Preface
	Open letter to teacher training participants	vi–xii
Part 1. Introduction
1.1	Overview	1
1.2	Objectives	4
1.3	Key Points	6
1.4	What Is Mental Health?	7
1.5	Mental Health and Human Rights	8
1.6	Mental Health, Culture, Stigma, and Discrimination	10
1.7	Mental Health and Other Related Laws in Haiti	12
1.8	Biopsychosocial Model	20
1.9	Child Development Issues Relevant To Mental Health	22
Part 2. Recognize
2.1	Signs of Distress	26
2.2	Major Mental Disorders in Youth
	2.2 A. Overview	30
	2.2 B. Depression	33
	2.2 C. Anxiety	35
	2.2 D. PTSD	37
	2.2 E. Severe Mental Disorders	39
	2.2 F. Alcohol and Drug Abuse	41
2.3	Introduction to Epilepsy	44
Part 3. Respond
3.1	Basic Interview Skills	45
3.2	Communication Skills For Responding To Adolescents/Young Adult/Youth Students In Distress
	3.2 A. Effective teacher-student communication	48
	3.2 B. Specific skills for talking to students in distress: Where, How and What	51
	3.2 C. Table 1. Teacher reference for mandated reporting by level of crisis	56
3.3	Helping Families To Cope With Mental Disorders	57
3.4	Mental Health Education	58
3.5	Responding to Mental Health Crises In Youth	60
	3.5 A. Mental health crises checklist	64
3.6	Epilepsy Checklist	65
Part 4. Refer
4.1	What Teachers Should Know About Mental Health Care Pathway Available at Zanmi Lasante	66
4.2	How To Refer Youth With Emotional Or Mental Distress For Care	69
4.3	Detailed Information about Two Treatment Approaches Offered at ZL
	4.3 A. Behavioral activation	71
	4.3 B. Relaxation and breathing exercises	73
4.4	Treatment Considerations for Alcohol and Drug Abuse	74
4.5	Supporting Medication Adherence and Understanding Side Effects	75
4.6	Addressing Medication Concerns	76
Part 5. Resilience-Building
5.1	Resilience and Coping Strategies	77
5.2	Teachers as Accompagnateurs (TAPS)
	5.2 A. Treatment adherence	79
	5.2 B. Effective work practices to enhance school performance	80
	5.2 C. Emotional well-being and resilience	82
	Notes	84
	References	86
Appendices
A.	Case Studies for Discussion	A.1
B.	The Universal Declaration of Human Rights	B.1
C.	Screening and Triage for Mental Disorders	C.1
D.	Contact Information	D.1