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About Us


Raymond S. Hoffman, MD

Medical Director, AAMC Division of Mental Health and Substance Use

Raymond S. Hoffman, MD, is medical director of the Division of Mental Health and Substance Abuse at Anne Arundel Medical Center. He is a graduate of Creighton University Medical School in Omaha, Nebraska, and completed his residency in general psychiatry at the University of Maryland Department of Psychiatry and a fellowship in eating disorders at the Center for Eating Disorders (now part of Sheppard Pratt Hospital). He completed his psychoanalytic training at the Psychoanalytic Institute of the Contemporary Freudian Society; he is also currently a training and supervising analyst as well as chair of the Committee on Progressions at the institute. He is a diplomat of the American Board of Psychiatry and Neurology and a Fellow of the International Psychoanalytic Association.

Dr. Hoffman was formerly the chief medical officer at Mosaic Community Services in Baltimore County, Md. and the medical director of the Walter P. Carter Clinics in the Division of Community Psychiatry at the University of Maryland Medical Systems. He also served as a consulting psychiatrist at Chase Brexton Health Services in Baltimore and at the Whitman-Walker Clinic in Washington, DC.


Elizabeth Winter, MD

Medical Director, Pathways

Elizabeth Winter, MD, is the medical director of Pathways in Annapolis. She graduated with honors from The Johns Hopkins University with a bachelor’s degree in cognitive science and obtained her medicine degree from The Johns Hopkins University School of Medicine four years later.

Dr. Winter completed an internship in internal medicine at The Mount Sinai Hospital in New York City, and then returned to Johns Hopkins for her residency in adult psychiatry. In addition to her role at Pathways, she is the co-director of The Anxiety Disorders Clinic at Johns Hopkins, where she lectures on anxiety disorders, supervises psychiatry residents, and staffs consultation services. Dr. Winter is board certified through the American Board of Psychiatry and Neurology, and is a member of the American Psychiatric Association, the Maryland Psychiatric Society, and MedChi, the Maryland State Medical Society. She has had numerous essays, original research articles, and book chapters published on topics in psychiatry.


Shirley J. Knelly, MS


A Licensed Clinical Alcohol and Drug Counselor (LCADC), Certified Co-Occurring Disorders Professional (CCDP), and Certified Professional in Healthcare Quality (CPHQ), Shirley Knelly oversees the strategic planning and overall operations of Pathways in her role as president of the organization. She has been a member of the Pathways leadership team since 1996, and has been named both clinical director and executive director during her tenure here.

Since entering the field of alcohol and drug treatment in 1983, Knelly has become a noted authority in prevention, care and counseling. She has served as a faculty member at Penn State University, teaching counselor education and foundations of chemical dependency among other courses, and spent six years as vice president and director of prevention and education at Serento Gardens, one of the oldest continually operating substance abuse treatment and education centers in Pennsylvania. She has also developed and conducted workshops in areas such as stress management, conflict mediation, team building, and patient safety.

Knelly is also a recognized health care and business leader in the community. She received the 1992 P.E.A.R.L. Outstanding Business and Professional Women of the Year Award, the 2002 YWCA Tribute to Women & Industry Award, and the 2003 Health Care Professional Hero Award. YMCA and YWCA also named her a Volunteer of the Year in both 1994 and 1995.

In addition to her role at Pathways, Knelly serves as vice president of Quality and Patient Safety and corporate compliance officer for Anne Arundel Medical Center. Under her leadership, Pathways is now working across the health care system with partners in social services, education and other industries to address and improve the region’s behavioral health status.


Helen K. Reines, RN

Executive Director

Since 2005, Helen Reines has served as the executive director of Pathways, overseeing the management, coordination, and integration of services to meet the clinical, social, and support needs of all those who seek Pathways’ care. She is also responsible for facilitating Pathways’ strategic plan, which includes plans to integrate substance abuse treatment and mental health services; expand the center’s family wellness, prevention education, and nurse liaison programs; and branch out the center’s substance use and addiction services into broader community healthcare settings by 2016.

A registered nurse by training, Reines has been with Pathways since 1995, and worked as the center’s care team coordinator from 1995 to 2005. Reines has also served as nursing director of The Meadows Alcohol and Drug Treatment Program in Gambrills, Maryland, and as a staff nurse at the Twin Rivers Treatment Program in Melbourne, Florida.

Reines is the recipient of the 2001 Anne Arundel Medical Center Nursing Excellence in Health Promotion Award and the 2008 YWCA Tribute to Women & Industry Award.

Ida Walsch, MA, CAC-AD

Clinical Director

Since 1992, Ida Walsch has provided her clinical psychology expertise in the development and implementation of treatment programs at Pathways. Walsch is a certified alcohol and drug counselor who provides supervision to clinical and support staff. Not only does Walsch serve as the clinical director, she personally counsels patients providing individual, group, family, and couple counseling to help in their recovery. Her compassion and dedication with clients and their families extends far beyond the treatment facility.