La Comisión de Salud Mental de Ayacucho (COSMA)

(Mental Health Commission of Ayacucho)
Ayacucho, Perú

Thank you for visiting the homepage of COSMA, a free-standing mental health clinic for the poor in the region of Ayacucho, Peru. The links to the left provide you with information, news reports and photos of the clinic. COSMA is a free-standing, mental health clinic. We provide evaluations, medication treatment, individual and group psychotherapy, rehabilitation and outreach and education to the people of Ayacucho. The clinic is an effort of the Mental Health Commission of Ayacucho, which was founded in 2003 in response to the recommendation of the Truth and Reconciliation Commission to provide mental health services to people in those areas affected by the political violence of the 1980s. The clinic was started by Sister Anne Carbon, a Filipina nun, together with a corps of local Ayacucho nurses and volunteer psychiatrists from Lima. In 2004 Drs. Rego and Phillips of PAMS met Sr. Anne and began to work with her to develop the clinic. The Commission is now directed by the Brothers of Charity, under the leadership of Brother Jimi Hyata and Brother Alfred Kiza,  and treatment is non-sectarian and without cost barriers, either nominal or free. The commission operates with the cooperation and support of:

  • The Peruvian American Medical Society (PAMS) (
  • Instituto de Salud Mental “Honorio Delgado – Hideyo Noguchi” of Lima

We have treated over 3000 individuals with a variety of psychiatric disorders including; schizophrenia, depression, post-traumatic stress disorder and psychological problems such as domestic violence. There are no religious, political or philosophical orientations involved in treatment other than those of the highest medical standards as assured by the sponsoring organizations.

Your interest in this effort is greatly appreciated. The clinic’s work is dependent on donations from individuals and small groups. Please feel free to contact either of us at the emails listed below.

James Phillips, M.D. (
Mark D. Rego, M.D. (