Open Accessibility Menu


Program Staff

  • Karen Breuer

    Karen Breuer

    Program Coordinator

    I was born and raised in Spokane. We lived for a time in the Seattle & Portland area, but I missed Spokane and we moved back home. I love the beauty and the four seasons here in Spokane. There is always something to do in the area. I have always liked helping people and the medical field is a great place to do that. I previously worked for Internal Medicine Residency/Spokane Teaching Health Clinic as a scheduler. I like hiking, biking, swimming and hanging out with my husband, our two sons and our friends. I was raised to have faith, work hard and treat everyone with kindness and that’s what I try to do every day.

  • Chantel Blanchard

    Chantel Blanchard

    Program Assistant

    I am a Spokane local and love supporting our local restaurants. I have been working with Providence for five years and have been lucky to work with the Psychiatry Residency since Aug 2020. Education is very important to me as I have received my Business Management and Accounting Degree in 2016 and continue to further my education. I will obtain a BA in Psychology in 2024 and pursue a MS in Marriage and Family Counseling. Outside of work, I am by the water, at the gym, reading or painting and gardening with my daughter. I strive to live my life through experiences over possessions.

Clinical Staff

  • Christy Schug

    Christy Schug

    Patient Service Coordinator

    I was born in Fort Carson, Colorado Springs and raised in Spokane. I attended Whitworth University and obtained a BLS with a major in Social Work. I also have a nursing assistant certification. I have always had a heart for helping others and working in the psychiatry department enables me to work with a variety of patients. I enjoy being able to witness our patients getting the help they need. I’m interested in anything to do with social work with for the homeless, disabled or the elderly. I used to be an office manager/supervisor for an in home care agency. We cared for DDD, elderly, disabled and children with special needs. I enjoy the staff and the constant looking for a better way of helping others. I like Spokane because it is green and not too hot. Outside of work, I like to take care of my family, read, crochet, and watch movies.

  • Christy Schug

    Jennifer Dawson

    Patient Service Coordinator

    Born and raised in Spokane. Started working in childcare when I was 16. After graduating high school, I went onto cosmetology school, but was called back into childcare. Did some classes in child development and worked in the field on and off for four years. Went back to school one last time for my Phlebotomy license and could not find a career in that field. So, third time is the charm went back into childcare for three years thinking I would retire from there because it felt like home, but I got the opportunity to start with providence to be a Patient care coordinator. In my free time I enjoy DIY projects and road trips.

  • Christy Schug

    Hannah Allen-Kaesberg

    Certified Medical Assistant

    I was born and raised in Spokane Washington. I went to Carrington College to obtain my Certificated Medical Assisting License. I previously volunteered at the Vanessa Behan Crisis Nursery, through this and the fact that my father who was diagnosed with schizophrenia and bipolar. I found my calling to want to help people. Joining the Psych department was one of the ways I found that has an impact on people’s lives. Outside of work I love to hang out with my D&D (Dungeons and Dragons) crew every Sunday, readying, playing video games and travel as much as I can.

STHC Integrative Behavioral Health

  • C. Beth Pierce, LICSW

    I was born and raised in Spokane. As an adult I’ve lived all over Washington, but I returned to Spokane several years ago to be closer to my extended family. My parents have always been involved in their community and raised me with a strong sense of social justice. During my time as an undergraduate at the University of Washington I began volunteering at an overnight shelter program for youth who were homeless. I enjoyed working with that population and this led me to pursue a degree in social work. I then went on to get my Master’s of Social Work at Eastern Washington University. Throughout my career, I’ve worked in many different settings including community mental health and medical social work. I was drawn to the Care Manager role in the Psychiatry Residency program because it gave me a chance to combine my love of therapy with my enjoyment of working in an interdisciplinary team. I love working with a team that has such a passion for providing quality care to patients! I’ve benefited so much from the learning environment here and each year I feel even further equipped to walk alongside my patients. Outside of work I enjoy long walks, good coffee and time with friends. Getting a chance to raise my three sons in the city I grew up in has been special. I love getting to share experiences with them from my own childhood such as going to Green Bluff in the fall or attending the Lilac Parade in the spring.

  • Faculty

    Billie Schwable, LICSWA

    I was born in Spokane, WA to a family that loved children. I was fortunate to see other areas of the state through small town living as a youth with my siblings. I decided to become a clinical social worker later in life after experiencing medical complications with various family members. I completed 3 years of practicum with a local non-profit organization working extensively with those experiencing/having experienced homelessness. I have worked in outpatient mental health as a mental health clinician. I love Washington State and the beauty of nature that comes with it. I enjoy exploring the outdoors with my 4-legged buddies and family/friends. My intern experiences created a spark for Collaborative Care, and I am excited to be part of such an amazing program at Spokane Teaching Health Clinic where my clinical skills will be utilized.

  • Rachael Spivey, LICSWA

    I spent most of my childhood in Spokane before moving away. It was only when my own children were elementary aged that I realized Spokane was my ideal place to raise them, much to the delight of family and friends who still live here. I received my Bachelor of Science degree in 2008 from Portland State University. Post-graduation I spent several years as an editor in independent book publishing before committing myself to raising my two boys as a stay-at-home mom for ten wonderful years. Applying for graduate school after being at home for so long felt like a leap of faith, but I knew that as my children got older, I wanted them to be raised in an environment that focused on social justice and acts of service. I've always believed that the most effective way to teach my values to my children is to model them, and I can think of no more powerful way than for them to see me dedicate my life's work to advocating for others. In 2021 I graduated from Eastern Washington University with my Master of Social Work (MSW) degree. During my social work training at EWU, I had the privilege of completing my MSW practicum at the STHC. The learning and practice opportunities I experienced and observed during my practicum solidified for me that the STHC is a clinic environment that mirrors my own values of lifetime-learning and improving evidence-based clinic practice by ensuring patients receive the highest level of ethically, culturally competent, and trauma informed care available through CoCM. I consider clinical social work, with its opportunity to hold space for patients, to be an incredible honor, and something that I feel called to do. I am very excited to continue this work at the STHC and to be a part of such a passionate and committed interdisciplinarian team.