CONCLUSIONS
Our clinical data reinforce the need for provision of standard psychiatric and
neurologic services in LMICs. Such services ought to accompany interventions targeted specifically at
disaster-related problems. Clinical situations falling outside existing mhGAP modules inspired the
development of supplemental treatment protocols. These observations informed coordinated efforts at
Zanmi Lasante to build a sustainable, integrated mental health system in Haiti that may be relevant to
other resource-limited settings.