in mental health agencies. She is licensed as a Chemical Dependency Professional and approved as a Clinical Supervisor with the Washington State Department of Health. Kim returned to CRMHS in 2010 with tremendous experience managing Intensive Outpatient programs, an Intensive Inpatient program, PACT program, Treatment Court programs, and an Opiate Substitution program. Currently Kim manages Columbia River’s Substance Use Dependency programs, including Co-Occurring , and provides clinical support for triage.

Kim received specialized training in a variety of areas including Motivational Interviewing, Solutions Focused Therapy, Cognitive Behavior Therapy, Co-Occurring Disorders, LGBTQ training, and Firestarter/Medicine Wheel & the 12 steps – White Bison training. Her community involvements include HIV/AIDS consortium, Sexual Minority Roundtable, and she has held numerous service positions in the recovery population and believes “although the world is full of suffering, it is full also of the overcoming of it.” Helen Keller

In her personal life she enjoys reading 3 to 4 books at a time, writing poetry, walking, meditation, finds it a must to be around water, loves swimming and shares her home with “Emma” her faithful cat. Kim is very involved with the recovery community and celebrates 18 years clean!

Christine Kapral, MA, LMHC – Children & Family Services

Christine E. Kapral is a Licensed Mental Health Counselor and the Clinical Program Manager of the Children’s and Family Department at Columbia River Mental Health Services.  Christine has her Master’s degree in Psychology from Seattle University and her Bachelor’s degree in Sociology.  Christine has over 25 years of experience as a mental health clinician working with children, adults and families.  Her credentials include:  Certified Clinical Supervisor (2006); Certified Therapist, Washington Coalition of Sexual Assault Programs (2005); Child Mental Health Specialist (2013).  Christine provides clinical consultation and supervision for mental health counselors and social workers actively pursuing professional credentialing and licensure.  She has extensive training in treating anxiety, chronic mental illness, co-occurring disorders, depression, grief and loss, post-trauma recovery and providing emergency management.  Christine only practices evidence based models of therapy.

Eric Pierson – Community Services Team & Central Intake Unit