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Oxford Treatment Center (Courtesy of Perry Jenkins)

Featured Article

Beyond the Appointment

Dr. Lucas Trautman on building systems of stability and love and redefining modern psychiatric and addiction care

When Dr. Lucas Trautman speaks about his profession, he describes it as much more than a series of appointments and treatments. Trautman says, “My work sits at the intersection of addiction medicine, psychiatry and public safety.” Trautman is a fourth-generation physician and describes how his ancestors were leaders within their fields.

Trautman’s great-grandfather, John Andrew Trautman, was the first director of the NIH Clinical Center, appointed by Harry S. Truman. His other great-grandfather, Homer Lucas Skinner, was a pioneering surgeon who performed advanced thoracic procedures at a time when that work carried considerable risk. His father, Robert Joseph Trautman Jr., built a distinguished dermatology practice in Memphis and set a clear expectation early on that Lucas would lead.

Dr. Trautman helps manage four distinct treatment centers, maintains working relationships with Homeland Security and the FBI and serves as a media expert. Trautman says, “Most days begin before sunrise with an acuity-driven review of patients at Oxford Treatment Center.” At Oxford’s large residential campus, he manages a high volume of individuals in acute withdrawal, reviewing overnight vitals, identifying instability and issuing operational briefings that direct the clinical day.

Dr. Trautman is also a consulting psychiatrist at Memphis Outpatient Detox and feels passionate about the benefits of outpatient addiction treatment. “One of the persistent failures in addiction treatment is the assumption that care requires a complete withdrawal from daily life – for many individuals, that is not realistic,” says Trautman. Memphis Outpatient Detox is designed to allow carefully selected patients to stabilize safely while maintaining their personal and professional responsibilities. Trautman adds, “If systems do not adapt to reality, people delay treatment. That delay is where risk escalates.”

As Medical Director of Child and Adolescent Psychiatry at Lakeside Behavioral Health System, Dr. Trautman’s psychiatric practice focuses on listening to his patients, taking time to understand their situations and remaining present in order to define and provide effective care. Trautman adds, “MDs must always love deeply.”

Over the past several years, Trautman has developed a role as a media expert on addiction, mental health and emerging threats affecting our youth. He has authored and contributed articles to major publications, including The Lancet, The Washington Post, the BBC and Homeland Magazine. He has also served as a medical expert on national media outlets, including Fox News and CNN. Notably, Dr. Trautman was the medical correspondent on the tragic death of Rob Reiner and his wife.

Beyond medicine, Dr. Trautman assesses behavioral threats in high-stakes public safety settings alongside federal partners, including the FBI and Homeland Security. He has evaluated individuals showing patterns of online radicalization and potential violence, and his work has contributed to the disruption of a fentanyl pipeline bound for Tennessee communities

Trautman feels that the pattern is consistent across all of these environments. “People are more similar than they appear. Regardless of status or circumstances, the underlying needs remain the same – stability, love, connection and the opportunity to recover.”  Dr. Trautman’s role is to build and lead systems that deliver those underlying needs.

This work requires clarity, so personal discipline is not optional for Trautman. “I train consistently through swimming, strength work and hot yoga. I read and write daily. I am intentional about environment. I follow design closely and I have a strong appreciation for floral design and composition."

Trautman also credits wrestling at Christian Brothers High School and earning a black belt in Jiu-Jitsu for reinforcing discipline, accountability and responsibility to others. Trautman has embraced his role to shape systems and lead, not simply function inside them, just like his ancestors.

"Regardless of status or circumstances, the underlying needs remain the same – stability, love, connection."