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.

中文翻译：

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2010-2019 年在海地地震后发展全面、持续的社区精神卫生系统

2010 年至 2019 年间，国际医疗保健组织 Partners In Health (PIH) 及其姊妹组织 Zanmi Lasante (ZL) 对 2010 年海地地震进行了长期响应，重点关注心理健康。在那段时间里，该组织实施了 2012 年制定的变革理论，成功地在海地中部高原和阿蒂博尼特省建立了一个全面、持续的社区精神卫生系统，通过多种诊断特异性护理途径直接服务于 150 万人的集水区。由此产生的 ZL 精神卫生系统在 2016 年 1 月至 2019 年 9 月期间在 ZL 设施提供了 28184 次患者就诊，并为 6305 名离散患者提供了服务。在海地开发一个目前为数千人提供持续护理的精神卫生服务系统的经验可作为全球精神卫生服务所涉及的主要挑战的案例研究。总结了发展和维持这个社区精神卫生系统的基本组成部分。