“…The scoring of the adapted HTP accounted for the impact of trauma on Haitian resilience and vulnerability (Roysircar et al, 2017). Two types of impact were expected, one positive and the other negative, on the basis of the literature on contextual trauma (APA, 2017;Clauss-Ehlers, 2008;Harvey, 2007;Roysircar, 2013a;Roysircar et al, 2013, Roysircar et al, 2017; the cultural strength of religion and/or spirituality in people of the African diaspora (Aten et al, 2014;O'Grady et al, 2012;Orton & O'Grady, 2016;Roysircar, 2013a;Schwartz, 2012;Thompson, 2018); ancestral trauma and resilience of Africans (Hargrow, 2013;Leary, 2005); Haitian mental health concerns (James, Noel, Favorite, & Jean, 2012;Nicolas, DeSilva, Grey, & Gonzalez-Eastep, 2006;Roysircar, 2013a;Roysircar et al, 2017); and the history of colonization, dictatorships, police brutality, and governmental neglect in Haiti (Farmer, 2004(Farmer, , 2011World Bank, 2014). Two of the authors (Roysircar and Thompson) are familiar with the Port-au-Prince surrounding areas damaged by the 2010 earthquake because of their mental health services in an NGO primary care clinic since the 2010 earthquake (Bowman & Roysircar, 2011;Roysircar, 2013a;Roysircar, Pignatiello, Lanza, & Irigoyen, 2015).…”