Wake STEP Community Clinic - Wake


 John Gilmore, MD, Medical Director

John H. Gilmore, MD
Medical Director

Dr. Gilmore is the Thad and Alice Eure Distinguished Professor and vice chair for Research and Scientific Affairs in the Department of Psychiatry at the UNC-Chapel Hill School of Medicine. Dr. Gilmore started the Schizophrenia Treatment and Evaluation Program (STEP) in 1992. He is director of the UNC Schizophrenia Research Center and serves as principal investigator of several grants from the National Institute of Mental Health and the National Institute of Child Health and Human Development. He is medical director of the UNC STEP Community Clinic -Wake in Wake County.

He is also a past president of the North Carolina Psychiatric Association.




Shane Rau, MD, PhD Associate Medical DirectorShane W. Rau, MD, PhD
Associate Medical Director


 Dr. Rau is an assistant professor in the UNC Department of Psychiatry and serves multiple roles for the Center for Excellence in Community Mental Health (CECMH).  He is this associate medical director of the new UNC STEP Community Clinic, Wake County (aka Wake STEP), which serves approximately 500 patients with severe mental illness. Dr. Rau is also the clinical director of the North Carolina Psychiatric Research Center (NCPRC). Wake STEP and the NCPRC are working together to provide high quality care for persons with severe mental illness and to generate clinical trials and health services research to improve health care options for these individuals.  In addition, Dr. Rau continues in his role as director of Medical Education for the Center. Through this role, he works with  Center colleagues to develop and maintain a curriculum regarding the treatment of psychotic disorders and the area of community psychiatry for UNC Psychiatry resident physicians. 


Deborah Lawson 

Deborah Lawson, LCSW,  MSW, LMFT
Director of Clinical Services

Ms. Lawson Is the director of Clinical Services and is a licensed clinical social worker and a licensed marriage and family therapist. Her responsibilities include, supervising the daily activities of the Wake STEP Clinic and providing individual, couple, and family therapy to clients with severe and persistent mental illness as well as those with co-occurring substance abuse disorders and/or developmental disabilities. Her clinical interests include treatment of SPMI and incorporating friends or family members into treatment to educate and establish supportive relationships for those who have mental illness so that they can achieve stable, enjoyable, and productive lives.


Grayson Bowen, PSS
Peer Support Specialist


Nancy Clayton, MDNancy Clayton, MD

Dr. Clayton is a professor in the UNC Department of Psychiatry and joined the UNC STEP Community Clinic, Wake in the summer 2013.  Her clinical interests are schizophrenia and bipolar disorder.

Previously, as UNC faculty, she worked on the psychotic disorders and geropsychiatry units from 1998 to 2007 and was also involved in psychiatry resident and medical student training.  She was the medical director of the psychotic disorders inpatient unit from 1998 to 2007 and was founding co-chairman of the Brushes with Life: Art, Artists & Mental Illness Gallery.   

She and her family then moved to Christchurch New Zealand where she did inpatient and outpatient community mental health work at the Canterbury District Health Board and was involved in teaching psychiatric registrars, house officers and medical students from the University of Otago School of Medicine in Christchurch.  

She is a graduate of the UNC School of Medicine and completed her psychiatric training at the University of Colorado Health Science Center in Denver.  






Margaret GowensMargaret Gowens, RN

Leslie Hocking, MD

Leslie B. Hocking, MD

Dr. Hocking is a clinical professor in the UNC Department of Psychiatry and works at the UNC STEP Community Clinic in Wake County.   Previously, she provided inpatient care at John Umstead Hospital and Dorothea Dix Hospital. Most recently she  spent  more than 12 years at Wake Behavioral Health Services, seeing severely and persistently mentally ill patients in a community setting.  She has extensive experience with dually diagnosed, homeless, and geriatric populations, and has provided care in a clinic setting, patients’ homes,  and  in assisted living and nursing home facilities.  She attended Tufts University Medical School and completed her internship and psychiatric residency at Tufts New England Medical Center in Boston.  After four years serving as a psychiatrist in the U.S. Navy, she moved to North Carolina to complete a fellowship in geriatric psychiatry at Duke University.  As a member of the NC Psychiatric Association, Dr. Hocking served on the Ethics Committee for six  years and was chair for three years.     


Thomas PayneThomas Payne, RN
Regional Center Nurse




Shannon W. Wallace, LCSW, LCAS
Clinical Social Worker and Addiction Specialist

Ms. Wallace is a licensed clinical social worker and licensed clinical addictions specialist at the Wake STEP Clinic on Falstaff as well as at regional clinics in West Raleigh and Zebulon. Her clinical responsibilities include individual therapy and case management for adults diagnosed with severe and persistent mental illness (SPMI) and co-occurring substance abuse disorders. Her clinical interests include the treatment of SPMI and co-occurring substance abuse disorders (individual and group therapy), minimizing the impact of substance abuse/dependence on the individual and family system, and treatment of those with a criminal background.


Wanda GarrettWanda Garrett, AAS,BSHA





Karen PetersonKaren M.  Peterson. MS
Administrative Associate
Admin Support/Scheduling