A mobile clinic approach to the delivery of community-based mental health services in rural Haiti

PLoS ONE

Volumn 13, Issue 6, 2018, Pages

  Reginald Fils Aime, J ^a   Grelotti, David J ^b   Thérosme, Tatiana ^a   Kaiser, Bonnie N ^c   Raviola, Giuseppe ^d,e   Alcindor, Yoldie ^a   Severe, Jennifer ^e,f   Affricot, Emmeline ^a   Boyd, Katherine ^g   Legha, Rupinder ^h   Daimyo, Shin ^d,i   Engel, Stephanie ^j   Eustache, Eddy ^a  

^a Zanmi Lasante   (Haïti)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c DUKE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d PARTNERS IN HEALTH   (United States)

^e HARVARD MEDICAL SCHOOL   (United States)

^f Columbia University ^*  (United States)

^g Food Science and Human Nutrition   (United States)

^h UNIVERSITY OF CALIFORNIA   (United States)

ⁱ YALE UNIVERSITY SCHOOL OF NURSING   (United States)

^j Private Practice   (United States)

more..

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; BIPOLAR DISORDER; COMMUNITY CARE; DEPRESSION; EPILEPSY; FEMALE; FOLLOW UP; HAITI; HEALTH AUXILIARY; HEALTH CARE DELIVERY; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL DECISION MAKING; MENTAL DISEASE; MENTAL HEALTH SERVICE; NEUROLOGIC DISEASE; QUALITATIVE RESEARCH; RETROSPECTIVE STUDY; RURAL AREA; SUBSTANCE ABUSE; TOTAL QUALITY MANAGEMENT; EDUCATIONAL STATUS; PREVENTIVE HEALTH SERVICE; RURAL POPULATION; TREATMENT OUTCOME;

COMMUNITY HEALTH SERVICES; DELIVERY OF HEALTH CARE; EDUCATIONAL STATUS; FEMALE; FOLLOW-UP STUDIES; HAITI; HUMANS; MALE; MENTAL HEALTH SERVICES; MOBILE HEALTH UNITS; RURAL POPULATION; TREATMENT OUTCOME;

EID: 85048776928     PISSN: None     EISSN: 19326203     Source Type: Journal    
DOI: 10.1371/journal.pone.0199313     Document Type: Article

References (42)

1. Jamison DT, Summers LH, Alleyne G, Arrow KJ, Berkley S, Binagwaho A, et al. Global health 2035: a world converging within a generation. Lancet. Elsevier Ltd; 2013; 382: 1898–955. https://doi.org/10.1016/S0140-6736(13)62105-4 PMID: 24309475
2. Meyer A-C, Dua T, Ma J, Saxena S, Birbeck G. Global disparities in the epilepsy treatment gap: a systematic review. Bull World Health Organ. 2010; 88: 260–6. https://doi.org/10.2471/BLT.09.064147PMID: 20431789
3. Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine JP, et al. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA. 2004; 291: 2581–90. https://doi.org/10.1001/jama.291.21.2581 PMID: 15173149
4. Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012; 380: 2163–96. https://doi.org/10.1016/S0140-6736(12) 61729-2 PMID: 23245607
5. Khoury NM, Kaiser BN, Keys HM, Brewster ART, Kohrt B A. Explanatory Models and Mental Health Treatment: Is Vodou an Obstacle to Psychiatric Treatment in Rural Haiti? Cult Med Psychiatry. 2012; 36: 514–534. https://doi.org/10.1007/s11013-012-9270-2 PMID: 22544545
6. Hagaman AK, Wagenaar BH, McLean KE, Kaiser BN, Winskell K, Kohrt B A. Suicide in rural Haiti: Clinical and community perceptions of prevalence, etiology, and prevention. Soc Sci Med. Elsevier Ltd; 2013; 83: 61–69. https://doi.org/10.1016/j.socscimed.2013.01.032 PMID: 23465205
7. Saxena S, Thornicroft G, Knapp M, Whiteford H. Resources for mental health: scarcity, inequity, and inefficiency. Lancet. 2007; 370: 878–89. https://doi.org/10.1016/S0140-6736(07)61239-2 PMID: 17804062
8. Kazdin AE, Rabbitt SM. Novel Models for Delivering Mental Health Services and Reducing the Burdens of Mental Illness. Clin Psychol Sci. 2013; 1: 170–191. https://doi.org/10.1177/2167702612463566
9. van Ginneken N, Tharyan P, Lewin S, Rao GN, Meera S, Pian J, et al. Non-specialist health worker interventions for the care of mental, neurological and substance-abuse disorders in low- and middle-income countries. Cochrane database Syst Rev. 2013; 11: CD009149. https://doi.org/10.1002/14651858.CD009149.pub2 PMID: 24249541
10. Lassi ZS, Cometto G, Huicho L, Bhutta ZA. Quality of care provided by mid-level health workers: systematic review and meta-analysis. Bull World Heal Organ. 2013; 91: 824–833i. https://doi.org/10.2471/blt.13.118786 PMID: 24347706
11. Jerome G, Ivers LC. Community health workers in health systems strengthening: a qualitative evaluation from rural Haiti. AIDS. 2010; 24 Suppl 1: S67–72. https://doi.org/10.1097/01.aids.0000366084.75945.c9 PMID: 20023442
12. Janowitz B, Stanback J, Boyer B. Task sharing in family planning. Stud Fam Plann. 2012; 43: 57–62. Available: http://www.ncbi.nlm.nih.gov/pubmed/23185872 PMID: 23185872
13. Weiss T, Weiss L, Teeter D, Geraci J. Care provided by VA mobile clinic staff during Northridge earthquake relief. Prehosp Disaster Med. 1999; 14: 191–197. https://doi.org/10.1017/S1049023X00027588PMID: 10724745
14. Diaz-Perez de M J, Farley T, Cabanis CM. A program to improve access to health care among Mexican immigrants in rural Colorado. J Rural Heal Off J Am Rural Heal Assoc Natl Rural Heal Care Assoc. 2004; 20: 258–264. http://dx.doi.org/10.1111/j.1748-0361.2004.tb00037.x
15. Olteanu A, Arnberger R, Grant R, Davis C, Abramson D, Asola J. Persistence of mental health needs among children affected by Hurricane Katrina in New Orleans. Prehospital Disaster Med. 2011; 26: 3–6. https://doi.org/10.1017/S1049023X10000099 PMID: 21838059
16. Guruge S, Hunter J, Barker K, McNally MJ, Magalhães L. Immigrant women’s experiences of receiving care in a mobile health clinic. J Adv Nurs. 2010; 66: 350–359. https://doi.org/10.1111/j.1365-2648.2009.05182.x PMID: 20423418
17. Bigelow J, Singh V, Singh M. Medication adherence in patients with epilepsy after a single neurologist visit in rural India. Epilepsy Behav. Elsevier Inc.; 2013; 29: 412–415. https://doi.org/10.1016/j.yebeh.2013.08.034 PMID: 24090776
18. Smith Fawzi MC, Eustache E, Oswald C, Louis E, Surkan PJ, Scanlan F, et al. Psychosocial support intervention for HIV-affected families in Haiti: implications for programs and policies for orphans and vulnerable children. Soc Sci Med. Elsevier Ltd; 2012; 74: 1494–503. https://doi.org/10.1016/j.socscimed.2012.01.022 PMID: 22444459
19. Wagenaar BH, Hagaman AK, Kaiser BN, McLean KE, Kohrt B A. Depression, suicidal ideation, and associated factors: a cross-sectional study in rural Haiti. BMC Psychiatry. 2012; 12: 149. https://doi.org/10.1186/1471-244X-12-149 PMID: 22992379
20. Martsolf DS. Childhood maltreatment and mental and physical health in Haitian adults. J Nurs Scho-larsh. 2004; 36: 293–299. PMID: 15636407
21. Keys HM, Kaiser BN, Kohrt B A, Khoury NM, Brewster A-RT. Idioms of distress, ethnopsychology, and the clinical encounter in Haiti’s Central Plateau. Soc Sci Med. Elsevier Ltd; 2012; 75: 555–64. https://doi.org/10.1016/j.socscimed.2012.03.040 PMID: 22595073
22. James LE, Noel JR, Roche Jean Pierre YM. A mixed-methods assessment of the experiences of lay mental health workers in postearthquake Haiti. Am J Orthopsychiatry. 2014; 84: 152–63. https://doi.org/10.1037/h0099387 PMID: 24826931
23. James LE, Noel JR, Favorite TK, Jean JS. Challenges of postdisaster intervention in cultural context: The implementation of a lay mental health worker project in postearthquake Haiti. Int Perspect Psychol Res Pract Consult. 2012; 1: 110–126. https://doi.org/10.1037/a0028321
24. McLean KE, Kaiser BN, Hagaman AK, Wagenaar BH, Therosme TP, Kohrt BA. Task sharing in rural Haiti: Qualitative assessment of a brief, structured training with and without apprenticeship supervision for community health workers. Intervention (Amstelveen). 2015; 13: 135–155. https://doi.org/10.1097/WTF.0000000000000074 PMID: 26190953
25. Eustache E, Gerbasi ME, Severe J, Fils-Aimé JR, Smith Fawzi MC, Raviola GJ, et al. Formative research on a teacher accompaniment model to promote youth mental health in Haiti: Relevance to mental health task-sharing in low-resource school settings. Int J Soc Psychiatry. 2017; https://doi.org/10.1177/0020764017700173 PMID: 28367718
26. Eustache E, Gerbasi ME, Smith Fawzi MC, Fils-Aimé JR, Severe J, Raviola GJ, et al. Mental health training for secondary school teachers in Haiti: a mixed methods, prospective, formative research study of feasibility, acceptability, and effectiveness in knowledge acquisition. Glob Ment Heal. 2017; 4: e4. https://doi.org/10.1017/gmh.2016.29 PMID: 28596905
27. Eustache E, Gerbasi ME, Smith Fawzi MC, Fils-Aimé JR, Severe J, Raviola GJ, et al. High burden of mental illness and low utilization of care among school-going youth in Central Haiti: A window into the youth mental health treatment gap in a low-income country. Int J Soc Psychiatry. 2017; https://doi.org/10.1177/0020764017700174 PMID: 28367719
28. Cianelli R, Wilkinson C, Mitchell E, Anglade D, Nicolas G, Mitrani V, et al. Mental health training experiences among Haitian healthcare workers post-earthquake 2010. Int Nurs Rev. 2013; 60: 528–35. https://doi.org/10.1111/inr.12047 PMID: 24251943
29. Grelotti DJ. Even more mountains: Challenges to implementing mental health services in resource-limited settings. J Am Acad Child Adolesc Psychiatry. Elsevier; 2013; 52: 339–343. https://doi.org/10.1016/j.jaac.2012.12.013 PMID: 23582864
30. Belkin GS, Unützer J, Kessler RC, Verdeli H, Raviola GJ, Sachs K, et al. Scaling up for the “bottom billion”: “5 x 5” implementation of community mental health care in low-income regions. Psychiatr Serv. 2011; 62: 1494–502. https://doi.org/10.1176/appi.ps.000012011 PMID: 22193798
31. Raviola G, Eustache E, Oswald C, Belkin GS. Mental health response in Haiti in the aftermath of the 2010 earthquake: a case study for building long-term solutions. Harv Rev Psychiatry. 2012; 20: 68–77. https://doi.org/10.3109/10673229.2012.652877 PMID: 22335184
32. Raviola G, Severe J, Therosme T, Oswald C. The 2010 Haiti Earthquake Response. Psychiatr Clin N Am. 2013; 36: 431–450. https://doi.org/10.1016/j.psc.2013.05.006 PMID: 23954057
33. Population totale, population de 18 ans et plus menages et densites estimes en 2009. 2009.
34. Verdeli H, Therosme T, Eustache E, Hilaire OS, Joseph B, Sönmez CC, et al. Community Norms and Human Rights: Supervising Haitian Colleagues on Interpersonal Psychotherapy (IPT) With a Depressed and Abused Pregnant Woman. J Clin Psychol. 2016; 72: 847–55. https://doi.org/10.1002/jclp.22366 PMID: 27532745
35. Rasmussen A, Eustache E, Raviola G, Kaiser B, Grelotti DJ, Belkin GS. Development and validation of a Haitian Creole screening instrument for depression. 2015; 52: 33–57. https://doi.org/10.1177/ 1363461514543546 PMID: 25080426
36. World Health Organization. mhGAP intervention guide for mental, neurological and substance use disorders in non-specialized health settings (Version 1.0). 2010.
37. Guest G, MacQueen KM, Namey EE. Applied Thematic Analysis. Los Angeles: SAGE; 2012.
38. Grelotti DJ, Lee AC, Fils-aimé JR, Jean JS, Therosmé T, Petit-homme H, et al. A Pilot Initiative to Deliver Community-based Psychiatric Services in Rural Haiti After the 2010 Earthquake. 10.1016/j. aogh.2015.08.028
39. Murray LK, Dorsey S, Bolton P, Jordans MJD, Rahman A, Bass J, et al. Building capacity in mental health interventions in low resource countries: An apprenticeship model for training local providers. Int J Ment Health Syst. 2011; 5: 1–12. https://doi.org/10.1186/1752-4458-5-1
40. Joshi R, Alim M, Kengne AP, Jan S, Maulik PK, Peiris D, et al. Task Shifting for Non-Communicable Disease Management in Low and Middle Income Countries–A Systematic Review. PLoS One. 2014; 9: e103754. https://doi.org/10.1371/journal.pone.0103754 PMID: 25121789
41. Maes K, Kalofonos I. Becoming and remaining community health workers: Perspectives from Ethiopia and Mozambique. Soc Sci Med. Elsevier Ltd; 2013; 87: 52–59. https://doi.org/10.1016/j.socscimed.2013.03.026 PMID: 23631778
42. Kohrt BA, Ramaiya MK, Rai S, Bhardwaj A, Jordans MJD. Development of a scoring system for nonspecialist ratings of clinical competence in global mental health: a qualitative process evaluation of the Enhancing Assessment of Common Therapeutic Factors (ENACT) scale. Glob Ment Heal (Cambridge, England). 2015; 2. https://doi.org/10.1017/gmh.2015.21 PMID: 28593049