Raviola G, Rose A, Fils-Aimé J R, Thérosmé T, Affricot E, Valentin C, Daimyo S, Coleman S, Dubuisson W, Wilson J, Verdeli H, Belkin G, Jerome G, Eustache E
Harvard Medical School, Boston, MA, USA.
Massachusetts General Hospital, Boston, MA, USA.
Glob Ment Health (Camb). 2020 Feb 11;7:e6. doi: 10.1017/gmh.2019.33. eCollection 2020.
Between 2010 and 2019 the international health care organization Partners In Health (PIH) and its sister organization Zanmi Lasante (ZL) mounted a long-term response to the 2010 Haiti earthquake, focused on mental health. Over that time, implementing a Theory of Change developed in 2012, the organization successfully developed a comprehensive, sustained community mental health system in Haiti's Central Plateau and Artibonite departments, directly serving a catchment area of 1.5 million people through multiple diagnosis-specific care pathways. The resulting ZL mental health system delivered 28 184 patient visits and served 6305 discrete patients at ZL facilities between January 2016 and September 2019. The experience of developing a system of mental health services in Haiti that currently provides ongoing care to thousands of people serves as a case study in major challenges involved in global mental health delivery. The essential components of the effort to develop and sustain this community mental health system are summarized.
2010年至2019年间，国际医疗保健组织“健康伙伴”（PIH）及其姊妹组织“赞米拉桑特”（ZL）针对2010年海地地震展开了长期应对行动，重点关注心理健康。在此期间，该组织实施了2012年制定的变革理论，在海地的中央高原省和阿蒂博尼特省成功建立了一个全面、持续的社区心理健康系统，通过多种针对特定诊断的护理途径，直接服务于150万人的集水区。在2016年1月至2019年9月期间，赞米拉桑特心理健康系统在其设施中提供了28184次患者就诊服务，为6305名不同患者提供了服务。在海地建立一个目前为数千人提供持续护理的心理健康服务系统的经验，成为了全球心理健康服务所面临主要挑战的一个案例研究。本文总结了建立和维持这个社区心理健康系统所做努力的关键组成部分。
