Giuseppe James Raviola
Giuseppe James Raviola, M.D.
Director, Program in Global Mental Health and Social Medicine
Assistant Professor of Psychiatry, Massachusetts General Hospital
Associate Director, The Chester M. Pierce, MD Global Psychiatry Division
Director, Mental Health, Partners In Health

 

    • Research

      At the beginning of the 21st century, with few staff, inadequate infrastructure, and insufficient supply chains of psychological treatments and medications to address the significant global burden of mental disorders, little preventive or curative care has been available for mental health problems for people living in low-resource settings—as used to be the case for HIV, Tuberculosis and other infectious diseases. Dr. Raviola’s scholarly contributions center on the integration and application of quality improvement and public health approaches in innovating clinical practice, teaching and research in the domains of psychiatry and global mental health. This has involved the development, adaptation and local adoption of innovative models of mental health care delivery, and the integration of best practices in community-based mental health care, in both US and global contexts. Dr. Raviola has focused on delivery (planning, service implementation and sustained supply) of comprehensive, effective mental health services, innovation to advance the field of global health to adequately incorporate mental health care, and the advancement of the academic discipline of global mental health delivery. He has overseen significant global health delivery implementation in Haiti, Rwanda and elsewhere to build essential community-based mental health systems.

      Over a decade, Dr. Raviola has established a novel cross-site mental health program at Partners In Health, an international health care organization with 18,000 staff working across 10 countries. The cross-site team he leads practices a transnational consultation model established on four pillars: sustained clinical supervision and mentorship to local providers; program implementation support and guidance to local managers; nimble use of quality improvement methods, data collection systems and technology integrated within local systems; and targeted research support to answer critical questions related to locally determined service delivery goals. This model has facilitated the development of mental health service delivery platforms and the establishment of a cross-site learning collaborative in mental health care delivery across all of PIH’s global sites (Haiti, Kazakhstan, Lesotho, Liberia, Malawi, Mexico, Navajo Nation, Peru, Rwanda, Sierra Leone). These global sites have demonstrated the feasibility of community-based programs that provide complex care in challenging environments. In 2019 PIH delivered more than 32,000 facility-based mental health visits and cared for more than 8,200 people living with mental health conditions.

      At HMS Dr. Raviola has developed the Program In Global Mental Health and Social Change to serve as a conduit for implementation-based training and research in global mental health delivery, linked to PIH, now in collaboration with GlobalMentalHealth@Harvard. He has established new training fellowships in global mental health delivery, including the Dr. Mario Pagenel Fellowship in Global Mental Health Delivery. He is a course director for the course “Case Studies in Global Mental Health Delivery” (HSPH GHP 208/HMS SM 518.0). In 2020 Dr. Raviola has led the PIH mental health and psychosocial response to COVID-19, both in support of PIH global sites and in the Commonwealth of Massachusetts.

      Dr. Raviola has studied and written on child and adolescent mental health concerns, and the mental health and well-being of health care workers, specifically on moral distress faced by health care workers in sub-Saharan Africa during the HIV/AIDS crisis. He has published on topics in global mental health implementation, disaster psychiatry, ethnography and cultural anthropology, HIV/AIDS, mental health policy and clinical psychiatry. As an advocate for community and global mental health concerns, he has sought to promote the need for incorporating effective, evidence-based mental health programs within existing community and health care infrastructures. 

      Selected Recent Research

      • Many Voices Collaborative in Community-Based Mental Health Care for Common Mental Disorders at Partners In Health, 2018-22 
      • Burke Global Health Fellowship, Harvard Global Health Institute, Assessment of the Feasibility of a Novel Care Service Delivery Planning Matrix to Achieve Universal Mental Health Coverage in Low-Resource Settings, 2018-19 
      • Grand Challenges Canada, Integrating mental health into primary care: expanding a community-based mentorship and enhanced supervision (MESH) model to address severe mental disorders in Rwanda (Inshuti Mu Buzima and Partners In Health), 2014-16
      • Grand Challenges Canada, Promoting a Novel Community-Based Mental Health Model in Rural Haiti, and Building a National Scale-up Plan (Zanmi Lasante and Partners In Health), 2015-16 
      • Grand Challenges Canada, Expansion of a new implementation model to address severe mental disorders in rural Haiti, to inform the development of a national decentralized mental health plan following the 2010 Haiti earthquake (Zanmi Lasante and Partners In Health), 2012-15
    • Biography

      Dr. Giuseppe Raviola serves as the Director of the Program in Global Mental Health and Social Change (PGMHSC) at Harvard Medical School, Associate Director of the Chester M. Pierce, MD Division of Global Psychiatry at Massachusetts General Hospital (MGH), and Director of Mental Health for Partners In Health (PIH). He is an Assistant Professor of Psychiatry, and of Global Health and Social Medicine at HMS. He works clinically within the Division of Child and Adolescent Psychiatry at MGH.

      Dr. Raviola received an undergraduate degree from Dartmouth College (History, 1994), a medical degree from Harvard Medical School (2002), and a public health degree from the Harvard T.H Chan School of Public Health (Clinical Effectiveness, 2012). He completed his postgraduate training in psychiatry at MGH-McLean Hospital (2006), and in child and adolescent psychiatry at Dartmouth-Hitchcock Medical Center (2008). From 2008-10 he served as an inpatient psychiatrist at Boston Children’s Hospital, and from 2010-2016 he established and led the Psychiatry Quality Program at Boston Children’s Hospital.

    • Current Projects

      Innovation in Global Mental Health Delivery

      • Development of scalable programs for community mental health care across Partners In Health in collaboration with local Ministry of Health colleagues in:
        • Haiti (Zanmi Lasante) — Central Plateau and Artibonite departments;
        • Kazakhstan — Almaty and other districts;
        • Lesotho (Bo-mphato Litsebeletsong Tsa Bophelo) — Maseru, Mohale’s Hoek and other districts;
        • Liberia — Maryland county, J.J. Dossen Hospital and Pleebo Health Center
        • Malawi  (Abwenzi Pa Za Umoyo) — Neno district;
        • Mexico (Compañeros En Salud) — Jaltenango, and clinics in Chiapas state;
        • Navajo Nation, United States (COPE-Community Outreach and Patient Empowerment) — Arizona, New Mexico and Utah;
        • Peru (Socios En Salud) — Carabayllo, Lima;
        • Rwanda (Inshuti Mu Buzima) — Burera, Kayonza and Kirehe districts and district hospitals; and
        • Sierra Leone—Koidu Government Hospital, Wellbody Clinic and the Sierra Leone Psychiatric Teaching Hospital at Kissy, Freetown
        • Commonwealth of Massachusetts, USA—support of COVID-19 contact tracer program

      Partners In Health Mental Health Storymap 

    • Innovation in Training and Education

    • Innovation in Partnership in Global Health

    • Clinical Service

    Mental Health of Communities during the COVID-19 Pandemic.
    Authors: Authors: Vigo D, Patten S, Pajer K, Krausz M, Taylor S, Rush B, Raviola G, Saxena S, Thornicroft G, Yatham LN.
    Can J Psychiatry
    View full abstract on Pubmed
    A validation study of the Zanmi Lasante Depression Symptom Inventory (ZLDSI) in a school-based study population of transitional age youth in Haiti.
    Authors: Authors: Legha RK, Gerbasi ME, Smith Fawzi MC, Eustache E, Therosme T, Fils-Aime JR, Raviola GJ, Affricot E, Pierre EL, Alcindor Y, Severe J, Boyd KA, Grelotti DJ, Darghouth S, Rasmussen A, Becker AE.
    Confl Health
    View full abstract on Pubmed
    Outcomes of a primary care mental health implementation program in rural Rwanda: A quasi-experimental implementation-effectiveness study.
    Authors: Authors: Smith SL, Franke MF, Rusangwa C, Mukasakindi H, Nyirandagijimana B, Bienvenu R, Uwimana E, Uwamaliya C, Ndikubwimana JS, Dorcas S, Mpunga T, Misago CN, Iyamuremye JD, Dusabeyezu JD, Mohand AA, Atwood S, Osrow RA, Aldis R, Daimyo S, Rose A, Coleman S, Manzi A, Kayiteshonga Y, Raviola GJ.
    PLoS One
    View full abstract on Pubmed
    Development of a comprehensive, sustained community mental health system in post-earthquake Haiti, 2010-2019.
    Authors: Authors: Raviola G, Rose A, Fils-Aimé JR, Thérosmé T, Affricot E, Valentin C, Daimyo S, Coleman S, Dubuisson W, Wilson J, Verdeli H, Belkin G, Jerome G, Eustache E.
    Glob Ment Health (Camb)
    View full abstract on Pubmed
    Digital Innovations for Global Mental Health: Opportunities for Data Science, Task Sharing, and Early Intervention.
    Authors: Authors: Naslund JA, Gonsalves PP, Gruebner O, Pendse SR, Smith SL, Sharma A, Raviola G.
    Curr Treat Options Psychiatry
    View full abstract on Pubmed
    Innovative Models in Mental Health Delivery Systems: Task Sharing Care with Non-specialist Providers to Close the Mental Health Treatment Gap.
    Authors: Authors: Raviola G, Naslund JA, Smith SL, Patel V.
    Curr Psychiatry Rep
    View full abstract on Pubmed
    A partnership for transforming mental health globally.
    Authors: Authors: Vigo DV, Patel V, Becker A, Bloom D, Yip W, Raviola G, Saxena S, Kleinman A.
    Lancet Psychiatry
    View full abstract on Pubmed
    Health Professional Training and Capacity Strengthening Through International Academic Partnerships: The First Five Years of the Human Resources for Health Program in Rwanda.
    Authors: Authors: Cancedda C, Cotton P, Shema J, Rulisa S, Riviello R, Adams LV, Farmer PE, Kagwiza JN, Kyamanywa P, Mukamana D, Mumena C, Tumusiime DK, Mukashyaka L, Ndenga E, Twagirumugabe T, Mukara KB, Dusabejambo V, Walker TD, Nkusi E, Bazzett-Matabele L, Butera A, Rugwizangoga B, Kabayiza JC, Kanyandekwe S, Kalisa L, Ntirenganya F, Dixson J, Rogo T, McCall N, Corden M, Wong R, Mukeshimana M, Gatarayiha A, Ntagungira EK, Yaman A, Musabeyezu J, Sliney A, Nuthulaganti T, Kernan M, Okwi P, Rhatigan J, Barrow J, Wilson K, Levine AC, Reece R, Koster M, Moresky RT, O'Flaherty JE, Palumbo PE, Ginwalla R, Binanay CA, Thielman N, Relf M, Wright R, Hill M, Chyun D, Klar RT, McCreary LL, Hughes TL, Moen M, Meeks V, Barrows B, Durieux ME, McClain CD, Bunts A, Calland FJ, Hedt-Gauthier B, Milner D, Raviola G, Smith SE, Tuteja M, Magriples U, Rastegar A, Arnold L, Magaziner I, Binagwaho A.
    Int J Health Policy Manag
    View full abstract on Pubmed
    Prevalence of stressful life events and their association with post-traumatic stress disorder among youth attending secondary school in Haiti.
    Authors: Authors: Grelotti DJ, Gerbasi ME, Eustache E, Fils-Aimé JR, Thérosmé T, Severe J, Raviola GJ, Darghouth S, Legha R, Pierre EL, Affricot E, Alcindor Y, Boyd K, Becker AE, Smith Fawzi MC.
    Psychiatry Res
    View full abstract on Pubmed
    Scaling up psychological treatments for common mental disorders: a call to action.
    Authors: Authors: Singla DR, Raviola G, Patel V.
    World Psychiatry
    View full abstract on Pubmed