Table 3.

Integrated Mental Health Strategy for Haitian Communities: Policy Recommendations and Action Plan

#	Problems Identified	Policy Recommendation/Key Results (KRs)	Key Performance Indicators (KPIs)	Key Risk Indicators (KRIs)
1	Chronic Traumatic Stress: Gang violence, unemployment, lack of social support, forced displacement	Restoration of security in Haiti. Investment in development programs. Enabling displaced individuals to return home for family reunions. Implement trauma-informed interventions within communities.	Reduction in gang affiliation, homicide, and gender-based violence (GBV) rates. The number of families reunited and relocated. % of economic growth	Political instability and program engagement.
2	Increased Health Burdens: Cardiovascular risks, heart diseases, depression, suicide, sleep problems, PTSD	Invest in health promotion campaigns. Implement universal health coverage to expand access to comprehensive health services.	Campaign implementation and reach. Service accessibility and utilization.	Financial constraints and logistical challenges.
3	Structural Risk Factors: Limited access, cultural responsiveness, hopelessness, opportunity scarcity, stigma	Invest economically in the Haitian public health sector. Implement universal health coverage and reform mental health training to enhance accessibility to mental health services.	Increased service utilization. Accessibility of services.	Cultural barriers and funding limitations.
4	Future Uncertainty	Develop resilience-building programs.	Indicators of resilience within the community.	Ongoing crises and levels of community participation.
5	Multigenerational Concerns: School closures, family dislocation, children’s and caregivers’ wellbeing	Initiate mental health programs for youth and families through schools, churches, media, and community centers. Launch non-violent education campaigns.	Program uptake and effectiveness; rates of school reopening; decrease in emotional and behavioral symptoms among youth and parents.	Accessibility and sustained funding.