The GIST-T Project
MISSION
Our professional staff seeks to increase awareness of both causes and consequences of stress and trauma on individuals and communities. We strive to improve the availability of, and access to, empirically validated trauma treatment worldwide. Our approach is two-sided:
• We want to reach unreached traumatized populations by strengthening care capacity of local para- and allied professionals working in humanitarian settings in the Global South.
• We also focus on at-risk professional personnel dealing with violent conflicts and natural disasters.


AIM
To reduce the global burden of stress and trauma by making effective care more accessible in underserved communities. In doing so, we aim to promote healing, improve health outcomes, and inspire lasting hope.
Our vision is to foster individual and collective resilience, contribute to peacebuilding, and unlock human productivity and potential around the world.
GOALS
• Raise awareness about the social, economic, and mental health consequences of trauma
• Support conventional and innovative trauma training (including for volunteers and paraprofessionals)
• Expand availability of trauma services in development, humanitarian, and protection settings
• Scale up use of trauma care services
• Promote research into trauma care methods that integrate with formal systems
• Mobilize resources to make GIST-T sustainable and impactful

Impact
The contribution large-scale trauma healing could make to enhance social, economic and cultural productivity, as well as individual educability, creativity and well-being, could well be historic.
Effective trauma treatment could help break the causal chains of violence begetting violence, abuse begetting more abuse, transmitted from generation to generation. It could bring an end to immense and insidious inner suffering, suffering that is largely unnecessary.
The GIST-T project intends to help expand current efforts to scale up trauma treatment. To this end it uses several approaches, but its principal means is our recently developed Traumatic Stress Relief (TSR) programme – GIST-T’s flagship innovation.
Training
The TSR programme, currently in its pilot phase in several countries aims to substantially reduce the trauma treatment gap and make effective, safe, earliest-possible TS relief available primarily for humanitarian settings in LMICs (low- and middle-income countries). Its focus is on frontline workers to be selected as para- and allied professionals, and to be capacitated to deliver simple trauma relief treatments to traumatized ‘people of concern’ and to their peers.
With extensive expertise and unwavering dedication, we consistently deliver favorable resolutions, ensuring our clients’ satisfaction with our legal services.
Our legal team is committed to achieving the best possible results in every case.
Locations
Pilot countries include:
🇦🇫 Afghanistan
🇦🇴 Angola
🇧🇦 Bosnia
🇧🇷 Brazil
🇧🇫 Burkina Faso
🇨🇩 DR Congo
🇮🇶 Iraq
🇯🇴 Jordan
🇷🇼 Rwanda
🇸🇦 Saudi Arabia
🇿🇦 South Africa
🇸🇸 South Sudan
🇺🇬 Uganda
🇬🇧 United Kingdom
🇺🇦 Ukraine
🇺🇸 United States
Why frontline workers?
They deal with situations caused by violent conflicts and natural disasters. They are already on the ground, close to where and when trauma occurs. They themselves are frequently exposed to traumatic events and circumstances. So, increasing their own resilience and attending to their trauma symptoms will support their ongoing capacity to perform their challenging duties.
By creating a local capacity for them to offer simple, but effective, trauma treatments, this allows them to add a meaningful service to other traumatized people that goes beyond Psychological First Aid – a kind of Psychological Second Aid – at an early opportunity following a traumatizing exposure.
Practical opportunities present themselves daily. The GIST-T project is set up to seize many of these opportunities, and to create new ones. This poses a challenge to all of us.
Our Leadership
GIST-T is led by experienced professionals with backgrounds in global health, humanitarian response, and trauma-informed care.
Together, they are committed to strengthening mental health systems and expanding access to evidence-informed treatment for communities around the world.
Meet Our Leadership

Rolf Carriere
Founder
Rolf Carriere is the founder of the Global Initiative for Stress and Trauma Treatment (GIST-T). He has dedicated his career to improving the lives of vulnerable communities around the world…

Dr. Marcus Teunissen, DBA
Chief Executive Officer
Dr. Marcus Teunissen is the Chief Executive Officer of the Global Initiative for Stress and Trauma Treatment (GIST-T). He has dedicated his career to strengthening mental healthcare systems worldwide…

Susanne Young

Gail Theisen-Womersley

Shiraz Farrand
Full Biographies
Dr. Marcus Teunissen, DBA
Chief Executive Officer
Dr. Marcus Teunissen is an international healthcare executive whose career has been dedicated to strengthening mental healthcare systems, advancing evidence-based treatment, and building sustainable models of care for vulnerable populations.
With almost four decades of experience across specialised mental healthcare, addiction treatment, organisational leadership, and humanitarian collaboration, he has consistently focused on one central principle: that high-quality healthcare should combine scientific excellence with compassion, integrity, and long-term sustainability.
In 2026, he completed his Doctor of Business Administration (DBA) in Healthcare Management, building upon earlier postgraduate qualifications in healthcare management and public health. His doctoral research explored leadership, organisational effectiveness, and sustainable healthcare systems—principles that continue to guide the strategic development of GIST-T.
As Chief Executive Officer of GIST-T, Dr. Teunissen is committed to building international partnerships that empower communities affected by conflict, disaster, and adversity to develop their own long-term capacity for trauma recovery through research, education, clinical excellence, and local leadership.
He believes that the greatest humanitarian legacy is not the number of programmes delivered, but the strength of the institutions, professionals, and communities that remain.
Rolf Carriere
Founder, Global Initiative for Stress and Trauma Treatment (GIST-T)
Rolf Carriere is the founder of the Global Initiative for Stress and Trauma Treatment (GIST-T), an organization dedicated to expanding access to effective and evidence-informed approaches to stress and trauma treatment worldwide.
Rolf began his international career as a development economist, working in countries including Indonesia, Bhutan, Burma (Myanmar), Bangladesh, and India. He initially worked in agriculture with the United Nations Food and Agriculture Organization (FAO) in Indonesia before joining UNICEF, where he focused on nutrition and health and later served in leadership roles across several UNICEF country offices in Asia.
During more than three decades within the United Nations system, Rolf developed extensive experience in international development, public health, nutrition, and humanitarian work. He later became the first Executive Director of the Global Alliance for Improved Nutrition (GAIN) in Geneva and co-founded the International Council for the Control of Iodine Deficiency Disorders (now the Iodine Global Network).
Following his retirement from the United Nations, Rolf dedicated himself increasingly to raising global awareness of effective trauma treatment and the potential of EMDR to contribute to healing and peace. His work has focused particularly on making effective trauma interventions accessible to communities where specialist mental health resources are limited.
In 2016, Rolf founded the Global Initiative for Stress and Trauma Treatment (GIST-T), with a vision of strengthening local capacity to address stress and trauma and making evidence-informed treatment more accessible to vulnerable populations around the world.
GIST-T was established with the support and encouragement of the late Dr. Francine Shapiro, the originator of EMDR therapy. Her pioneering work, together with Rolf’s experience in international development and humanitarian settings, helped shape the organization’s early vision and commitment to expanding access to effective trauma care.
Rolf continues to advocate for approaches that bring effective trauma treatment closer to the communities that need it most, with the broader goal of contributing to healthier, more resilient, and more peaceful communities worldwide.

In Memory of Dr Francine Shapiro
GIST-T was established with the support and encouragement of Dr Francine Shapiro, American psychologist, originator and developer of EMDR, who passed away on 16 June 2019.
Francine was a demanding researcher, a didactic trainer, a skilful speaker and writer, an intrepid discoverer and pioneer of EMDR, and a big-hearted humanitarian and great visionary.
Her commitment to healing humanity’s traumas has been an inspiration to those involved with GIST-T and many others worldwide.
The Board
The Board makes all decisions concerning GIST-T activities and finances. All members offer their services pro bono.
Legal Status
The Global Initiative for Stress and Trauma Treatment (GIST-T) is an incorporated association in Switzerland (Statutes of Association). It is in the process of incorporating in France, Netherlands and United Kingdom.
Advisory Groups
GIST-T Technical Advisory Group (TAG)
From 2016 to 2019, the TAG supported GIST-T’s early growth with quarterly meetings, expert advice and encouragement. Their contribution remains deeply appreciated.
TSR Technical Advisory Group (2016–2019, Founding Members)
During the first four years of start-up (2016-2019), GIST-T was very lucky to have advice and support from many members of the TAG which met quarterly. Their experience and encouragement were, and still are, much appreciated. This group is for cutting-edge mental health experts engaged in design, promotion, training, development or research regarding work related to traumatic stress relief and PTSD treatment. They are pioneers in shifting this paradigm.
- Femke Bannink
- Esly Carvalho
- Sushma Mehrotra
- Ron Ockwell
- Ian Barron
- Derek Farrell
- Mark Nickerson
- Elan Shapiro
TSR Technical Advisory Group (Current Members)
This group is for professional therapists actively involved in implementing, developing and evaluating TSR. It has been established to facilitate information exchange, research and study findings and offer mutual support among members.
- Yesim Arikut-Treece
- Cécile Bizouerne
- Esly Carvalho
- Anne Dewailly
- Shiraz Farrand
- Elia Gimenez Fernandez
- Fanny Guidot
- Silvia Guz
- Kinga Komarzynska
- Sonny Provetto
- Adeline Pupat
