Who we are

Program staff

Daniel P. Alford, MD, MPH, FACP, FASAM - Medical Director

As MASBIRT TTA, Dan provides oversight and guidance for the program and also conducts trainings for medical personnel. He is an Associate Professor of Medicine, Assistant Dean of the Continuing Medical Education Office at Boston University School of Medicine. He is on staff as a primary care internist in Boston Medical Center's Section of General Internal Medicine. He is a diplomate in Addiction Medicine by the American Board of Addiction Medicine. He is President of the Association of Medical Education in Research in Substance Abuse.

He is the medical director of BMC's Office-based Opioid Treatment program and was previously the Medical Director of the MASBIRT program. He is co-investigator for the National Institute on Drug Abuse funded Chief Resident Immersion Training Program in Addiction Medicine and the Massachusetts Consortium – Center of Excellence for Physician Information on Prescription Drug Abuse. He is course director for the Massachusetts Board of Registration in Medicine’s Safe Opioid Prescribing for Chronic Pain trainings.

For his work with MASBIRT, he was recognized as a Champion of Change by the White House.



Alissa Cruz, MPH - Program Manager

As Program Manager, Alissa has been overseeing the implementation of MASBIRT TTA since it began in 2012 and provides expertise in the areas of program implementation, data management, program evaluation, advocacy and policy, budgeting, and regulatory reporting. She has in-depth knowledge of issues related to the spectrum of unhealthy substance use and SBIRT.  Prior to this, she served as the Program Manager for the SAMHSA-funded State SBIRT program for 5 years.

She has more than 15 years of experience working on research and programs addressing unhealthy substance use.  She also has experience conducting program evaluation and supporting evaluation efforts.  She also has experience teaching through her work at the Boston University School of Public Health.


Lee Ellenberg, LICSW - Training Manager

As the MASBIRT TTA Training Manager, Lee leads the training and implementation efforts. He led MASBIRT implementation as the Clinical Program Supervisor in a variety of healthcare settings and provided clinical supervision to more than 25 Health Promotion Advocates and behavioral health staff.  He currently provides clinical supervision to behavioral health clinicians working at Boston Medical Center's CARE Counseling Program. Lee has trained both locally and nationally on SBIRT and Motivational Interviewing.

He has been a behavioral health clinician for more than 25 years. In addition, he teaches Cambridge College courses on Strategies for Change, Addictions, and HIV and has incorporated SBIRT training into many of these courses.

Previous to working with MASBIRT, he was the Social Work Manager of HIV services at Cambridge Health Alliance and the Associate Director of Mental Health and Addiction Services at Fenway Health. Lee has also served on the board of directors of Cambridge Cares About AIDS.


Alexandra Heinz, MSW, MPH - Trainer

As a Trainer at MASBIRT TTA Alex works to develop and deliver dynamic trainings in SBIRT and Motivational Interviewing to assist organizations to implement these strategies in their practice with clients. Since joining the team in 2017, Alex has provided training, technical assistance, and coaching to individuals and organizations across the state of Massachusetts. Her past experience includes several years of direct service provision in the non-profit sector with youth and adults in areas of intimate partner violence, sexual health, mental health, substance use, and infectious disease. Alex holds a Master’s of Social Work and a Master’s of Public Health from Boston University, and a Bachelor’s of Arts from Boston College. 

Enid Watson, MDiv - Trainer

Enid is the Director of Screening and Early Identification Projects at the Institute for Health and Recovery, and is the Massachusetts Fetal Alcohol Spectrum Disorders (FASD) State Coordinator. She has worked with medical professionals across the  state to increase provider comfort with FASD Prevention efforts such as Screening, Brief Intervention and Referral to Treatment (SBIRT) protocols. In this capacity, she has trained hundreds of primary care/OB/GYN providers, school-based health center providers, home visitors, school nurses, and clergy on SBIRT and Motivational Interviewing, including an innovative MI-based Batterer Intervention SBIRT.

She received training on the CRAFFT Screening Tool by Dr. John Knight, the developer of the tool. Ms. Watson has provided local and national trainings on issues related to SBIRT, adolescents, pregnancy, substance use and FASD for over a decade.


BNI-ART Institute - Trainers

Since 1993, the BNI-ART Institute at Boston University School of Public Health has been at the forefront of training health care providers in SBIRT, and disseminating SBIRT best practices based on lessons learned from research. The BNI-ART Institute collaborates with the team of trainers to provide training and expertise to continue to advance the goals of SBIRT implementation in healthcare systems and beyond.

To learn more about BNI-ART Institute, visit www.bu.edu/bniart.