Christopher D. Houck Associate Professor of Psychiatry and Human Behavior (Research), Associate Professor of Pediatrics (Research)

Dr. Houck is a staff psychologist at Rhode Island Hospital in the Department of Child and Adolescent Psychiatry. He is a licensed clinical psychologist who earned his Bachelor of Arts degree from the University of Michigan in 1996. He obtained his Ph.D. in Clinical and Health Psychology from the University of Florida in 2002. He completed his internship at the Children's Hospital of Orange County in Orange, California and a postdoctoral fellowship at Brown University. He conducts research on factors related to adolescent sexual risk behaviors, particularly the role of emotion regulation in intervening on health behaviors. He is also involved in clinical teaching in child psychology and pediatrics. In addition, Dr. Houck provides clinical services to children and adolescents with co-occurring psychological and medical problems, as well as to those affected by family illness.

Brown Affiliations

Research Areas

scholarly work

Hadley, W., Barker, D., Thamotharan, S., & Houck, C.D. (in press). The role of unsupervised time and participation in an emotion regulation intervention on longitudinal risk outcomes among youth with mental health problems. Journal of Developmental and Behavioral Pediatrics.

Moore J.L., Houck C., Barron, C.E., Goldberg A.P. (in press). Trafficking experiences and psychosocial features of domestic minor sex trafficking victims. Journal of Interpersonal Violence.

Kemp, K., Thamotharan, S., Poindexter, B., Barker, D., Tolou-Shams, M., & Houck, C.D. (2017). Emotion regulation as a predictor of juvenile arrest. Criminal Justice and Behavior, 44, 912-926. 

Brown, L.K., Whiteley, L., Houck, C.D., Craker, L., Lowery, A., Beausoleil, N., & Donenberg, G. (2017). The role of affect management for HIV risk reduction for youth in alternative schools. Journal of the American Academy of Child and Adolescent Psychiatry, 56, 524-531. 

Javdani, S., Sadeh, N., Donenberg, G.R., Emerson, E., Houck, C. & Brown, L. (2017). Affect recognition deficits among adolescents in therapeutic schools: Relationships with PTSD and conduct disorder symptoms. Child and Adolescent Mental Health, 22, 42-48. PMC5424813.

Goldberg A.P., Moore J.L., Houck C., Kaplan D.M., & Barron C.E. (2017). Domestic minor sex trafficking patients: A retrospective analysis of medical presentation. Journal of Pediatric and Adolescent Gynecology, 30, 109-115.  

Houck, C.D., Barker, D., Hadley, W., Brown, L.K., Lansing, A., Almy, B., & Hancock, E. (2016). The one-year impact of an emotion regulation intervention on early adolescent health risk behaviors. Health Psychology, 35, 1036-1045. PMC4993659.

Houck, C.D., Hadley, W., Barker, D., Brown, L.K., Hancock, E., & Almy, B. (2016). An emotion regulation intervention to reduce risk behaviors among at-risk early adolescents. Prevention Science, 17, 71-82. PMC4697876.Hadley, W., Houck, C.D., Barker, D., & Senocak, N. (2015). Relationships of parental monitoring and emotion regulation with early adolescents’ sexual behaviors. Journal of Developmental and Behavioral Pediatrics, 36, 381-388. PMC4456297.

Almy, B., Long, K., Lobato, D., Plante, W., Kao, B., & Houck, C.D. (2015). Perceptions of siblings’ sexual activity predict sexual attitudes among at-risk adolescents. Journal of Developmental and Behavioral Pediatrics, 36, 258-266. PMC4414693. 

Swenson, R.R., Houck, C.D., Sarfati, D., Emerson, E., Donenberg, G., & Brown, L.K. (2015). HIV testing among teens attending therapeutic schools: Having a personal source of information about HIV/AIDS matters. Journal of Primary Prevention, 36, 155-166. PMC4425569.

Houck, C.D., Swenson, R., Donenberg, G., Papino, A., Emerson, E. & Brown, L.K. (2014). Adolescents’ emotions prior to sexual activity and associations with sexual risk factors. AIDS and Behavior, 18, 1615-1623. PMC4108515.

Rodriguez, E., Donenberg, G.R., Emerson, E., Wilson, H.W., Brown, L.K., Houck, C. (2014).  Family environment, coping, and mental health in adolescents attending therapeutic day schools. Journal of Adolescence, 37, 1133-1142. PMC4335706.

Houck, C.D., Barker, D., Rizzo, C., Hancock, E., Norton, A., & Brown, L.K. (2014). Sexting and sexual behaviors among at-risk adolescents. Pediatrics, 133, e276-e282. PMC3904272.

Hadley, W.S., Houck, C.D., Barker, D., Brown, L.K. (2014). Eliciting affect via immersive virtual reality for adolescents: A tool for adolescent risk reduction. Journal of Pediatric Psychology, 39, 358-368. PMC3959265.

Brown, L.K., Houck, C.D., Donenberg, G., Donahue, K. Emerson, E., Misbin, J. (2013). Affect management for HIV Prevention with adolescents in therapeutic schools: The immediate impact of Project Balance. AIDS and Behavior, 17, 2773-2280.

Swenson, R.R., Houck, C.D., Barker, D., Zeanah, P.D. & Brown, L.K. (2012). Prospective analysis of the transition to sexual experience and changes in sexual self-esteem among male and female adolescents attending therapeutic schools. Journal of Adolescence, 35, 77-85.

Houck, C.D., Hadley, W.S., Tolou-Shams, M., Brown, L.K. (2012). Truancy is associated with sexual risk among early adolescents. Journal of Developmental and Behavioral Pediatrics, 33, 728-731. PMCID: PMC3488264

Houck, C.D., Stewart, A., Brown, L.K. & the Project SHIELD Study Group (2012). Condom use measurement in adolescent HIV prevention research: Is briefer better? International Public Health Journal, 4, 369-376.

Brown, L.K., Houck, C.D., Lescano, C., Donenberg, G., Tolou-Shams, M., & Mello, J. (2012). Affect regulation and HIV risk among youth in therapeutic schools. AIDS and Behavior, 16, 2272-2278. PMCID: PMC3496428

Brown, L.K., Nugent, N., Houck, C.D., Lescano, C., Whiteley, L., Viau, L., & Zlotnick, C. (2011). Safe thinking and affect regulation (STAR): HIV prevention in alternative/therapeutic schools. Journal of the American Academy of Child and Adolescent Psychiatry, 50, 1065-1074. PMCID: PMC3185294

Swenson, R., Hadley, W., Houck, C., Dance, S.K., & Brown, L.K. (2011). Who accepts a rapid HIV antibody test? The role of race/ethnicity and HIV risk behavior among community adolescents. Journal of Adolescent Health, 48, 527-529.

Tolou-Shams, M., Houck, C.D., Conrad, S., Tarantino, N., Stein, L., & Brown, L.K. (2011). HIV prevention for juvenile drug court offenders: A randomized controlled trial focusing on affect management. Journal of Correctional Health Care, 17, 226-232. PMCID: PMC3445619

Houck, C.D., Nugent, N., Lescano, C.M., Peters, A., Brown, L.K. (2010). Sexual abuse and sexual risk behavior: Beyond the impact of psychiatric problems. Journal of Pediatric Psychology, 35, 473-483. PMID 19966316, PMCID: PMC2910940.

Lescano, C.M., Houck, C.D., Brown, L.K., Doherty, G., DiClemente, R.J., Fernandez, M.I., Pugatch, D., & Schlenger, W.E., Silver, B.J., and Project SHIELD Study Group. (2009). Correlates of heterosexual anal sex among at-risk adolescents and young adults. American Journal of Public Health, 99, 1131-1136. PMID 19008522.

Grossman, C., Hadley, W., Brown, L.K., Houck, C.D., Peters, A., Tolou-Shams, M. & Project SHIELD Study Group. (2008). Adolescent sexual risk: Factors predicting condom use across the stages of change. AIDS & Behavior, 12, 913-922. PMID 18427971.

Brown, L.K., Houck, C.D., Lescano, C.M., Grossman, C., & Frenkel, J. (2008). Frequency of adolescent self-cutting as a predictor of HIV risk. Journal of Developmental and Behavioral Pediatrics, 29, 161-165. PMID 18520618.

Tolou-Shams, M. Brown, L.K., Houck, C., Lescano, C.M., & Project SHIELD study group (2008). The association between depressive symptoms, substance use, and HIV risk among youth with an arrest history. Journal of Studies on Alcohol and Drugs, 69, 58-64. PMID 18080065.

Houck, C.D., Hadley, W., Lescano, C.M., Pugatch, D., Brown, L.K., & Project SHIELD Study Group (2008). Suicide attempt and sexual risk behavior: Relationship among adolescents. Archives of Suicide Research, 12, 39-49. PMID 18240033.

Tolou-Shams, M., Payne, N., Houck, C., Pugatch, D., Beausoleil, N., Brown, L.K. & Project SHIELD Study Group (2007). HIV testing among at-risk adolescents and young adults: A prospective analysis of a community sample. Journal of Adolescent Health, 41, 586-593. PMID 18023788.

Houck, C.D., Rodrigue, J.R., & Lobato, D. (2007). Parent-adolescent communication and psychological symptoms among adolescents with chronically ill parents. Journal of Pediatric Psychology, 32, 596-604. PMID 17172629.

Houck, C.D., Lescano, C., Brown, L.K., Tolou-Shams, M., Thompson, J. and Project SHIELD. (2006). "Islands of risk": Identifying subtypes of adolescents at risk for HIV. Journal of Pediatric Psychology, 31, 619-629. PMID 16120764.

Brown, L.K., Tolou-Shams, M., Lescano, C., Houck, C.D., Zeidman, J.A., Pugatch, D., Lourie, K., and Project SHIELD Study Group. (2006). Depressive symptoms as a predictor of sexual risk among African American adolescents and young adults. Journal of Adolescent Health, 39, 444 e1-444 e8. PMID 16919811.

Brown, L.K., Houck, C.D., Hadley, W.S., & Lescano, C. (2005). Self-cutting and sexual risk among adolescents in intensive psychiatric treatment. Psychiatric Services, 56, 216-218. PMID 15703353.



research overview

Dr. Houck's research interests focus on adolescent risk behavior, specifically on developing and testing interventions to prevent risky sexual behavior. He is currently the PI of a NIH-funded project developing a tablet-based program designed to teach emotion regulation concepts with the aim of reducing risk behaviors.

research statement

Early adolescents are at risk for negative health outcomes due to risk behaviors (e.g., unprotected sex, substance abuse) initiated during this developmental period, and delaying initiation into this risk can have a significant impact on an adolescent's future health. Underlying all of these problems are difficulties with emotion regulation. Emotional reactivity appears to interfere with the use of cognitive skills learned in traditional health education programs, and recent evidence highlights the role of emotion dysregulation in increasing the likelihood of sexual risk behaviors among adolescents. Also, early adolescence is a time when teens are developing their understanding of emotions and their ability to regulate emotion. These findings suggest an important role for an intervention that can reach vulnerable early adolescents to address emotional factors associated with risk situations, such as those involving sex, alcohol, and drugs, in order to reduce risk behaviors. Project TRAC (Talking about Risk and Adolescent Choices) targeted high-risk early adolescents (those who exhibit emotional, behavioral, or substance use risks) at urban junior high schools in Providence County, Rhode Island, by comparing two after-school intervention programs: and emotion regulation training program and a more traditional health education program. Results suggested that early adolescents in the emotion regulation intervention were less likely to begin having sex and engaged in less sexual risk behavior over the 30-month follow-up of the project. Finding strategies for disseminating emotion regulation education has led our research team to projects leveraging technology (e.g., virtual reality, tablet-based intervention delivery) for teaching emotion regulation skills with the goal of risk reduction. 

funded research

Co-Investigator, An Affect Management Intervention for Juvenile Offenders. (9/20/04-8/31/06) Larry Brown, PI, Funded by National Institute of Drug Abuse (R21 DA019245).  Total direct costs $275,000.

Principal Investigator, Affect Management Intervention for Early Adolescents with Mental Health Problems. (5/1/07-4/30/10) Funded by National Institute of Mental Health (R34 MH078750). Total direct costs $438,529.

Principal Investigator, GME Curriculum Innovations Targeting the ACGME Competencies of Professionalism and Communication (7/1/08-6/31/09) Funded by the Rhode Island Hospital Graduate Medical Education Committee Grant Award Program. Total award $7499.

Principal Investigator, Delivering Bad News and Other Difficult Conversations: Training Residents to be Better Communicators with Vulnerable Families (7/1/09-6/30/14) Funded by the Hassenfeldt Foundation. Total award $77,500.

Principal Investigator, Preventing HIV through Affect Management for High-Risk Early Adolescents (8/19/09-6/30/14) Funded by the National Institute of Nursing Research (R01 NR011906). Total direct costs $1,871,010.

Co-Investigator, Eliciting Affect in Teens in a Virtual World (7/1/10-7/1/11) Wendy Hadley, PI, Funded by the National Institute of Mental Health (R41 MH087322- Phase I). Total direct costs $163,849.

Co-Investigator, Community-Based Participatory Research to Develop a School-Based HIV Screening Program (9/15/12-7/31/14) Rebecca Swenson, PI, Funded by the National Institute of Mental Health (R21 MH095626). Total direct costs $275,000.                             

Co-Investigator, Reduce the Risk: An Affect Management Program for HIV Prevention (4/1/13-3/31/15) Wendy Hadley, PI, Funded by the National Institute of Mental Health (R42 MH087322). Total direct costs $376,731.

Site Principal Investigator, Partner Violence Prevention for Middle School Boys: A Dyadic Web-Based Intervention (1/1/15-12/31/17) Christie Rizzo, PI, Funded by the National Institute of Justice (2014-MU-CX-0002). Total direct costs $538,848.

Site Principal Investigator, Dating Violence Prevention for Juvenile Justice Girls (10/1/16-3/31/20) Christie Rizzo, PI, Funded by the National Institute of Child Health and Human Development (R01 HD080780). Total direct costs $2,730,548.

Co-Investigator, Enhancing Emotion Regulation among Overweight and Obese Adolescents Attempting to Lose Weight (8/15/16-7/31/18) Wendy Hadley, PI, Funded by the National Institute of Diabetes and Digestive and Kidney Diseases (R21 DK108164). Total direct costs $275,000.

Principal Investigator, An Emotion Regulation Intervention for Early Adolescent Risk Behavior Prevention (8/1/17-7/31/19) Christopher Houck, PI, Funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (R21 HD 089979). Total direct costs $358,886.