Flora Chan, Psy.D

Flora Chan received her PsyD in clinical psychology from the Wright Institute and completed her doctoral internship at RAMS’ National Asian American Psychology Training Center (NAAPTC). She has held several positions at RAMS, including clinical supervisor at the NAAPTC; staff psychologist at Adult Outpatient Services, and Child, Youth and Family Services; and clinical manager at Asian Family Institute. Flora also has a small private practice in San Francisco. Her interest includes training and supervision, incorporating systemic and sociocultural political issues into her clinical work and training, and exploring ways in which community work and advocacy can intersect with psychoanalytic and relational theories.

Carmen Castorena-O’Keefe

As the Director of Hire-Ability Vocational Services, Ms. Castorena-O’Keefe manages and supports a team dedicated to enhancing San Francisco residents’ lives through Vocational Skills Training and Competitive Community Job Placement.

Prior to joining RAMS, Ms. Castorena-O’Keefe managed (for about 10 years) Vocational Rehabilitation Services (VRS) within the San Mateo Human Services Agency, which serves residents with disabilities and/or barriers to employment; she also held positions within VRS as the Marketing Manager and Job Development Specialist. Ms. Castorena-O’Keefe began her career as a Career Counselor/Placement Director and eventually Corporate Director of Career Services for Heald Colleges over 20 years ago.

Ms. Castorena-O’Keefe obtained her B.S degree from San Francisco State University. She has lived in San Francisco for over 30 years and is dedicated to serving and strengthening her community.

Sachi Inoue, PhD

Dr. Sachi Inoue is a licensed psychologist serving culturally diverse clients at community mental health organizations in the San Francisco Bay Area for over 20 years. Dr. Inoue is also a psychoanalyst and an analyst member of San Francisco Center for Psychoanalysis, American Psychoanalytic Association, and International Psychoanalytical Association. She is committed to creating a bridge between the psychoanalytic community and public mental health arena so that analytic treatment can be more accessible for broader populations, and analytically trained clinicians can provide high quality services to community mental health clients. Prior to joining RAMS as the Director of Adult Outpatient Clinic in 2006, Dr. Inoue worked at Asian Community Mental Health Services for five years as a clinical supervisor. She was also an adjunct faculty and a research project coordinator at California School of Professional Psychology in Alameda. She currently maintains a private practice in Berkeley where she provides psychoanalysis and psychotherapy for adults. Dr. Inoue received her Ph.D. in Clinical Psychology from CSPP-Alameda and completed RAMS pre doctoral internship in 1998.

Trina de Joya

Trina de Joya is a bicultural and (somewhat) bilingual Pinay with almost two decades of experience in the Human Resources field. Hired by RAMS in 2000, Ms. de Joya is currently the Director of Human Resources. Her experience includes regulatory compliance, employee relations, consultation and support with personnel management, recruitment & employer-based immigration sponsorship, employee safety & risk management, and compensation.

Prior to RAMS, she worked in ethnic television & print media and dabbled in the spoken word poetry scene. She is a graduate of San Francisco State University, with a bachelor’s degree in Social Sciences (minor in Asian American Studies). Her interests include obscure pop culture references, staying in on Friday nights, and the works of Neil Gaiman.

Hasian Sinaga

Ms Sinaga, with over 25 years of community services, has significant experience in leadership roles of vocational and peer employment programs. She formerly served as Director for RAMS Hire-Ability Vocational Services and most recently, Division of Peer-Based Services. During her tenure, RAMS Hire-Ability Vocational Services program achieved great accomplishments through outstanding re accreditation surveys through CARF (Commission on Accreditation of Rehabilitation Facilities), commendable external program reviews and successful expansion and implementation of program services. As Director of Division of Peer-Based Services, Ms. Sinaga started multiple new programs including the Peer Wellness Center, expansion of Peer Specialist Mental Health Certificate Programs, Crisis Response and Street-Based Services as well as overseeing the peer workforce at over 30 plus sites within San Francisco. She is a strong advocate for consumer empowerment through training and peer employment as well as a promoter of the Wellness & Recovery Principles.

In her current role as Director of Community and Workforce Empowerment, Ms. Sinaga sits on the RAMS Executive Leadership Team, overseeing RAMS two largest division’s, Hire-Ability Vocational Services and Peer-Based Services; and developing innovative programs that enhance and empower peers in the integration of services within the larger San Francisco community.

Prior to RAMS, Ms Sinaga held previous leadership positions at Toolworks, Kainos, and Family Housing & Adult Resources(FHAR), all organizations whose mission is to support individuals with disabilities, communities struggling with behavioral health challenges and marginalized individuals such as those exiting the criminal justice system, experiencing homelessness, and new immigrant populations. Ms. Sinaga is an alumnae of Pacific Union college as well as the SF Chamber of Commerce Leadership program, a prestigious program aimed to strengthen leadership skills of local, emerging leaders.

Ms. Sinaga is an animal lover and an avid Bay Area sports fan.

Eduard Agajanian, MBA

Eduard is an operationally focused finance executive with comprehensive and diverse experience in both public and private sectors in the Bay Area and Washington State. He also is an entrepreneur that enjoys working at his small motorsports establishment leading inventory acquisition and reconditioning efforts. Born and raised in the former Soviet Union, Eduard is fluent in Russian and understands and speaks Armenian. It is because of his diverse cultural background and immigration-related experience, he gravitates towards working with organizations that provide culturally-sensitive services to its community members.

Prior to RAMS, Eduard held various financial leadership roles and directed accounting and finance operation. He served as CFO/COO of Santa Cruz Women’s Center in Santa Cruz, CA where he helped organization obtain its FQHC status and secure a new access point grant. As Evotec’s CFO, Eduard helped the company secure several large NIH contacts to provide services across several sites in CA, NJ, and CT. At Community Solutions in Gilroy, CA, he helped the agency achieve higher efficiencies and obtain CARF accreditation for the first time. Eduard’s approach to financial leadership is based on very simple principles of balance, financial discipline, empowerment, and collaboration. He enjoys working with his staff, service providers, the leadership team and other RAMS stakeholders who promote and create positive change for the communities we serve.

Mr. Agajanian holds B.S. in Mathematics from Yerevan State University, studied Accounting and Finance at North Seattle Community College, and earned his MBA from St. Mary’s College of CA in Moraga, CA.  He has lived in the Bay Area for over 20 years now and is dedicated to serving and helping local communities.

Angela Tang, LCSW

Angela Tang is a Licensed Clinical Social Worker and Certified in Healthcare Compliance. Ms. Tang joined RAMS in 2004 and focuses on the agency’s day-to-day operations, compliance, and evaluation & quality improvement. She has served as a Clinical Assistant Professor at the Smith College School for Social Work (honorary) and a Program Advisor for Boston University School of Social Work. Prior to RAMS, Ms. Tang worked in various community organizations and government settings including Hamilton-Madison House (NYC), a union employee assistance program (NYC), NYC Human Resources Administration/Dept. of Social Services, Asian Women’s Shelter (SF), and Balboa Teen Health Clinic (SF). Also, she was on the founding Board of Directors for Friends of Roots, a volunteer-run genealogy organization that promotes an awareness of the Chinese American identity.

A San Francisco native, Ms. Tang earned her Bachelor of Social Work degree at SF State University and received her Master of Science in Social Work from Columbia University (Administration concentration). Her areas of interest include macro-level, systems, and strengths-based theories & practices; organizational development; and program evaluation.

Christina Shea, LMFT

As a first-generation immigrant from Hong Kong and mother of two young adults, Ms. Shea is personally and professionally aware of the assimilation, acculturation, integration and developmental issues prevalent in the population in which RAMS serves. She is a strong advocate for the underserved communities, continuously raises awareness about mental health issues, diligently addresses barriers of access to services and is passionate about mentoring and promoting the next generation of bilingual and bicultural clinicians.

Ms. Shea is a licensed Marriage and Family Therapist and has been working in the mental health field for three decades, and with diverse communities, in the San Francisco Bay Area. She received her BS degree in Human Development from University of California at Davis and her MS degree in Clinical Counseling with an emphasis on Marriage, Family and Child Counseling from California State University at Hayward.

Domenica Giovannini, MPH

Domenica comes to RAMS after working within a myriad of disciplines developing a unique skill set which spans from major fund development and grant writing to digital marketing. By education, she is an expert in nonprofit and government operations, public health systems, fund development, program development, and compliance. By choice, she has become an expert in digital marketing, communications, equitable policy making, and collaboration for good. Fascinated with studying cultures and religions since she was young, Domenica has travelled and worked in several countries around the world.

Domenica has an undergraduate degree in Psychology from UC Santa Barbara and a graduate degree in Public Health from Touro University. During her Masters program, she travelled to Ethiopia to research health perceptions and knowledge of the local Health Extension Workers. While there, she started to develop a health marketing versus health education model to share information.

Domenica has worked with government agencies, Tribal organizations, nonprofits, and social enterprises all over the greater Bay Area, Mendocino County, Sacramento County, and throughout the United States. In addition, over the years, she has become a speaker and guest lecturer on health and community based communications aiming to move the needle on the complex issues facing the United States. In her free time she hosts a radio show on her local community access station analyzing policies at all levels, spending time with her pup Noir, international travel, and enjoying what all Sonoma County and the Bay Area has to offer.

JayVon Muhammad

A San Francisco native, JayVon is an equity-centered professional with more than 20 years of healthcare and community leadership experience in the Bay Area and Louisiana.

Prior to RAMS, she served as Chief Executive Officer of SWLA Center for Health Services in Lake Charles, Louisiana. There she led the organizational vision and strategy, directed clinical programs and managed the Health Resources and Services Administration (HRSA) scope for a five-site Federally Qualified Health Center (FQHC). In October 2020, Ms. Muhammad was one of five global health leaders to receive the Bob and Leila Macauley Humanitarian Spirit Award from Americares. Ms. Muhammad also led Marin City Health and Wellness Center, another FQHC focused on African American health equity. There, Ms. Muhammad developed a number of innovative programs, including Marin County’s first alternative, state-licensed and nationally accredited birth center; a maternal health program for underserved women in one of the poorest communities in the county; a Medication-Assisted Treatment Program for opioid/alcohol addiction; and an alternative high school focused on African American culture, leadership and role models.

Ms. Muhammad’s leadership and program design expertise are grounded in her clinical background as a midwife and her highly developed awareness and analysis around racial equity, cultural competence and diversity.