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Dissertation/Thesis Abstract

Creating Opportunity after Crisis: Examining the Development of the Post-earthquake Haitian Mental Health Care System
by Miller, Nancy R. F., Psy.D., California Southern University, 2015, 172; 10281123
Abstract (Summary)

Scope of Study: The scope of this theoretical study is comprised of an extensive review and interpretation of published studies by governmental organizations such as the World Health Organization (WHO); non-governmental organizations (NGOs); and individuals detailing the theories, concepts, and relationships that exist regarding the social and economic effects of the global burden of mental health disorders and the substantial treatment gap of mental health conditions in low-resourced settings such as Haiti. Humanitarian emergencies are presented as opportunities to build better mental health systems in low-income countries (LICs). Exploring Haiti’s trauma signature (TSIG) identified risk factors for post-disaster mental health consequences to include posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) within the adult population. Three culturally relevant community-based mental health programs Soulaje Lespri Moun (SLM), Partners in Health/Zanmi Lasante (PIH/ZL), and Pwogwam Sante´ Mantal (PSM), and one hospital-centered program, Project Medishare Hospital, are highlighted to demonstrate the implementation of successful mental health care services in post-earthquake Haiti. This project is focused on confronting the barriers to mental health services in Haiti with the goal of developing a long-term sustainable mental health system.

Findings and Conclusions: This research project’s findings are congruent with previous research, which described coordinating with local leadership and integrating culturally relevant, community-focused, and evidence-based mental health care with existing health services. These elements are essential in the development of long-term sustainable services in LICs.

The final chapter is a presentation of recommendations for future areas of inquiry to contribute to greater understanding of global mental health needs, prevention, and delivery of services in LICs before and after complex humanitarian crises. Expanding sustainable mental health care for Haiti will reduce disability and suffering from mental illnesses and build a stronger and more resilient society.

Indexing (document details)
Advisor: Bajaj, Alpa, Andrews, Kate
Commitee: McCord, Jann, Sumpter, Roy
School: California Southern University
Department: Behavioral Sciences
School Location: United States -- California
Source: DAI-B 79/07(E), Dissertation Abstracts International
Subjects: Mental health, Caribbean Studies, Counseling Psychology, Clinical psychology
Keywords: Disaster mental health, Humanitarian crises, Low-income countries, PTSD, Sustainable mental health services, mhGAP
Publication Number: 10281123
ISBN: 978-0-355-65284-0
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