Partners In Health


Location: Haiti

Description

Title: Psychiatrist for the Dr. Mario Pagenel Global Mental Health Delivery Fellowship
Report to: Director of Mental Health
Location: Haiti 

Organization Profile:

Partners In Health (PIH) is an international non-governmental organization dedicated to delivering quality health care to people and communities devastated by the joint burdens of poverty and disease.  PIH’s work has three goals: to care for patients, to alleviate the root causes of disease, and to share lessons learned around the world. PIH has programs in Haiti, Peru, Mexico, Russia, Rwanda, Lesotho, Malawi, and the Dominican Republic.

This fellowship is offered in collaboration with the Department of Global Health and Social Medicine at Harvard Medical School, Brigham and Women’s Hospital, Children’s Hospital Boston, and Massachusetts General Hospital. 

Position Overview: 

The Dr. Mario Pagenel Global Mental Health Delivery Fellowship with Partners In Health (PIH), is a placement in Haiti with Partners In Health’s sister organization, Zanmi Lasante (ZL), in collaboration with the Haitian Ministry of Health (MSPP). Since the January 2010 earthquake, the MSPP has prioritized mental health as a central component of Haiti's effort to rebuild its health care infrastructure and services, with the ultimate goal of a national mental health plan and decentralized mental health services. 

The Fellowship honors Dr. Mario Pagenel, beloved ZL physician and Director for Training and Medical Education, who perished in Haiti's 2010 earthquake. Dr. Pagenel had a special interest in psychiatry, mental health, social medicine and health equity. 

Following the earthquake, PIH/ZL worked to implement a comprehensive, Haitian-led response to our patients’ mental health needs, more than tripling the size of our mental health and psychosocial team. As PIH/ZL has worked to coordinate activities within the context of a broader national response, it has continued to expand psychosocial support and mental health services in both its existing catchment areas and in new ZL-supported settlements in Port-au-Prince, integrating mental health and psychosocial support with medical and community-based interventions. By September 2010, the ZL mental health and psychosocial support team had offered more than 10,000 support services in Port-au-Prince spontaneous settlements alone, including psycho-education, counseling, and individual and group therapy. PIH/ZL has staffed each of its hospitals in the Central Plateau and Artibonite Valley with a full complement of Haitian psychologists, social workers and social work assistants, with the aim of delivering services and developing a comprehensive continuum of care for mental health needs spanning the community to the hospital. By building capacity through the employment, training and mobilization of Haitian mental health clinicians, PIH/ZL seeks to develop locally feasible and sustainable structures for mental health care and, over time, to establish generalizable models for a system of mental health service delivery to serve Haiti and its people. With the breaking of ground for construction of a world-class teaching hospital at Mirebalais, there will be a timely opportunity to develop a model hospital-based, public-sector mental health service. 

The Fellowship provides an opportunity for career development in global mental health delivery for post-graduate psychiatrists. It offers a combined focus on training, research and advocacy. The fellowship will consist mostly of service delivery, and includes an academic research component.

Over the course of the year the Fellow will develop an area of academic focus in global health related to mental health service delivery, selecting an academic mentor with expertise in their area of interest. Fellows will therefore have the opportunity to collaborate in and develop mentored research and educational projects, and will have the option of participating in ongoing research efforts. To facilitate career development in global mental health, Fellows will be eligible to attend a 3-week intensive summer program in Global Health Effectiveness at Harvard Medical School and Harvard School of Public Health.

Global mental health delivery fellows will be based in Haiti for one or two years. 

This is a salaried position with benefits. Partners In Health will provide airfare between Boston and Haiti as well as living accommodations and meals in Haiti. To facilitate career development in global mental health, fellows will be eligible to attend a three-week summer program in Global Health Effectiveness at Harvard School of Public Health. Fellows will have the opportunity to collaborate in and develop mentored research and educational projects, and will have the option of participating in ongoing research efforts. Fellows will have another three weeks of time in Boston to develop and refine global mental health delivery-related skills and knowledge in collaboration with chosen program mentors.

Specific Responsibilities: 

  • Developing strong productive relationships with our Haitian colleagues to identify core challenges to quality mental health care and devising collaborative plans for improvement.
  • Accompanying Haitian health care workers (physicians, nurses, psychologists, psychiatric nurses, social workers, social work assistants and community health workers) in developing their capacity to implement new program initiatives and quality care interventions in mental health.
  • Sharing clinical expertise at the bedside and through didactic teaching.
  • Providing support to efforts related to the development of a model mental health service at the new hospital at Mirebalais.
  • Liaising with the ZL rehabilitation team.
  • Liaising with the Haitian Ministry of Health. 
  • Serving as a supervisor for US-based psychiatric resident and medical student experiences in Haiti with Partners In Health’s sister organization Zanmi Lasante.

Qualifications:

We are recruiting a board-eligible or board-certified psychiatrist to join us beginning in July, 2014.  We welcome candidates with interests in: 

  • Collaborative learning.
  • Teaching and mentorship.
  • Specialty interests, for example in consultation-liaison psychiatry, child and adolescent psychiatry, and emergency psychiatry.
  • The improvement of healthcare within the public sector.
  • Community outreach, primary care, and hospital based tertiary care.
  • Research in global mental health delivery.
  • Some proficiency in Haitian Creole and conversational French is strongly preferred.
  • Applicants must be prepared to commit to at least 75% time in Haiti over the duration of the fellowship.
  • A strong interest in social justice and health care issues.

Application Process:

Interested applicants should submit a one or two page letter describing their experience and interest in global health/global mental health and a CV with the names of two references





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