Anna Trainer, MA, MPH
Chair
Anna joined the board in 2025.
She has a Master’s in Biological Anthropology and a Master’s in Public Health. She currently serves as the Director of Programs and Evaluation at Simply Strategy, a St. Louis consulting firm that serves clients in the public health and healthcare spaces. Over the past eight years, she has worked as a project manager, researcher, and evaluator for a variety of maternal and infant health, childhood education, and public health projects, including llarge maternal health projects for The Uplift Connection, Missouri Foundation for Health, and Missouri Perinatal Quality Collaborative.
After experiencing postpartum anxiety with both of her children, Anna is honored and excited to have the opportunity to serve on the Missouri PSI Board.
Anna currently resides in Saint Louis County.
aktrainer@gmail.com
Danica Wolf, MSW
Audra DeClue
Secretary
Audra DeClue, BSN, RN, serves as a System Care Coordinator with the Bootheel Perinatal Network, where she works to strengthen maternal mental health and perinatal systems of care across southeast Missouri, particularly in rural and underserved communities. She brings eight years of labor and delivery experience and now partners with families, providers, and community organizations to improve access to coordinated, compassionate support during pregnancy and the postpartum period. As both a mother and maternal mental health advocate, Audra cares deeply about addressing perinatal mood and anxiety disorders and is grateful for the opportunity to serve on the Missouri PSI Board in support of Missouri families.
Miranda L. Backes, M.Ed., LPC, NCC 
Treasurer & Co-Chapter Liasion
Miranda joined the board in 2024.
She has a Master of Education with a dual emphasis in Professional Counseling & Marriage and Family Therapy from Stephens College and is fully trained in perinatal mood and anxiety disorders and perinatal/infant loss through PSI. She also has additional training in Reproductive Counseling through the American Society of Reproductive Medicine.
She started her career in a hospital affiliated clinic setting and started her own practice four years ago. In addition, she often serves clients who are experiencing reproductive and fertility struggles and has the honor of being a member of the MO PQC’s Postpartum Care Task Force.
Miranda currently resides in Osage County and practices in Jefferson City.
mirandabackeslpc@gmail.com
Haley Walker 
Membership Chair
Haley joined the board in 2024.
She graduated with a Master of Education in Counseling in 2018, did 2.5 years of school based therapy and has been in private practice since 2022. She specializes in working with pregnant and postpartum women, but also supporting teens and college age youth. She enjoys helping individuals work through transitional times in their lives and being a support to them. She is fully trained in EMDR and is to begining the process of becoming certified in EMDR.
Haley currently resides in Mexico, MO.
hwalkercounseling@gmail.com
Taylor Kehr, LCSW, LSCSW 
Co-Chapter Liasion
Taylor joined the board in 2024.
She has an Undergraduate Degree in Family Studies and Human Services from Kansas State University and Graduate Degree in Social Work from University of Missouri-Kansas City.
She is the Clinical Program Manager for the Moving Beyond Depression Program at The Family Conservancy, which supports mothers in the Kansas City Metro area experiencing postpartum depression. She stepped into the Clinical Program Manager role in June 2024, having previously served as a therapist on the MBD team since November 2023. As a clinically licensed social worker, she has over 10 years of experience in social work and the social services field. Before joining The Family Conservancy, she gained valuable experience in school social work, infant-toddler in-home services, and child welfare. She was also a member of the Kansas School Social Work Association Board from 2022 to 2023.
Taylor currently resides in Wyandotte County, KS but supports individuals in Kansas City, MO.
tkehr@thefamilyconservancy.org
Chris Carr
Advocacy Rep
Christopher Carr is a father of three daughters, a full-time Political Science student at Southern Illinois University Edwardsville (SIUE), as well as a dedicated community health worker, doula, and peer counselor. His work centers on advancing family well-being and advocacy, with a particular emphasis on supporting individuals and families during pregnancy and postpartum. Drawing on both professional training and lived experience, he is committed to empowering communities through education, compassionate support, and resource navigation that promote resilience, confidence, and long-term health outcomes.
Clarisa Evans 
Alliance Representative
Clarisa joined the board in 2024.
She is the Clinical Director at Uzazi Village, the Owner of Out Of Eden Midwifery and the Co-Director of Kira‘s Voice.
Clarisa currently resides in Kansas City, Missouri.
outofedenmidwifery@gmail.com
Dr. Clay Brigance, PhD, LPC 
At Large Board Member
Clay joined the board in 2024.
He is a counselor and researcher focusing on serving couples navigating infertility and reproductive loss. He is the founder and clinical director of Shiloh Counseling in Ballwin, Missouri, which has become one of the fastest growing counseling practices in St. Louis County. He has published cutting edge research on best practice with couple therapy for couples struggling with reproductive trauma and infertility in journals such as Psychological Trauma: Theory, Research, and Practice, the Journal of Marriage and Family Therapy, the Family Journal, and Relationship Therapy, to name a few. He is passionate about his work and serves on other boards, including the Institute of Reproductive Grief Care. He is a Gottman certified couple therapist, speaker, and guest on several podcasts.
Clay currently resides in Ballwin, MO.
clay@shilohcounselingllc.com
