Mark Costa, MD, MPH
Research Scientist in PsychiatryCards
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Research Scientist in Psychiatry
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Mark Costa, MD, MPH, is a Research Scientist in Psychiatry at the Yale School of Medicine and a behavioral health services researcher at the Yale Program for Recovery and Community Health (PRCH). His research focuses on the implementation, evaluation, and dissemination of recovery-oriented behavioral health services for individuals with serious mental illness, substance use disorders, and co-occurring conditions. His work integrates implementation science, community-engaged research, and qualitative and mixed-methods approaches to strengthen recovery-oriented systems of care.
Over more than a decade at Yale, Dr. Costa has developed a program of research examining how evidence-based behavioral health interventions can be effectively implemented, adapted, and sustained in community settings. His scholarship spans supported employment, integrated behavioral healthcare, community mental health, criminal justice and reentry, behavioral health systems transformation, and the role of social networks and community connectedness in recovery. He serves in scientific leadership roles across federally, state-, and foundation-funded initiatives, directing implementation, evaluation, and mixed-methods components of multidisciplinary studies while partnering with state agencies, healthcare systems, and community organizations to translate research into practice.
A central focus of Dr. Costa’s work is advancing community-engaged research partnerships and strengthening the capacity of community organizations to participate in research and sustain evidence-informed services. He has played a key role in developing partnerships between academic investigators and community- and faith-based organizations, contributed to the development of major federally and foundation-funded initiatives, and supported organizations in building evaluation infrastructure, expanding competitive funding portfolios, and implementing sustainable, recovery-oriented programs. His contributions include collaborative work within the Templeton Foundation–supported Faith and Recovery Initiative and ongoing partnership activities with PRCH community-engaged projects, including the Imani Breakthrough Project.
Dr. Costa’s current research includes implementation of recovery-oriented behavioral health interventions in the United States and South America, studies of social networks, belonging, employment, disability, and recovery, and the development of Community-Based Intensive Treatment (CBIT) for adults with serious mental illness in rural communities. His work examines the organizational, workforce, and social factors that influence the adoption, sustainability, and scale-up of recovery-oriented practices.
As Co-Director of the International Visitors Program at PRCH and former Co-Director of the Yale Latino Colectivo, Dr. Costa has fostered research collaborations with investigators, practitioners, and community leaders throughout Brazil, Colombia, and other parts of South America. These partnerships advance implementation science, psychiatric rehabilitation, recovery-oriented behavioral health services, and community-engaged research while promoting international collaboration and workforce development.
Before joining Yale, Dr. Costa practiced for nearly two decades as a psychiatrist and clinical supervisor in Minas Gerais, Brazil, where he also coordinated the Fórum Mineiro de Saúde Mental and contributed to psychiatric reform and community-based mental healthcare. He earned his medical degree, completed residency training in psychiatry, and received his Master of Public Health from the Federal University of Minas Gerais before completing postdoctoral research training at Yale.
Dr. Costa’s research seeks to strengthen the implementation, quality, and sustainability of recovery-oriented behavioral health services while advancing innovative models of care that promote recovery, health, social connectedness, employment, and meaningful community participation.
Appointments
Psychiatry
Research ScientistPrimary
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Education & Training
- MPH
- Federal University of Minas Gerais (2001)
- MD
- Federal University of Minas Gerais (1990)
Research
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ORCID
0000-0002-8572-5590
Research at a Glance
Yale Co-Authors
Publications Timeline
Chyrell Bellamy, MSW, PhD
Graziela Reis
Maria O'Connell, PhD
Larry Davidson, PhD
Luz Ocasio
Alexandra Kimmel
Publications
2026
Obesity Prevalence and Associated Factors Among Users of Specialized Community Mental Health Services: An Observational Study
da Cruz Diomedece T, da Silva Marinho B, Lourencetti A, Costa M, O'Connell M, Bellamy C, dos Santos Treichel C. Obesity Prevalence and Associated Factors Among Users of Specialized Community Mental Health Services: An Observational Study. International Journal Of Mental Health Nursing 2026, 35: e70279. PMID: 42272070, PMCID: PMC13254237, DOI: 10.1111/inm.70279.Peer-Reviewed Original ResearchMeSH Keywords and ConceptsConceptsMental health servicesCommunity mental health servicesPrevalence of obesityHealth servicesObesity prevalencePhysical healthAssociated with lower obesity prevalenceUsers of community mental health servicesPoor self-rated healthSpecialized mental health servicesLow prevalence of obesityPsychosocial Care CentreSelf-rated healthLower obesity prevalenceMental health carePsychosocial Care NetworkAssociated FactorsUsers' physical healthLevels of careModerate mental disordersContent validity questionnaireLow prevalenceCare networkUsers of servicesWaist circumferenceSense 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 Reviews, Practice Guidelines, Standards, and Consensus StatementsThis study investigates how a sense of belonging impacts recovery from serious mental illness, highlighting its critical role in fostering trust, empowerment, and meaningful connections.Voices 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 Reviews, Practice Guidelines, Standards, and Consensus StatementsCitationsAltmetricConceptsHealth 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, 43: 35-41. 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 Reviews, Practice Guidelines, Standards, and Consensus StatementsCitationsAltmetricMeSH 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 ResearchCitationsAltmetric
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- June 10, 2026
Call for Papers — Special Issue on Community Integration for People with SMI and/or SUDs
- June 01, 2026
Yale Researchers Showcase Peer-Delivered 'Caring Contacts' Approach to Reduce Suicide Risk After Hospital Discharge
- 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