Most Haitians are descendants of African slaves who came to the island beginning in the 16th century. Up to 300,000 people were killed in January 2010, when an earthquake struck Port-au-Prince and other regions in the country, causing damage for up to 7.9 billion dollars. The majority of the population lives in poverty. The country has a high birthrate, but emigration due to the high unemployment rate (80.3 %), lack of services and poor health keep overall growth rates down. Haiti's population of 10 million is currently decreasing at about 0.79 percent according to experts. The hurricane season lasts from June to October, but sometimes it lasts a little longer than that. Spring and autumn are rainy, whereas December through February and June through August are dry. The average temperature in the mountains is 66☏ (19☌), while at Port-au-Prince it is 81☏ (27☌). Frost, snow, and ice do not form anywhere-even at the highest elevations the coldest the temperature can ever be in the low 60's. Haiti's climate is generally warm and only mildly humid. Most of the trees cover that existed prior to European colonization has been removed due to farming and the production of charcoal fuel for cooking. Haiti is crossed by several large rivers, but the longest and well-known one is le Fleuve de l' Artibonite. The four main plains include the Central, Northern, Artibonite, and Plaine du Cul-de-Sac which is very close to Haiti's, Port-au-Prince located on the west side of the island. The mountains are punctuated by hills and valleys, where most people live and work. The highest peak, Pic la Selle, is located in the Massif de la Selle and rises to 8,793 feet (2,680 meters). The southern peninsula boasts the Massif de la Hotte and Massif de la Selle. The northern Massif du Nord is part of the island's backbone, which Dominicans call the Cordillera Central. Haiti's portion of Hispaniola is significantly more mountainous than the rest of the island, with successive mountain chains running east to west on both peninsulas. The mountainous, nearly barren island of la Gonâve, which belongs to Haiti, rests in the center of the gulf. It is comprised of two peninsulas split by the Gulf of la Gonâve. According to geographers' experts, Haiti is about three times the size of Cyprus Island but is slightly smaller than the U.S. Case vignettes are provided for illustration.Haiti covers 10,714 square miles, which stands for (27,750 square kilometers) of the island known as Hispaniola, which it shares with the Dominican Republic. Recommendations for engaging and maintaining Haitian clients in psychotherapy are made. Concepts relevant to Voodoo beliefs and practices are discussed since these beliefs can shape attitudes, and compliance with treatment. It provides an overview Haitians attitudes toward mental health and the utilization of psychotherapy. This article highlights aspects of Haitian culture relevant to mental health clinicians. As a result, there is increasing demand for mental health services. Haitians are faced with the challenge of adapting to a new culture they experience stress and become vulnerable to mental illness. The political and economic climate in Haiti has led to a significant increase in the number of Haitians migrating to the United States. The role of the supernatural is addressed to provide a better understanding of the Haitian psyche. A historical perspective is offered since the history of Haiti has shaped society, families and therefore individuals. The goal of this article is to help clinicians understand aspects of Haitian culture that will facilitate mental health treatment. Non-Haitian clinicians need to be knowledgeable of the culture in order to provide competent care. Their view and concepts of the world are unique. As a group, Haitian immigrants are challenge to mental health professionals. They make up a significant portion of many cities. The Haitian community in the United States is growing steadily.
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