CHA Asylum Program

The CHA Asylum Program (CHAAP) is a volunteer-run organization housed at Cambridge Health Alliance. Our volunteers are health professionals from a variety of disciplines, career stages, and clinical sites (academic medical centers, private practices, NGOs). Our primary aims are service through the provision of forensic medical mental health evaluations (FMEs); education through our multidisciplinary residency elective and a monthly seminar series; and research.

Please note: CHAAP has limited access for referrals. If you have an urgent case that you would like to consult on, please email asylum@challiance.org.

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Who We Are

  • Mission

    CHA Asylum Program (CHAAP) is a volunteer-run organization housed at Cambridge Health Alliance. Our volunteers are health professionals from a variety of disciplines, career stages, and clinical sites (academic medical centers, private practices, NGOs). Our primary aims are service through the provision of forensic medical and mental health evaluations (FMEs); education through our multidisciplinary residency elective and a monthly seminar series; and research.

  • History

    In October 2021, after nearly three decades of pro-bono asylum applicants (FMEs), CHA Asylum Program (CHAAP) was formally established at CHA.

    To address the FME provider shortage and the asylum application adjudication bottleneck in Greater Boston, CHAAP mobilized to increase FME capacity by:

    1. Changing our delivery model and service referral pathway.
    2. Expanding training and mentorship availability.
    3. Developing community partnerships with individual health professionals, hospitals, and organizations.
    4. Co-sponsoring the Asylum Medicine Training Initiative (AMTI), a national, multidisciplinary collaboration that has developed a virtual, peer-reviewed introductory curriculum in asylum medicine based on international standards (launched in September 2022).
    5. Partnering with CHA's Center for Health Equity Education and Advocacy, developing the nation’s first interdisciplinary Asylum Medicine Residency Elective for CHA residents utilizing the AMTI Curriculum, paired with live expert-led small groups (Semester One, “flipped classroom” model) and mentored FMEs (Semester Two, skills application with graduated responsibility).
  • Leadership Team
    Portrait of Diya KallivayalilDiya Kallivayalil, PhD

    Co-Director, CHAAP

    Dr. Kallivayalil is the Co-director of the CHA Asylum Program (CHAAP) and a part-time Assistant Professor in the Department of Psychiatry at Harvard Medical School. Her clinical specialty is in the treatment of trauma-related disorders. She is a member of the task force for human rights of the American Psychological Association and has published in the areas of complex trauma, gender-based violence, homicide bereavement and refugee health. She is the former Director of Training of the Victims of Violence Program at Cambridge Health Alliance.

    Portrait of Eleanor EmeryEleanor (Ellie) Emery, MD

    Co-Director, CHAAP
    Program Director of Asylum Medicine Education, Center for Health Equity Education & Advocacy (CHEEA)
    Co-Lead, Asylum Medicine Training Initiative

    Dr. Emery is an internist with the Department of Internal Medicine at Northern Navajo Medical Center and an Instructor of Medicine, Part-Time at Harvard Medical School. Her work includes clinical, advocacy, and research efforts focused on improving access to high quality, trauma-informed care for underserved communities, including on Navajo Nation where she lives and practices clinically. Ellie has expertise in conducting forensic medical evaluations for people seeking asylum in the U.S. and has founded and led asylum clinics at Weill Cornell Medical College, Massachusetts General Hospital, UCLA, the University of New Mexico, and Cambridge Health Alliance. She co-leads the Asylum Medicine Training Initiative, a national working group of 80 experts from over 40 institutions that developed a virtual, peer-reviewed, introductory curriculum featuring best practices in asylum medicine based on international standards. Ellie also serves as the Program Director of Asylum Medicine Education at the Cambridge Health Alliance’s Center for Health Equity Education and Advocacy, and in this capacity developed and co-leads an interdisciplinary, year-long Asylum Medicine Elective for CHA residents.

    Portrait of Sara SnyderSara Snyder, PsyD, MPH, MA

    Director of Research and Development, CHAAP

    Dr. Snyder is a clinical trauma psychologist, health equity researcher, and Part-Time Instructor in Psychology in the Department of Psychiatry at Harvard Medical School. She completed a dual clinical-research postdoctoral fellowship at Cambridge Health Alliance (CHA)/Harvard Medical School, dividing her time between the Victims of Violence Program and the Department of Population Health. Dr. Snyder later completed a research fellowship at Massachusetts General Hospital/Harvard Medical School. She holds a doctorate from Long Island University and two global health degrees from Columbia University: a Master of Public Health in Humanitarian Assistance and an MA in Global Mental Health & Trauma. Her global health work spans a variety of projects, including: 1) RCT in Jordan’s Za’atari Refugee Camp & urban pockets assessing psychosocial case management; 2) formative evaluation of a psychosocial & livelihoods support program for former Lord’s Resistance Army child soldiers; 3) monitoring & evaluation plan to assess literacy & numeracy gains for programs in Rwanda resettlements; 4) grant to increase mental health care access for women in the UAE; 5) re-design of HoNOS for a Middle Eastern Refugee population; and 6) pilot normative study of the Rorschach in Rwanda, Uganda, and Tanzania. Her domestic work focuses on equitable mental healthcare access, capacity building, measurement/treatment adaptation, and forensic medical evaluations for asylum applicants. 

    Portrait of Barbara OgurBarbara Ogur, MD

    Faculty, CHAAP

    Dr. Ogur is an Associate Professor of Medicine at Harvard Medical School and has been a primary care physician at the Windsor Street Health Center of the Cambridge Health Alliance (CHA), where she cared for an inner- city, largely immigrant population. During her many years of longitudinal primary care she has pursued special training and has acquired significant expertise in diagnosing and treating common conditions such as depression, anxiety, and post-traumatic stress disorder. Dr. Ogur has completed trainings in Asylum Medicine from Physicians for Human Rights and the Society of Refugee Healthcare Providers. In addition to her work with CHAAP’s leadership, she also teaches for the CHEEA Asylum Medicine Residency Elective. She has conducted more than 50 asylum evaluations.

    Portrait of Dr. Anita MathewsAnita Mathews, MD, MPH

    Faculty, CHAAP

    Dr. Mathews is a Family Medicine physician at Cambridge Health Alliance. She earned her medical and public health degrees at the Tufts University School of Medicine (TUSM) and completed her family medicine residency at the University of Colorado, where she developed a focus on immigrant health, mental health, and substance use disorder treatment. In addition to her primary care work, she is a Clinical Assistant Professor of Family Medicine at TUSM, a contributor to the Asylum Medicine Training Initiative, and teaching faculty for CHA’s Asylum Medicine elective course. She completed the Physicians for Human Rights’ forensic medical evaluation training in 2021 and is a member of the Society for Asylum Medicine and the Society for Refugee Healthcare Providers.

    Kylie Straccia

    Program Coordinator, CHAAP

    Kylie Straccia is an Executive Assistant to CHA’s ACNO and Primary Care Administration and Operations department. She is also our Program Coordinator for the CHA Asylum Program. She has a BS in Business Management from Suffolk University and is certified in Adult and Youth Mental Health First Aid. She has consistently demonstrated a strong passion for human services throughout her career and academic electives. Since joining our program, she has felt empowered with the tools and knowledge needed to tackle health inequities in our communities, fueling her passion. She is eager to contribute to making a meaningful impact through her work.

  • Steering Committee
    Portrait of Dr. Richard PelsRichard Pels, MD

    Dr. Pels first came to the Cambridge Health Alliance (then Cambridge Hospital) as a primary care resident in 1983. Following residency training and medical education and general medicine fellowships at Harvard Medical School, Dr. Pels joined the faculty as a clinician-educator in primary care at Cambridge and directed the Harvard-affiliated primary care medicine residency program from 1994 to 2017. In 1999 he became director of Graduate Medical Education and served as Medical Staff President from 2003 to 2005. He became Associate Chief of Medicine in 2005 and Chief of Medicine in 2017. Dr. Pels has long been interested in developing innovative residency programming in prevention and population medicine. Throughout his career, he has conducted many asylum evaluations, mentored junior faculty in this work, and co-authored a training manual with colleagues from Physicians for Human Rights. Dr. Pels continues practicing primary care medicine and teaching Harvard medical students, residents, and practicing clinicians.

    Portrait of Dr. Gaurab BasuGaurab Basu, MD, MPH

    Dr. Basu is a physician and co-founder of the CHA Center for Health Equity Education and Advocacy (CHEEA). Dr. Basu is the Director of Education & Policy at the Center for Climate, Health, and the Global Environment at the Harvard T.H. Chan School of Public Health and an Instructor at Harvard Medical School. Dr. Basu has received numerous awards in medical education, including the inaugural Equity, Social Justice and Advocacy Faculty Award and the Charles McCabe Faculty Prize in Excellence at Harvard Medical School. He has been a Curtis Prout Academy Fellow at Harvard Medical School and a Harvard Macy Scholar. At Harvard Medical School, he is the faculty director of the Climate Change and Health curricular theme, has been co-director of the social medicine course and has served on the Task Force to Address Racism. Dr. Basu has been recognized nationally for his work in climate change and health equity. The Robert Wood Johnson Foundation named him a “Culture of Health Leader” in 2018. In 2021, he was named to the Grist 50 list of national climate leaders. He has served on the Implementation Advisory Committee in the Massachusetts Governor’s Executive Office Of Energy and Environmental Affairs.

    Portrait of Dr. Rebekah RollstonRebekah Rollston, MD, MPH

    Dr. Rollston is a Family Medicine Hospitalist at CHA Everett Hospital, Faculty of the CHA Asylum Program, Telehealth Primary Care Physician at the Indian Health Service (IHS) Rosebud Service Unit (in partnership with Massachusetts General Hospital), Instructor at Harvard Medical School (HMS), and Faculty Affiliate of the HMS Center for Primary Care. She earned her Medical Degree from East Tennessee State University Quillen College of Medicine (in the Rural Primary Care Track) and her Master of Public Health from The George Washington University Milken Institute School of Public Health. She completed her residency at Tufts University Family Medicine Residency at Cambridge Health Alliance, with specialized training in family planning and addiction medicine. Dr. Rollston has published in the areas of social determinants of health & health equity, gender-based violence, sexual & reproductive health, substance use disorder treatment, rural health, homelessness & supportive housing, and immigrant health. She completed the Asylum Medicine Training Initiative in 2023.

    Portrait of Dr. Rose MolinaRose L. Molina, MD, MPH

    Dr. Molina is a board-certified obstetrician-gynecologist and scholar-activist with a passion for applying language and immigration status as critical lenses for understanding and eliminating inequities in maternal health. She completed the Global Women’s Health Fellowship at Brigham and Women’s Hospital and obtained a Master of Public Health in Clinical Effectiveness from the Harvard T.H. Chan School of Public Health. She works at the Ariadne Labs,Dimock Center, and Beth Israel Deaconess Medical Center (BIDMC). Dr. Molina is an Assistant Professor at Harvard Medical School, the Lawrence Director of Professionalism, Humanism, and Health Equity in Medicine, the inaugural Director of the Medical Language Program at Harvard Medical School, and is the Director of the OB-GYN Diversity, Inclusion & Advocacy Committee at BIDMC. At CHAAP, she specializes in sexual and gender-based violence FMEs with a focus on female genital mutilation/cutting.

    Portrait of Malak RaflaMalak Rafla, MD

    Dr. Rafla is a board certified child, adolescent and adult psychiatrist. He is a staff attending psychiatrist at CHA and an Assistant Professor, Part-time in Psychiatry at Harvard Medical School. He obtained his medical degree from the University of Alexandria in Egypt and completed his adult and child psychiatry training at the Mount Sinai/Elmhurst training program in New York. In addition to his clinical work, he teaches, supervises and conducts research at CHA on addressing healthcare disparities for vulnerable child populations. Dr. Rafla’s areas of academic and clinical interest include working with immigrant families and minority groups, asylum evaluations, community psychiatry, integrated care, trauma and stressor related disorders, infant-parent mental health, preschool consultation immigrant and refugee health and healthcare equity.

  • Evaluators and Residents
    Evaluators

    Leadership Team and Steering Committee Members (excluding Drs. Basu and Pels):
    David Baron, MD
    Jaine Darwin, PsyD
    Emily Manove, PhD, LLM
    Ellen Plumb, MD

    Current Residents (housed at CHEEA)

    2025 Cohort
    Gauthami Balagopal (Internal Medicine at Cambridge Health Alliance) 
    Keerthi Bandi (Internal Medicine at Beth Israel Deaconess Medical Center)
    Jonathan S Briseno (Psychology at Cambridge Health Alliance) 
    Leah Cha (Psychiatry at Cambridge Health Alliance) 
    Jean Chang (Family Medicine at Cambridge Health Alliance) 
    Nicholas Daneshvari (Psychiatry at Massachusetts General Hospital)
    Efthalia Kaynor (Family Medicine at Cambridge Health Alliance)
    Helena Kennedy (Preventative Medicine at Boston Medical Center)
    Nicole Lue (Internal Medicine at Beth Israel Deaconess Medical Center)
    Fadeke Muraina (Psychiatry at Massachusetts General Hospital)
    Derek Nye (Internal Medicine at Beth Israel Deaconess Medical Center)
    Veri Seo (Psychiatry at Cambridge Health Alliance)
    Lora Stoianova (Internal Medicine at Cambridge Health Alliance)
    Jamie Ye (Psychiatry at Cambridge Health Alliance)

    Former Residents

    2024 Cohort
    José Domínguez, MD, MPH (Psychiatry)
    Ian Dwyer, MD (Internal Medicine)
    Charles de Guzman, MD (Internal Medicine)
    Jiyeon (Jen) Lim, MD (Psychiatry)
    Abigail (Abby) Solomon, MD (Family Medicine)

    2023 Cohort
    Adam Bazari, MD MS (Psychiatry)
    Kara Carew MD (Family Medicine)
    Jordan Cahn, MD, Msc (Internal Medicine)
    Shanon Hogan, MD, MPH (Family Medicine)
    Pamela Rook, PsyD (Psychology)
    Sarah Sanders, MD (Psychiatry)
    Jenny Wen, MD, MPH (Internal Medicine)
    Preston Williams, MD (Internal Medicine)

How to Submit A Case - For Attorneys

As a training program, all CHA Asylum Program (CHAAP) forensic medical evaluations (FMEs) will have a lead clinician and a training clinician. If your client does not consent to a training clinician being present at the evaluation, we will provide an appropriate referral to meet his/her/their needs.

  • Instructions
    • Before submitting a case request, gain consent from your client
    • After client consent, complete our intake form (please allow 15 minutes)
    • Send your client's statement/affidavit to our encrypted email address, asylum@challiance.org
    • Await communication from our program coordinator. If you have not heard from anyone within 48-hours, please contact asylum@challiance.org
  • Case Expectations
    • Turnaround time: Eight weeks, excluding holidays
      • Before assigning an evaluator to your case, we require a completed intake form and your client's statement/affidavit
      • If you have an urgent case ( < 4 weeks), please complete our intake form and immediately contact asylum@challiance.org
    • Medical interpretation requirement
      • For non-fluent English speakers, we require certified medical interpretation services.
      • The firm will be billed for CHA Translation Services ($240). In agreeing to our pro-bono services, you guarantee that interpretation fees will not be passed onto your client.
  • Case Assignment Process
    • Attorney submits intake form and client affidavit
    • Program manager reviews intake and affidavit for completeness and interpretation needs
      • Missing information → program manager contacts attorney and application is considered incomplete until information is provide
      • Interpretation services needed → program manager contacts attorney to confirm price and connect with CHA Translation Service
      • No missing information or interpretation services needed → program sends case to CHAAP leadership and faculty for assignment
    • Case assignment determined by availability and qualifications
      • CHAAP faculty and leadership respond in the affirmative if they have space for the case
    • Program manager copies attorney and CHAAP evaluator on an email
      • Email introduces attorney and evaluator
      • Evaluation scheduling coordination begins
    • Evaluation date, time, and medium (in-person, GoogleMeets, Zoom, JurisLink, etc.) is determined based on primary evaluator availability
      • Evaluation type (physical or mental health) is sent to CHEEA/CHAAP fellows for assignment
    • Trainee assigned to case
      • Priority is given to CHEEA/CHAAP residents
      • If no residents are available, the opportunity to be a co-clinician on the case is offered to our broader group of CHA/HMS trainees
      • If no CHA/HMS trainees are available, the opportunity to be a co-clinician on the case is offered to broader Greater Boston FME volunteers
      • Please note: All co-clinicians must have AMTI Certification; complete core modules here.
  • Forensic Medical and Mental Health Evaluation

    Case Assignment Process, plus:

    • Aforementioned process, plus:
    • Lead and co-clinician review case details independently
    • Lead and co-clinician meet to discuss case and logistics
    • Evaluation occurs
    • Lead and co-clinician debrief the evaluation
    • Co-clinician writes the first medio-legal affidavit draft
    • Lead reviews the draft and provides comments for the co-clinician
    • Lead revises draft and reviews changes with co-clinician
    • Lead sends attorney draft for review
    • Lead finalizes draft
    • Lead signs and submits a PDF version of the affidavit and their CV to the attorney
    • If needed, lead testifies in court.
    • Case complete
    • Attorney offered an option to review their experience with CHAAP and their specific clinicians
    • CHAAP program manager follows up with attorney regarding case status
    Submit a Case

Asylum Medicine Residency Elective

CHAAP has partnered with CHA’s Center for Health Equity Education and Advocacy to develop a year-long, interdisciplinary elective course on asylum medicine medicine for medical residents and postdoctoral fellows in clinical psychology at multiple institutions across the greater Boston area. Launched in 2022, this elective utilizes the Asylum Medicine Training Initiative's Introductory Curriculum paired with live, virtual small groups and mentorship to teach trainees to conduct trauma-informed forensic medical and mental health evaluations (FMEs). Upon completion of this course, graduates are qualified to conduct FMEs with national organizations including Physicians for Human Rights. Please visit this website for additional information.

Global Health and Human Rights (GHHR) Webinar Series

The CHA Asylum Program is a co-sponsor of the Asylum Medicine Training Initiative's Global Health and Human Rights Webinar Series. This monthly series aims to expand open-access education on topics relevant to displacement and humanitarian protection by hosting experts across various disciplines including medicine, healthcare, law, policy, and the environment.

For more information on the series and to register for upcoming webinars, please visit AMTI's website. To subscribe to the webinar series listserv, please sign up here.

If you have a topic of interest or recommendation for a speaker, please contact us at asylum@challiance.org

Find a list of prior recorded seminars hosted by the CHA Asylum Program here

Learn About Asylum Medicine

  • Key Asylum Medicine Definitions and Resources
    • Asylum Applicants are individuals fleeing their home country due to fear of persecution based on protected categories recognized by international law (race, religion, nationality, political opinion, or membership to a social group) who request permission to reside permanently in the United States.
    • For more information on the asylum process, please visit the US Citizenship and Immigration Services or UNHCR websites.
    • For more information on the types of human migration, please visit Amnesty International.
    • A Forensic Medical and/or Mental Health Evaluation (FME) is a clinical evaluation conducted by a health professional to document consequences of harms (psychological and/or physical) experienced by a person seeking asylum.
    • An Evaluator is a health professional (typically a physician, psychologist, or licensed clinical social worker) who conducts an FME. In our clinic, evaluators are accompanied by co-clinicians (or trainees).
    • A Medico-Legal Affidavit is the written report an evaluator and co-clinician produce following an FME.

  • How to get involved

Donate

If you are interested in making a tax-deductible donation to the CHA Asylum Program, please email us at asylum@challiance.org

 

Contact Us

If you have any additional questions, please email us using the button below.

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