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Giuseppe Raviola, MD, MPH

Dr. Giuseppe Raviola serves as the Associate Director of the Chester M. Pierce, MD Division of Global Psychiatry at MGH, Director of Mental Health for Partners In Health (PIH), and the Director of the Program in Global Mental Health and Social Change (PGMHSC) at Harvard Medical School (HMS). 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’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.

More About Dr. Raviola, Associate Director

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 has focused on the delivery (planning, service implementation and sustained supply) of comprehensive, effective mental health services, and the clinical innovation needed to advance the field of global health to adequately incorporate mental health care delivery. He has established an innovative cross-site mental health program at PIH, an international health care organization with 18,000 staff working across 10 countries. He has supported 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). Over the past decade he and his colleagues 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 PGMHSC 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.

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

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).

Current Projects:
Clinical Care, Service Delivery and Clinical Innovation

  • Patient care, MGH Division of Child and Adolescent Psychiatry
  • 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

Partners In Health Mental Health Storymap
Training and Education

Partnerships

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


 For Dr. Raviola’s publications, please refer to the below links:
1. https://connects.catalyst.harvard.edu/Profiles/display/Person/4701
2. https://www.ncbi.nlm.nih.gov/pubmed/?term=Raviola+G