
Rachael Manion (Executive Director)
Rachael Manion is a seasoned executive with over 20 years’ experience in health advocacy. A lawyer by profession with a strong background in policy analysis, she has consistently supported the not-for-profit sector in different managerial and volunteer roles throughout her career.
Rachael is committed to health literacy, evidence-informed decision-making, and patient engagement. Prior to joining the CSPA, she served as a lawyer for Health Canada and advised on the regulation of science policy and novel therapies and technologies. She helped patient organizations navigate the ever-changing policy, political and regulatory landscape across Canada, and was also a devoted frontline worker at a community health centre for the street-entrenched population.
Rachael is the former Executive Director of the Canadian Association of Psoriasis Patients (CAPP), which she ran alongside the CSPA from 2019 to 2022. She often participates as a guest speaker at international conferences on patient advocacy. An accomplished leader, Rachael excels at cultivating strategic collaborations to fulfill the mission of the CSPA and bring about positive change for people living with skin conditions.

Sabrina Ribau, R.Kin (Programs Manager)
Sabrina has a background in case management and health promotion with a focus on mental health initiatives and support for vulnerable populations, including Veterans and individuals with mental health and addiction issues. She commits herself to improving patient advocacy and supporting clients as they navigate health care and social services resources at local, provincial, and federal levels across Canada.
A kinesiology graduate with distinction from the University of Toronto, Sabrina conducted research on social support for family members of Invictus Games participants. She is a Registered Kinesiologist and brings a biopsychosocial approach to supporting and improving client care.
Sabrina is thrilled to be a part of the CSPA community in a time where patient advocacy and patient engagement are gaining traction throughout the healthcare system. She’s working on empowering skin patient communities to access the care they deserve by expanding the tools and resources available to support them in their goals. She is also raising awareness about the barriers facing individuals impacted by skin, hair, and nail conditions, particularly the ways in which health care teams and institutions can work with patients to make spaces more inclusive and accessible for all. Sabrina can be reached at This email address is being protected from spambots. You need JavaScript enabled to view it..

Mary Pagnotta (Stakeholder Relations Manager)
Mary Pagnotta has enjoyed a career in many diverse roles that have helped her to develop broad communications and administrative skills. Positions with Buffalo’s PBS station and with Brock University’s BrockTV.ca have allowed her to contribute to literacy programming, community outreach, and to collaborate with educators, students, artists, viewers, and community partners. Additional roles at educational institutions (secondary and college) have allowed her to lead departments devoted to development, public relations, marketing, and recruitment; she has also been a private career college instructor.
Mary is a proud CSPA team member! She enjoys supporting our Affiliate Member organizations by promoting and assisting with their various initiatives and by fostering connections between groups. She additionally collaborates with volunteers, addresses inquiries from patients and the general public. Mary is pleased to share CSPA’s resources and to assist the needs of all of its stakeholders. Mary can be reached at This email address is being protected from spambots. You need JavaScript enabled to view it..

Kathy Giangaspero (Communications Manager)
Kathy Giangaspero is a professional writer with a BA in journalism and over 20 years’ experience in healthcare communications. She has served on the Marketing teams of national and international non-profits including The Kidney Foundation of Canada and the Juvenile Diabetes Research Foundation, as well as a contract research organization specialized in dermatologic therapeutics.
Throughout much of her career, Kathy has used her gift of storytelling to share the personal journeys of people challenged by illness. Additionally, she has interviewed researchers from different fields and written on major advances in science. Her expertise lies in content development, knowledge translation, stakeholder relations, and project management.
Kathy thrives on promoting brand awareness through engaging digital marketing and media content. Creative and resourceful, she is dedicated to raising the profile of CSPA as a leader in patient advocacy. Kathy may be reached at This email address is being protected from spambots. You need JavaScript enabled to view it..