- Mental Health Treatment and Access
- Child and Adolescent Psychosocial and Emotional Development
- Resilience and Mental Health
- Migration, Health and Trauma
- Family Caregiving in Mental Illness
- Disaster Response and Management
- Maternal Mental Health During Pregnancy and Postpartum
- Mobile Health and mHealth Applications
- Biomedical Ethics and Regulation
- Hemodynamic Monitoring and Therapy
- Electroconvulsive Therapy Studies
- Colonialism, slavery, and trade
- Community Health and Development
- Neurology and Historical Studies
- Treatment of Major Depression
- Ultrasound in Clinical Applications
- Global Health and Surgery
- Digital Mental Health Interventions
- Child Abuse and Trauma
- Posttraumatic Stress Disorder Research
- Food Security and Health in Diverse Populations
- Alcoholism and Thiamine Deficiency
- Bipolar Disorder and Treatment
- HIV/AIDS Impact and Responses
- Electronic Health Records Systems
Northwestern University
2019
John Wiley & Sons (United States)
2019
Moss Landing Marine Laboratories
2019
Hudson Institute
2019
University of California, San Diego
2016
Massachusetts General Hospital
2016
Harvard Global Health Institute
2016
Harvard University
2016
Partners In Health
2016
Boston Children's Hospital
2016
Between 2010 and 2019 the international health care organization Partners In Health (PIH) its sister Zanmi Lasante (ZL) mounted a long-term response to Haiti earthquake, focused on mental health. Over that time, implementing Theory of Change developed in 2012, successfully comprehensive, sustained community system Haiti's Central Plateau Artibonite departments, directly serving catchment area 1.5 million people through multiple diagnosis-specific pathways. The resulting ZL delivered 28 184...
Background Engagement and training of educators in student mental health holds promise for promoting access to care as a task sharing strategy but has not been well-studied low-income regions. Methods We used prospective convergent mixed methods design evaluate customized school 2½ day teachers rural Haiti ( n = 22) the initial component formative research developing school-based intervention promote health. Training prepared respond needs by providing psychoeducational practical support...
The diagnosis and management of acutely dyspneic patients in resource-limited developing world settings poses a particular challenge. Focused cardiopulmonary ultrasound (CPUS) may assist the emergency with acute dyspnea by identifying left ventricular systolic dysfunction, pericardial effusion, interstitial pulmonary edema, pleural effusion. We sought to assess accuracy providers performing CPUS after training intervention limited-resource setting; secondary objective was ability affect...
This study evaluates the use of a mental health mobile clinic to overcome two major challenges provision healthcare in resource-limited settings: shortage trained specialists; and need improve access safe, effective, culturally sound care community settings. Employing task-shifting supervision, was largely delivered by trained, non-specialist workers instead specialists. A retrospective chart review 318 unduplicated patients assessed treated during clinic's first years (January 2012 November...
Background: The mental health treatment gap for youth in low- and middle-income countries (LMICs) is substantial; strategies redress are urgently needed to mitigate the serious social consequences of untreated illness youth. Aims: To estimate burden major depressive episode (MDE) posttraumatic stress disorder (PTSD) as well utilization care among Haitian order describe a LMIC setting. Methods: We estimated point prevalence MDE, PTSD, subthreshold variants school-based sample ( n = 120, ages...
BackgroundWorldwide, there is a gap between the burden of mental distress and disorder access to health care. This particularly large in low- middle-income countries (LMICs). After 2010 earthquake Haiti, international care organizations Partners Health Zanmi Lasante worked expand local services rural Haiti.ObjectiveThe aims this study are describe clinical characteristics patients served during pilot project deliver community-based psychiatric Haiti show how experience complements Mental Gap...
Task-sharing with teachers to promote youth mental health is a promising but underdeveloped strategy in improving care access low-income countries.To assess feasibility, acceptability and utility of the teacher accompaniment phase school-based Teacher- Accompagnateur Pilot Study (TAPS) Haiti.We assigned student participants, aged 18-22 years ( n = 120), participants 22) within four Haitian schools; we instructed arrange meetings their counterparts discuss treatment, academic skills, and/or...
Abstract Background The Zanmi Lasante Depression Symptom Inventory (ZLDSI) is a screening tool for major depression used in 12 primary care clinics Haiti’s Central Plateau. Although previously validated clinic-based sample, the present study first to evaluate validity and clinical utility of ZLDSI school-based population central Haiti. Methods We assessed depressive symptoms sample transitional age youth (18–22 years; n = 120) with ZLDSI. Other mental health-related assessments included...
Abstract In Haiti, a “sent spirit” is an experience of misfortune, such as illness or accident, which interpreted intentionally sent by someone supernaturally. Sent spirits are fundamentally social narratives, reflecting links among inequality, structural violence, and solidarity. This article focuses on the ethnographic stories two women who experienced death daughter, with one attributing to her own inability care for other spirit. A key question whether these different explanations...
Abstract Background There is a growing literature in support of the effectiveness task-shared mental health interventions resource-limited settings globally. However, despite evidence that effect sizes are greater research studies than actual care, sparse on impact such as delivered routine care. In this paper, we examine clinical outcomes depression care system established rural Haiti by international organization Partners Health, collaboration with Haitian Ministry following 2010...
<h3>ABSTRACT</h3> <h3>Introduction:</h3> Effective digital health management information systems (HMIS) support data validity, which enables care teams to make programmatic decisions and country-level decision making in of international development targets. In 2015, mental was included within the Sustainable Development Goals, yet there are few applications HMIS any type practice resource-limited settings. Zanmi Lasante (ZL), one largest providers Haiti, developed a collection system for...