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Friday Morning Seminar - April 8 2022 with Christophe Millien & Colleagues - Shared screen with speaker view
Michael M. J. Fischer
37:25
Hi Orkideh!!
Maria de lourdes beldi de alcantara
37:49
Raded I can not her Eugene
Maria de lourdes beldi de alcantara
38:21
sadeq
Maria de lourdes beldi de alcantara
38:34
It is my computor
Sadeq Rahimi
38:53
yes, I’m guessing the problem must be from your speaker
Sadeq Rahimi
39:16
I hear him well
Maria de lourdes beldi de alcantara
40:05
Yes, tês my dear
Maria de lourdes beldi de alcantara
49:02
Tks
Arlene Katz
58:23
bonjou Kobel, good to see you!
Giuseppe Raviola
01:07:54
https://www.hsph.harvard.edu/magazine/magazine_article/the-age-of-trauma/https://www.nejm.org/doi/full/10.1056/NEJMp2001507https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(19)30208-7/fulltext
Ralph B. Charles
01:17:52
My thesis work had a qualitative strand and one of the main themes that emerged from the participants was the fact that the current unstable socio-political situation is impacting every aspect of their healthcare needs, way more than covid.
Giuseppe Raviola
01:19:18
Here is some background on the Zanmi Lasante mental health system/team
Giuseppe Raviola
01:19:33
https://storymaps.arcgis.com/stories/b72b191d9c024621b8bb109e5ce1c014
Eddy Eustache
01:21:51
Sorry guys ! connectivity issues !!
Ralph B. Charles
01:47:00
It should be health AND wealth INSTEAD of health BEFORE wealth
Michael & Michele Nathan
01:48:44
@Ralph B. Charles: Well said. Reminds me of David Mechanic's "the best public health intervention is to build a solid middle class"
Eddy Eustache
01:49:53
The brain drain we are facing now won't let that intervention happen soon !
catherineriessman
01:52:49
Work of medical sociologist, Arlene Geronimus might be relevant— “weathering” of African Americans in face of enduring racism.
Ralph B. Charles
01:52:58
@Micheal & Michel Nathan: thank you!!definitely my next author to quote. Thanks for that amazing tip
Lesley Sharp
01:53:02
Thank you to all the speakers today for a sobering and informative group presentations. Must run but really enjoyed this
Maria de lourdes beldi de alcantara
01:53:47
Do you think the resiliente can be a kind of political belongs?
Kobel Dubique
01:57:23
@maria I think it is colonial, post colonial, socio-economic, and political in Haiti
Darja Djordjevic
01:58:17
Given the dearth of providers but our commitment to task shifting and community development of mental health services, how can we also increase access to mental health services for Haitian patients who are seen in medicine, oncology, pediatrics, surgery…can you speak to where sites stand with this?
Christophe MILLIEN
01:59:00
his situation is socially constructed by history, colonization, bad pollical and economic decision creating poverty and precarityThis is what Paul called structural violence
Christophe MILLIEN
01:59:46
This situation is socially constructed by history, colonization, bad pollical and economic decision creating poverty and precarityThis is what Paul called structural violence
Michael & Michele Nathan
02:00:51
@Ralph B. Charles: This might be a start for Mechanic: https://www.healthaffairs.org/doi/10.1377/hlthaff.19.3.269
Eddy Eustache
02:02:00
Darja ! thanks for your question. Zanmi Lasante is providing psychosocial and MH services to all those categories of patients. However, they can't replace the State. What is being done in the Central Plateau should be duplicated every where in the country ! Unfortunately this won't happen tomorrow
Michael M. J. Fischer
02:03:55
Weathering — http://pubmed.ncbi.nim.nih.gov/1467758/https://pubmed.ncbi.nim.nih.gov/1467758/
Darja Djordjevic
02:04:22
Mèsi anpil Eddy! Indeed, well put. I wonder what the psychiatry staffing situation is on all these units/spaces (probably very challenging) and hope that UGHE Haiti will soon lead to more medical students and residents who can get involved and train in various areas of psychiatry!!
Eddy Eustache
02:05:07
Great !! Awaiting !!!
Giuseppe Raviola
02:11:20
https://pubmed.ncbi.nlm.nih.gov/32180989/
Giuseppe Raviola
02:11:59
The ZL model is a collaborative, stepped care model. We have a 70 page blueprint for a psychiatry residency. The past 3 years of insecurity have gotten in the way.
Giuseppe Raviola
02:12:36
The system takes care of both common and severe mental illness, at health centers, hospitals and in the community, and delivers psychopharmacology and psychosocial interventions.
Giuseppe Raviola
02:13:40
We have locally validated tools using local concepts as well to differentiate mild, moderate and severe symptoms
Giuseppe Raviola
02:13:42
https://journals.sagepub.com/doi/full/10.1177/1363461514543546
Giuseppe Raviola
02:14:16
It is a testament to the team at ZL that they continue to deliver care under the ongoing unstable conditions and situation.
Andrea Chiovenda
02:14:52
thanks to all for the interesting discussion, see you next week
Giuseppe Raviola
02:15:32
You are an inspiration Dr. Millien!
Giuseppe Raviola
02:15:36
And all!
Stephanie Smith
02:16:13
Thank you Dr Millien for organizing— you are amazing— and thanks to all the other panelists and others for a great discussion.
Darja Djordjevic
02:16:19
Indeed, thank you Dr. Millien!!
Susan Bell
02:16:35
Thank you for the seminar.
Michael & Michele Nathan
02:17:01
And thank you all for the great discussion, as well!
Arlene Katz
02:17:14
mes Cher Christophe! toujours avec solidarité!!!
Ralph B. Charles
02:18:21
This seminar was somewhat healing, listening to this great conversation. Thank you everyone for a great discussion. 🙏🏾
Kobel Dubique
02:19:48
my email is kdubique@pih.org