2015
Task sharing in rural Haiti
McLean KE, Kaiser BN, Hagaman AK, Wagenaar BH, Therosme TP, Kohrt BA. Task sharing in rural Haiti. Intervention 2015, 13: 135-155. PMID: 26190953, PMCID: PMC4501397, DOI: 10.1097/wtf.0000000000000074.Peer-Reviewed Original ResearchStructured group trainingGroup trainingValue of apprenticeshipsExperiences of traineesLow motivationMental healthTrainee perspectiveQualitative findingsQualitative process evaluationCareer advancementTrainingMotivationKnowledge acquisitionSupport trainingTaskSkillsSupervisionTraineesHumanitarian settingsTranscultural adaptationApprenticeshipQualitative researchRural HaitiClinical competencyMastery
2013
Determinants of Care Seeking for Mental Health Problems in Rural Haiti: Culture, Cost, or Competency
Wagenaar BH, Kohrt BA, Hagaman AK, McLean KE, Kaiser BN. Determinants of Care Seeking for Mental Health Problems in Rural Haiti: Culture, Cost, or Competency. Psychiatric Services 2013, 64: 366-372. PMID: 23319081, DOI: 10.1176/appi.ps.201200272.Peer-Reviewed Original ResearchConceptsMental health careMental health problemsPercent of respondentsHealth problemsMultivariable logistic regression modelRural HaitiFirst choiceMental distressHealth service useDeterminants of careHealth careHaiti's Central PlateauCommunity-based providersLogistic regression modelsLess frequent useCommunity resourcesProvider typeClinical careDepression severityService useAnticipated efficacyPsychiatric distressHospitalClinicClinical interventionsSuicide in rural Haiti: Clinical and community perceptions of prevalence, etiology, and prevention
Hagaman AK, Wagenaar BH, McLean KE, Kaiser BN, Winskell K, Kohrt BA. Suicide in rural Haiti: Clinical and community perceptions of prevalence, etiology, and prevention. Social Science & Medicine 2013, 83: 61-69. PMID: 23465205, DOI: 10.1016/j.socscimed.2013.01.032.Peer-Reviewed Original ResearchConceptsCommunity membersLay community membersFormal health systemQualitative data analysisInterpretive phenomenological analysisRural HaitiDepth interviewsCommunity perceptionsHealthcare workersCommunity supportReligious practicesChristian concernContextual factorsReligious perspectivePhenomenological analysisDual perspectiveSuch researchGlobal public health problemHaitiMiddle-income countriesWorkersExplanatory modelsPublic health problemTrue intentHealth system
2012
Depression, suicidal ideation, and associated factors: a cross-sectional study in rural Haiti
Wagenaar BH, Hagaman AK, Kaiser BN, McLean KE, Kohrt BA. Depression, suicidal ideation, and associated factors: a cross-sectional study in rural Haiti. BMC Psychiatry 2012, 12: 149. PMID: 22992379, PMCID: PMC3515455, DOI: 10.1186/1471-244x-12-149.Peer-Reviewed Original ResearchConceptsHaiti's Central PlateauBDI scoresBeck Depression InventorySuicidal ideationCurrent suicidal ideationDepression symptomatologyRisk factorsPrior life-threatening illnessContinuous BDI scoresFirst epidemiologic studyGeneral psychiatric servicesCross-sectional studyLife-threatening illnessMental health needsLogistic regression modelsSubstance abuse interventionsFemale genderEpidemiologic studiesPsychiatric servicesParadoxical associationPsychosocial servicesDepression InventoryHealth needsHealthcare accessRural Haiti