Mark Costa, MD, MPH
Research Scientist in PsychiatryCards
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Research Scientist in Psychiatry
Biography
I'm a Medical Doctor with a residency in psychiatry and a master’s degree in public health. I also completed 3 years of postdoctoral training at the Yale Program for Recovery and Community Health. My professional history in psychiatry started in Brazil after completing my residency in 1992. From 1993 to 2011, I worked as a psychiatrist and clinical supervisor in the Brazilian state of Minas Gerais. I was also the coordinator of the leading advocacy organization of the state of Minas Gerais – the Fórum Mineiro de Saúde Mental. After passing steps 1 and 2 and receiving his Education Commission for Foreign Medical Doctors (ECFMG) certificate in October 2013, I joined the research team of the Yale Program for Recovery and Community Health (PRCH) of the Department of Psychiatry of the Yale School of Medicine as a postdoctoral associate. Currently, I'm an Associate Research Scientist at PRCH where I have been involved in various research initiatives, related to serious mental illness, social inclusion, health disparities, and substance use disorder (SUD) such as: 1) Life Stories of people with serious mental illness and criminal justice involvement; 2) development of the pilot shared medical appointment project on diabetes for the Yale New Haven Hospital Primary Care Center led by a peer support; 3) co-investigator on Dr Bellamy’s PCORI grant to improve healthcare outcomes and choice for people with mental illness with the help of peer supporters; 4) project manager of the evaluation of the Connecticut Department of Mental Health and Addiction Services Supported Employment Program; 5) project manager of the Connecticut Community for Addiction Recovery (CCAR) Recovery Coaches in Emergency Rooms program 6) Co-investigator on Dr Bellamy’s R34 Harambee research project for people with serious mental illness and other chronic illnesses; and 7) project coordinator of the NIDILRR Advanced Rehabilitation Research and Training program on employment for people with psychiatric disabilities. He also brings his clinical experience in SUD and mental illness from his work as a psychiatrist in Brazil, where I was also involved with advocacy and discussions around health disparity and quality of life regarding people with serious mental illness and/or SUD.
Appointments
Psychiatry
Research ScientistPrimary
Other Departments & Organizations
Education & Training
- MPH
- Federal University of Minas Gerais (2001)
- Psychiatrist
- Fundação Hospitalar do Estado de Minas Gerais (1991)
- MD
- Federal University of Minas Gerais (1990)
Research
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Overview
Public Health Interests
ORCID
0000-0002-8572-5590
Research at a Glance
Yale Co-Authors
Publications Timeline
Chyrell Bellamy, MSW, PhD
Graziela Reis
Maria O'Connell, PhD
Elizabeth Brisola
Larry Davidson, PhD
Luz Ocasio
Publications
2026
Sense of Belonging as Experienced in Recovery from Serious Mental Illness: An Integrative Review
Brisola E, Carvalho B, dos Santos C, Reis G, Bellamy C, Costa M. Sense of Belonging as Experienced in Recovery from Serious Mental Illness: An Integrative Review. Journal Of Recovery In Mental Health 2026, 9: 5-23. DOI: 10.33137/jrmh.v9i1.44786.Peer-Reviewed Original ResearchConceptsMental illnessIntegrative reviewSerious mental illnessMental health practiceWellbeing of peoplePeer-reviewed articlesHealth practicesSense of belongingAdult populationMental sufferingSMIRelational experiencesResearch designIllnessFostering trustPeopleDecision-makingRecovery processTrustPopulationReviewWellbeingThemesPractitionersSufferingVoices from the territory and living care networks: facilitators and barriers to implementing peer support in community mental health services in Brazil
da Silva B, Saidel M, Figueiredo A, Lirani M, Lourencetti A, Leite R, Stefanini J, Cruvinel M, Reis G, Costa M, dos Santos Treichel C, O’Connell M, Bellamy C, Onocko-Campos R. Voices from the territory and living care networks: facilitators and barriers to implementing peer support in community mental health services in Brazil. BMC Public Health 2026, 26: 775. PMID: 41634661, PMCID: PMC12955029, DOI: 10.1186/s12889-026-26529-8.Peer-Reviewed Original ResearchConceptsCommunity mental health servicesMental health servicesPeer supportHealth servicesExperience of mental health conditionsPublic community mental health servicesRecovery-oriented mental health careImplementation of peer supportMental health careMental health conditionsMental health practicePre-implementation phaseClinical mental health practiceMiddle-income countriesBackgroundPeer supportCare pathwaysImplementation researchCare networkHealth practicesQualitative designContextual barriersPre-implementationHealth careInstitutional stigmaHealth conditions
2025
Community-Based Intensive Treatment (CBIT): Meeting the Needs of Rural Adults With Serious Mental Illness
Costa M, Evans M, Nulton L, Fiffick A, Selak T, Reis G, O’Connell M, Bellamy C, Flanagan E. Community-Based Intensive Treatment (CBIT): Meeting the Needs of Rural Adults With Serious Mental Illness. Rural Mental Health 2025, 49: 344-353. DOI: 10.1037/rmh0000313.Peer-Reviewed Original ResearchAltmetricConceptsMental illnessSocial determinants of health needsSpecialty mental health careMental health careMental health providersSerious mental illnessCommunity-based servicesHealth care organizationsStrategic community partnershipsHigh-intensity programsAssertive community treatmentBehavioral health care organizationsCare coordinationWeekly huddlesRural adultsHealth staffSocial determinantsHealth providersHealth needsCare organizationsProvider accountabilityHealth careCommunity partnershipsRural PennsylvaniaCommunity treatmentA call to action to include disability in intersectional health equity research and policy
Havercamp S, Krahn G, Murray A, Akobirshoev I, Bellamy C, Bonardi A, Breslin M, Brown L, Costa M, Dembo R, Ellsworth D, Hall J, Horner-Johnson W, Hughes D, McGee M, Mudrick N, Otstot E, Parodi G, Sluzalis S, Yee S. A call to action to include disability in intersectional health equity research and policy. The Lancet Regional Health - Americas 2025, 49: 101199. PMID: 40809451, PMCID: PMC12345334, DOI: 10.1016/j.lana.2025.101199.Peer-Reviewed Original ResearchCitationsAltmetricConceptsHealth inequalitiesDrivers of health inequitiesHealth equity researchStructural driversHealth equityIntersection of disabilityHealth researchHealthcare policyAdministrative dataDisability statusIntersectional researchIntersectional approachMarginalized identitiesEquity researchHealthDisabilityPolicy planningPolicyDisabled peopleData collectionInequalityPeoplePovertyEthnicityPolicymakersA reflection on the role of individuals with lived experience in shaping the Brazilian psychiatric reform.
Corradi-Webster C, Reis G, Brisola E, Sampaio C, Araujo C, Rufato L, Oliveira R, Ricci R, de Oliveira W, de Oliveira B, Bellamy C, Costa M. A reflection on the role of individuals with lived experience in shaping the Brazilian psychiatric reform. Irish Journal Of Psychological Medicine 2025, 1-7. PMID: 40497564, DOI: 10.1017/ipm.2025.20.Peer-Reviewed Original ResearchCitationsConceptsMental health servicesBrazilian Psychiatric ReformPsychiatric reformHealth servicesMental healthPublic mental health care systemImprove population mental healthMental health care systemRecovery-oriented practiceSubstance misusePopulation mental healthHealth care systemAdvocacy movementImplement recovery strategiesParticipation of individualsRecovery movementPeer supportCare systemLived experienceEmpower peopleRecovery strategiesActive involvementAdvocacyLeadership rolesRecovery initiatives
2024
Diverse elements comprising studies of peer support complicate evidence synthesis
Evans M, Cuddeback G, Golin C, Muessig K, Bellamy C, Costa M, O’Connell M, Fisher E. Diverse elements comprising studies of peer support complicate evidence synthesis. Journal Of Mental Health 2024, 34: 207-221. PMID: 38556804, DOI: 10.1080/09638237.2024.2332798.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsStudy of peer supportPeer support servicesIntervention componentsPeer supportSystematic reviewSelf-ManagementEvidence synthesisLinkage to clinical careSupport servicesMeta-narrative Evidence SynthesesMeasured outcomesIndividual intervention componentsCategories of outcomesMental healthcareRealist reviewCare utilizationMental illnessFindings of effectivenessSynthesize evidenceCommunity resourcesPRISMA guidanceEmotional supportClinical careIntervention approachesSystems advocacyPsychometric properties of the Providers Survey in the Brazilian context of mental health: a validation study
Lacerda M, Vieira M, Marques F, Alves J, Pereira M, do Carmo A, Costa M, Caldeira A, Sampaio C. Psychometric properties of the Providers Survey in the Brazilian context of mental health: a validation study. Sao Paulo Medical Journal 2024, 142: e2022444. PMID: 37556681, PMCID: PMC10403193, DOI: 10.1590/1516-3180.2022.0444.r3.010623.Peer-Reviewed Original ResearchCitationsMeSH Keywords and ConceptsConceptsProvider surveyContent validity indexMental healthPsychometric propertiesMental health servicesHealth Measurement INstrumentsValidation studyAlpha coefficientIntraclass correlation coefficientBartlett sphericity testTest-retest reliabilityInstrument validation studyCronbach's alpha coefficientHealth servicesExploratory factor analysisKaiser-MeyerValidity indexAdequate psychometric propertiesOlkin indexSphericity testContent validationFinal instrumentAssessment instrumentsHealthFactor analysis
2023
Peer support in Brazil: experiences and strategies of inclusion, empowerment and citizenship
Corradi-Webster C, Reis G, Brisola E, de Paula Araujo C, Ricci É, Rufato L, Sampaio C, Andrade M, Orsi J, Oliveira R, Cidade A, Campos P, Costa M. Peer support in Brazil: experiences and strategies of inclusion, empowerment and citizenship. Journal Of Public Mental Health 2023, 22: 98-108. DOI: 10.1108/jpmh-10-2022-0105.Peer-Reviewed Case Reports and Technical NotesCitationsStrategies for the Management of Voices Shared in a Brazilian Hearing Voices Group
Rufato L, Corradi-Webster C, Reis G, Bien C, Davidson L, Bellamy C, Costa M. Strategies for the Management of Voices Shared in a Brazilian Hearing Voices Group. Psychiatric Quarterly 2023, 94: 243-254. PMID: 37204626, DOI: 10.1007/s11126-023-10032-z.Peer-Reviewed Original ResearchCitationsAltmetricBreaking through social determinants of health: Results from a feasibility study of Imani Breakthrough, a community developed substance use intervention for Black and Latinx people
Jordan A, Costa M, Nich C, Swarbrick M, Babuscio T, Wyatt J, O'Connell M, Guy K, Blackman K, Anderson R, Reis G, Ocasio L, Crespo M, Bellamy C. Breaking through social determinants of health: Results from a feasibility study of Imani Breakthrough, a community developed substance use intervention for Black and Latinx people. Journal Of Substance Use And Addiction Treatment 2023, 153: 209057. PMID: 37207836, DOI: 10.1016/j.josat.2023.209057.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsSocial determinants of healthCommunity-based participatory researchDepartment of Mental Health and Addiction ServicesSubstance Abuse and Mental Health Services AdministrationDeterminants of healthSocial determinantsDimensions of wellnessPromote health equityMental Health Services AdministrationConnecticut Department of Mental Health and Addiction ServicesHealth Services AdministrationDrug overdose ratesLatinx peopleWeeks of educationHealth equitySubstance use interventionsDisparity gapEthnic disparitiesIntervention designParticipatory researchRate of deathServices AdministrationChurch settingsIntervention programsAddiction services
Academic Achievements & Community Involvement
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News
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News
- February 24, 2026Source: Journal of Recovery in Mental Health
Sense of Belonging as Experienced in Recovery from Serious Mental Illness: An Integrative Review
- February 17, 2026Source: BMC Public Health
Voices from the territory and living care networks: facilitators and barriers to implementing peer support in community mental health services in Brazil
- August 11, 2025Source: The Lancet
A Call to Action to Include Disability in Intersectional Health Equity Research and Policy
- July 23, 2025Source: APA PsycNet
Community-Based Intensive Treatment (CBIT): Meeting the Needs of Rural Adults with Serious Mental Illness