Joe Tinervin, MSW

Joe joined the executive leadership team at Discovery in 2019. With a passion for helping people in need, Joe’s mission is to improve access to services, remove barriers to treatment, help patients navigate the system and support families in crisis. By developing and implementing the operational goals of the substance use disorder division at Discovery, Joe ensures that staff and clinicians are providing effective, evidence-based treatment for substance use disorders and co-occurring mental health conditions. Joe believes that, above all, clinical care and safety must come first.

Bringing more than 20 years of service and leadership to his role at Discovery, Joe started his professional career as a mental health tech working on the front lines before earning his bachelor’s in psychology from the University of Dayton and his master’s in social work from Loyola University, Chicago. Joe then moved into leadership roles in the behavioral health space, becoming a CEO at 33 and ultimately overseeing behavioral health operations for 12 programs across five states.

Joe’s operational expertise includes oversight of substance use centers and eating disorder treatment centers. As division president of Acadia Healthcare, he led operations for facilities including Montecatini and Center for Hope of the Sierras.

Joe’s enthusiasm is contagious. He values a sustainable work-life balance where individuals can prioritize wellness. When he’s not working, you can find Joe surfing, listening to live music or exploring the Bay Area, where he lives.

Amy Costa, PsyD, LMFT, CEDS-S

Dr. Costa has more than a decade of experience in treating mental health disorders. She has worked at all levels of treatment, including residential, partial hospitalization and intensive outpatient, as well as private practice. Her doctorate in psychology includes an emphasis in marriage and family therapy. She has also completed advanced training in dialectal behavioral therapy (DBT), cognitive behavioral therapy (CBT) and group therapy.

In addition to her work with eating disorders, Dr. Costa has experience in treating depression, anxiety and trauma in adolescents, adults and families. In treatment, Dr. Costa emphasizes skill building to help promote personal strength and mastery. Her goal is to empower individuals that seek overall healing and a transformed sense of self.

Andrea Ciarlelli, LMFT

Andrea is a licensed marriage and family therapist specializing in the treatment of eating disorders for adolescents and their families. She earned her bachelor’s in clinical psychology and her master’s in marriage and family therapy from Southern Connecticut State University.

Andrea has worked with adolescents and adults in various levels of care including residential treatment, therapeutic group homes, intensive outpatient programs, crisis stabilization program and outpatient mental health clinics. She has extensive experience treating adolescents with complex psychiatric issues including eating disorders, psychotic disorders, mood dysregulation, self-injurious behaviors and trauma. She approaches therapy utilizing a structural family therapy framework and believes that the support and inclusion of families in treatment is critical to the healing process. Andrea is also an adjunct professor at Southern Connecticut State University in the psychology department.

Matthew Ruble, MD

Dr. Ruble is the chief medical officer of Discovery Behavioral Health, the family brand of Center for Discovery. Dr. Ruble has a deep passion for advancing the behavioral health industry through training,

publication, innovation, payer relations and collaboration. He spent 20 years of his career working with the Cambridge Health Alliance, a health system affiliated with Harvard Medical School, responsible for training clinicians, residents and medical staff in core evidence-based practices including:

• Cognitive behavioral therapy (CBT)

• Psychiatric curriculum development

• Research

• Publications

• Speaking nationally on evidence-based practices • Integrated behavioral and physical health care delivery

As lead medical director overseeing clinical behavioral health strategy and operations for Humana, he was part of the team that reviewed and advised on all behavioral health technology innovations for investment and implementation. His expertise spans consistent delivery of innovative and value-based, industry-leading and integrated behavioral health programs and services.

Dr. Ruble earned his bachelor’s from Simpson College in Indianola, Iowa. From there, he attended the Carver School of Medicine at the University of Iowa, earning his doctorate. He then attended Harvard Medical School in Boston to intern at the Department of Medicine and became a resident at the Department of Psychiatry. Dr. Ruble became chief resident of the psychopharmacology at Cambridge Health Alliance as well as a physician educator at the Academy at Harvard Medical School.