DEPARTMENT OF COMMUNITY HEALTH
AND PSYCHIATRY
Professor Denise Eldemire-Shearer, BA Bishop’s (C), MB BS,
PhD UWI – Head of Department
WORK OF THE DEPARTMENT
The period August 1, 2007 to July 31,2008 saw many accomplishments in
the Department despite the challenge of
meeting the demands of increased
number of students. The staff remains
highly motivated and dedicated to
maintaining high standards despite the
ongoing resource constraints.
The Department is comprised of two
sections, Community Health and
Psychiatry as well as a number of
associated centres namely: the Mona
Ageing & Wellness Centre, CARIMENSA and the UWI Harp &
CHART programme which function independently.
The Department is involved in teaching in all years of the MBBS
curriculum with an average of 175 students per year. Student ratings of
teaching remains high with 90% of lecturers averaging above 4.5. Dr.
Tomlin Paul received the Guardian Life Teacher’s Award for the year.
Examination results were also good. Final MBBS examinations for May
2008 in Medicine & Therapeutics to which Community Health &
Psychiatry contributes had no failures on the Mona Campus.
The introduction of the GPA has increased the number of examinations
and the demand for rigor and promptness of assessments and marks.
Adjustments in the course offerings continue to be done to ensure
compatibility with the GPA system. Modifications of courses are done
on an ongoing basis based on student assessments with major
adjustments toUnderstanding Research being completed during the year.
Seven special study modules were offered and this is an area targeted for
development.
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Community Health was not involved in the opening of the Western
Campus as the year 4 and 5 programmes have operated there for over 30
years.  Psychiatry will now be involved in year 4.
Two workshops for year 2 and 3 students were held on Team Building &
Leadership. Academic advising and mentoring continue as a focus of
staff involvement with students. With the introduction of the GPA
system some students are having difficulties early in their academic
career and this has increased needs in the area.
The increased number of students has posed particular difficulties to the
rural programme as more sites are needed. Two new sites were identified
but one was closed as a result of Hurricane Dean. Two more sites have
been identified but the accommodation need refurbishing.
Transportation is also a challenge especially in Psychiatry.
Postgraduate
Nineteen (19) students graduated from the MPH Programme. Five (5)
specializing in Health Promotion. Thirty-three (33) new students
enrolled for the academic year. The MPH Programme served as a pilot
for the introduction of Postgraduate course evaluations by students. All
courses in Semester II were evaluated. The activity was executed from
the Deputy Principal’s office with the MPH class representative
coordinating the activities at Community Health.
One student graduated from the Family Medicine Programme which is
still not admitting new students.
There are twelve research students with one PhD graduating in
November, 2008. Monthly seminars and journal clubs are part of their
experience and efforts at improving supervision are ongoing. Financing
of students research projects remains a challenge.
One student graduated from the DM Psychiatry and 3 new students
were admitted. The DM regulations were reviewed with cross campus
collaboration. Work has commenced on review of the curriculum. The
PhDClinical Psychology was given special attention and was transferred
to the Department of Sociology, Psychology and Social Work. The
Section of Psychiatry will continue to collaborate with the latter named
department in offering the course and to be responsible for the clinical
aspects including the practica.
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Online
Online Post Graduate Courses were introduced during the year with
three courses in Ageing. Seven students were enrolled but only four
completed Fundamentals of Ageing and none Clinical Aspects of
Ageing. Problems with the online system prevented a smooth roll out of
these programmes.
A regional UWI based Online Certificate Programme in Substance
Abuse Prevention and Treatment is being offered through the 4th
campus over 3 semesters and is coordinated by Dr.Winston De La Haye
(Psychiatry).  Eight (8) students registered in 2007-2008.
New Courses
The MSc in Cultural Therapy was approved by Faculty of Medical
Sciences and Board of Graduate Studies, University of the West Indies
and is scheduled to admit students in the 2008-2009 academic year.
A DrPH which will be offered cross-campus. A DrPH course was
developed and approved by the Board for Graduate Studies and will
begin in 2009.
Outreach Teaching Programmes
The Pre-Hospital Emergency Medical Services Training Unit continues
to meet national and regional needs in training for the Pre-Hospital
Emergency Medical Service. Six hundred and nineteen persons were
trained locally; 71 in 4 other territories. (29- St. Lucia, 9-Bermuda, 1-
Trinidad, 16- Anguilla).
The Community Care of the Elderly training programme had 13
participants; 9 local and 4 regional.
Dr. Henroy Scarlet coordinated the annual “Field Students in
Developing Countries” Summer School with the University of Alabama
and San Diego, with 32 students participating.
Research
Several members of the Department remain actively involved in
research with major research activity nationally and internationally.
There is an effort to focus on topics with persons working on several
aspects of a topic. The areas include: Reproductive Health Issues,
Prostate Cancer and Diet, Ageing Issues, Mental Health &
149
Environmental Health. Individual staff members are also involved in
smaller research projects related to their professional field.
Productivity levels remain the same as last year with 21 publications and
14 abstracts in peer reviewed journals/books and several book chapters.
Fifty-four (54) oral presentations were made at scientific conferences.
There is a need to increase the publication output. A number of
members of staff need to convert research done into publications but
with the heavy teaching loads, this remains a challenge.
Major Research Projects Completed
Dr. Kenneth James, Professor Denise Eldemire-Shearer –Health Impact
Assessment JAMALCO Plant. Research done in collaboration with
Yale University – Report submitted to JAMALCO/Ministry of Health.
Dr. Maria Jackson – Association of Diet & Prostate Cancer in Jamaican
Men – submitted to Planning Institute of Jamaica.
Mrs. Desmalee Holder-Nevins - Impact of Dancehall Music on
Adolescent sexual choices – submitted for PhD examination.
Mrs. Chloe Morris - Health-Seeking Behaviour of Jamaican men 55 +
years - submitted for PhD examination.
Professor Denise Eldemire –Shearer – Age-Friendly Primary Health
Centres Toolkit – Report submitted to World Health Organization and
incorporated in subsequent publications.
Dr. Henroy Scarlett – Exposure to Asbestos in Jamaican Hospitals –
submitted and awarded DrPH – University of Alabama
Service
Service remains a strong component of the Department’s activity. The
Health Centre provided service to 12 nearby communities. There was a
total of 12,000 patient visits but visits by staff into the communities were
curtailed by the upsurge in violence.
The Health Centre is also a teaching site for both medical and nursing
students from the UWI School of Nursing and Excelsior School of
Nursing.
The Section of Psychiatry in-patients and out-patient services. A total
of 355 in-patients and   3,279 out-patients were seen for the period.
150
This year, the work of the Child Guidance Clinic was expanded as Dr.
Gillian Lowe concentrated her activities on developing the service.
Mona Ageing & Wellness Center/WHO Collaborating Centre
As a WHO Collaborating Centre on Ageing & Health work continued
on Age-Friendly Primary Health Care with a Toolkit being posted on
the WHO website. There was participation at several international
meetings on various ‘age friendly’ topics and emergency preparedness for
Seniors. Work on ‘Age-Friendly Communities’ and ‘Ageing in a Foreign
Land’ is continuing and collaboration with the New York Academy of
Medicine has been established. Work on ‘the Elderly in Disasters’ has
resulted in that age group being included in the national programme.
There is collaboration in this area with the Public Health Agency of
Canada and continued participation in related international fora. The
Mona Ageing and Wellness Centre has been involved in inter-faculty
teaching and has had four cross-faculty students in courses. Six (6)
international students and two (2) Professors from Spellman College,
Atlanta were hosted by the Centre which facilitated their study tour.
Mrs. Chloe Morris participated in a Pan American Health Organization
Technical Exchange with Belize to examine the development of their
National Policy for Senior Citizens.
CARIMENSA
The Caribbean Institute of Mental Health and Substance Abuse under
the leadership of Professor Frederick Hickling continues to develop and
offers four activities.   Two 3 credit courses were offered.
The programme for high risk 9-12 year olds at theAllman Town Primary
School continues. There are projects in Psychohistoriographic Cultural
Therapy for adults with Concordia University and the Department.
Research is a strong component and there are several ongoing projects
focusing on Cultural Therapy. Publication of books focusing on Mental
Health is ongoing.
International Links
The Department continues to maintain international links –
Morehouse School of Medicine, University of Botswana, CARICOM,
WHO Ageing Unit( Geneva) & Reproductive Health Unit(Geneva)
Sparkman - Centre, University of Alabama. The New York Academy of
151
Medicine, Spellman College, Help the Aged, Public Health Agency of
Canada and Concordia University.
PAPERS PRESENTED
• Abel, Wendel – “Risk Behaviour among Adolescents in
Jamaica” Jamaica Psychiatric Association Conference, Jamaica
Conference Centre, October 7, 2007.
• Abel, Wendel – Integrating Mental Health Services in Primary
Care in Low and Medium Income Countries. (WHO) Rimini,
Italy, 2008.
• Abel, Wendel – Mental Health Recommendations for
CARICOM Member states – Caucus of Health Ministers.
Washington DC. 2007.
• Abel, Wendel – “CARICOM – A Mental Health Report”.
PAHOSub-RegionalMeeting ofMental Health Stakeholders –
Christ Church, Barbados.  July 2007.
• Bailey, Althea – HIV and Sexuality. Caribbean Child Research
Conference , October 23, 2007.
• Bailey, Althea – “Factors fueling the CaribbeanHIV Epidemic”
United Nations development Fund for Women (UNIFEM)
Caribbean conference May 27.
• Bain B., Ruddock-Small M., Reid, M., Ramsay, H. Nevins,
D., Pharmacists and HIV-results of a study in four Caribbean
Countries. Caribbean Association of pharmacists Annual
Convention, Ritz Carlton Hotel, Grand Cayman, West Indies.
August 15, 2007.
• De La Haye, W. – “Closing Gender Gap in Adolescent
Substance Misuse in Jamaica” Jamaica Psychiatric Association
Annual Conference; Jamaica Conference Centre, October 7,
2007.
• De La Haye W. “The Management of Nicotine Dependence”
Workshop for General Practitioners, Glaxo-Smithkline Offices,
September 2007.
152
• De La Haye, W. “The Closing Gender Gap in Adolescent
Substance Misuse in Jamaica”, Jamaica Psychiatric Association
Annual Conference, Jamaica Conference Centre, October
2007.
• De La Haye, W. “Postpartum Depression”, Jamaica Midwives’
Association 45th Autumn School, Jamaica Conference Centre,
October 2007.
• De La Haye, W. “Co-morbid Psychiatric Disorders in Clients
Admitted with Substance Misuse to a General Hospital in
Kingston Jamaica”, World Psychiatric Association Inter-
national Congress, Melbourne, Australia, November 2007.
• De La Haye, W. The Management of Nicotine Dependence”,
Workshop for General Practitioners, Mandeville, September
2008.
• De La Haye, W. The Management of Nicotine Dependence”,
Workshop for General Practitioners, Montego Bay, May 2008.
• De La Haye, W. “Update in the Management of Depression”,
Meeting of Barbados Psychiatrists, Bridgetown, Barbados, July
2008.
• Eldemire-Shearer, Denise – “Affordable, Accessible Health
Care: A Response” UNFPA Expert Group Meeting on
Population Ageing and the Millennium Development Goals,
Istanbul, Turkey October 2007.
• Eldemire-Shearer, Denise – Preserving the achievements,
confronting the challenges. Jamaica Public Health Inspectors
(JAPHI) 61st annual meeting, October 23, 2007.
• Eldemire-Shearer, Denise – “Ageing Populations – The role of
Trade Unions”. Trade Union Conference Remembering Frank
Walcott UWI, October 16-18, 2007, Barbados.
• Eldemire-Shearer, Denise – Age Friendly Approach to PHC
Training Requirements, 2nd International Meeting on
Emergency and seniors Halifax Canada Halifax March 16-20,
2008.
153
• Eldemire-Shearer, Denise – Disasters & Older Persons,
Launch of Plan for Emergencies and seminar nation of 2008.
New York (United Nation) February, 2008.
• Eldemire-Shearer, Denise – The Jamaican Elderly - findings of
Focus group Study, Ageing in the Caribbean Dissemination
Workshop March 2008 ECLAC and CHRC.
• Gibson RC (2008) The history of psychiatry in the Caribbean.
XIX Jornada Científica de Enfermería, Hospital General Dr.
Juan Bruno Zayas Alfonso, Santiago de Cuba, May 3, 2008.
• Gibson RC, Jiménez A (2008) Afro-Caribbean religious
consultations in persons with symptoms of schizophrenia:
prevalence and associated factors in twoCaribbean countries. X
Conferencia Internacional Cultura Africana y Afroamericana,
Santiago de Cuba, April 14-17, 2008.
• Goldbourne, J. – “Sex over 60” Jamaica Psychiatric
Association Annual Conference, Jamaica Conference Centre,
October 7, 2007.
• Gouldbourne J. Regional Security Risks: Challenges and
Strategies. June 3-7, 2008
• Harris M. – “Change Style Indicator. A self assessment
instrument” and “Leadership Models- the learning curve”
Caribbean Health Leadership Institute Retreat, June 9-11 in
Montego Bay, Jamaica.
• Hickling F.W. – “New Developments in Psychiatry”
Netherlands Antilles Foundation for Higher Education
(NASKHO) 7th Postgraduate Course, Curacao, October 19-21,
2007.
• Hickling FW. “Cultural Therapy”, Transcultural meeting of
the Canadian Psychiatric Association Annual Conference,
Montreal, Canada, November 16, 2007
• Hickling FW, Robertson-Hickling HA. The Development Of
Cultural Therapy” University of Trinidad and Tobago, Port of
spain, Trinidad July 18, 2008.
• McFarlane-Anderson N, Bazuaye P, Jackson M., Smikle M,
Fletcher H. M., Hormonal contraceptive use in Jamaican
154
women: Is there an association with cervical lesions? African-
Caribbean Cancer Consortium 2nd Annual International
meeting May 12-13, 2008.  Miami, USA.
• Watt A., Ragin C., Younger N., Garwood D., Jackson M.,
Smikle M., Fletcher H. M. McFarlane-Anderson N. High-risk
andmultiple human papilomavirus (HPV) infections in cancer-
free Jamaica women. African-Caribbean Cancer Consortium
2nd Annual International Meeting May 12-13, 2008. Miami,
USA.
• Jackson, M ., SA Eyre, MS Boyne, TS Ferguson, NO Younger,
MK Tulloch-Reid K Vaughn, M Samms-Vaughan, R. J. Wilks.
The Distribution and Correlates of Bone Mineral Density in
Jamaican Young Adults. 16th Annual Research Conference of
the Faculty of Medical Sciences, University of the West Indies.
November, 2007.
• G Lowe, Bipolar Disorder in Children Child and Adolescent
Psychiatry Association of Jamaica. Bustamante Hospital for
Children June 2008
• G Lowe, G Lipps, S Halliday, A Morris and N Clarke,
Depression Among 4th Form Students in Jamaican High
Schools Faculty of Medical Science Research Day, November
2007
• G. Lipps, G Lowe, S Halliday, A Morris and N Clarke,
Depression Among 4th Form High School Students in Three
Caribbean Nations Faculty of Medical Science Research Day,
November 2007
• McCaw-Binns A., Can Research Accelerate Progress Toward
Millennium Development Goal 5 (Maternal Health) in
Jamaica.    Principal Breakfast Forum, January 25, 2008.
• Brodie-Walker, S.N.A. & Morgan, K.A.D. Exploring
Delinquency: Are Exposure to Violence, Self-Esteem and
Parent-Child Attachment predictor of Juvenile Delinquency in
JamaicanAdolescents? Caribbean Child Development Centre’s
2nd annual conference in October 2007, Jamaica Conference
Centre.
155
• Chloe Morris – “Retirement is both Gender Specific and
Culturally Bound”. World Congress on Ageing Male Tampa
Feb. 20-25, 2008
• Paul, T J – “Looking to the Future: Inner talents guiding our
Careers” at the Annual Career Exposition, Merl Grove High
School, Kingston
• Paul, T J, Scarlett, M.Williams, E. Crawford-Sykes, A, Brandy,
JM, Young, L (2007). Feedback from professionals as a
contribution to Quality Assurance in Medical Education –
proposal for a quality surveillance system. 2007 CANQATE
Conference, Ocho Rios, Jamaica.
• Paul, TJ, Scarlett, M. Crawford-Sykes, A, Pierre, R, Beman, D.
Brandy, JM, Ragoobirsingh, D. (2007). Post-Moynian
reflections on regional accreditation for Caribbean Medical
Education. 2007CANQATEConference, Ocho Rios, Jamaica.
• Beman, D. Crawford-Sykes, A. Williams, E. Paul, TJ, Brandy,
JMYoung , L, (2007). Standard setting of medical examinations
enhancing our quality assurance strategy at the University of
the West Indies, Mona. 2007 CANQATE Conference, Ocho
Rios, Jamaica.
• Paul, TJ, Williams, E. Young , L. Brandy, JM, Carpenter, R.
Gordon, O. (2007). Adding personality to medical teaching at
the University of theWest Indies, Jamaica. 11thAnnual IAMSE
Meeting, Cleveland, Ohio August 2007.
• Beman, D, Paul , TJ, Brandy, JM, Young, L, Williams, E
(2007). Tough for students but easy for judges or vice versa?!
An early evaluation of Angoff item accuracy in three
examinations. 11th Annual IAMSE Meeting, Cleveland, Ohio
August 2007.
• Brandy, JM, Paul TJ, Beman, D, Crawford-Sykes, A,
Ragoobirsingh, D (2007). Objective Structured practical
Examination (OSPE) logistics 101 – Experience with an
integrated examination. 11th Annual IAMSE Meeting,
Cleveland, Ohio August 2007.
156
• Paul, TJ. 10th Anniversary Research Symposium, University of
the West Indies,” Nature of Suffering and the Goal of
Medicine” August 2007.
• Paul, TJ. “Developing Extended Matching Questions for
Undergraduate Assessments”. Workshop on MB BS
Undergraduate Programme July 2007.
• Paul, TJ. “The effective Use of Family Planning Options”
National Family Planning Board’s Youth Forum For Young
Men Only; Jamaica Conference Centre, Kingston, September,
2007.
• JM Branday, TJ Paul, D Beman, J Russell. Predictors of
academic performance in a medical undergraduate programme.
UWI Medical Alumni, Ninth International Medical
Conference, Jamaica, July 2008.
• TJ Paul, JM Brandy, D. Beman. From setting standards to
standard setting. The evolution of assessment in the Faculty of
Medical Sciences. UWI Medical Alumni, Ninth International
Medical Conference, Jamaica, July 2008.
• L. Barnaby, TJ Paul, J Leitch. An initial experience with
medical students setting their own examinations at Medical
Students Conference. UWI Medical Alumni, Ninth
International Medical Conference, Jamaica, July 2008.
• Paul, TJ. “Looking to the Future: Inner talents guiding our
Careers” Annual Career Exposition, Merl Grove High School,
Kingston, January 2008.
• Paul, TJ “Nature of Suffering and the Goal of Medicine” 10th
Anniversary Research Symposium, University of the West
Indies, School of Clinical Medicine, Bahamas, October 2007.
• Paul, TJ. “Managing Chronic Diseases” – Denbigh Gospel
Assembly, May 2008.
157
PUBLICATIONS
WIMJ = West Indian Medical Journal
* Thompson, D.S., Bain, B., East-Innis, A. The Prevalence of
Muco-cutaneous Disorders in HIV-positive patients
attending an Out-patient Clinic in Kingston, Jamaica. WIMJ.
Vol. 57 (1): 54-57. (2008)
* Weller, P., Hambleton, I., Chambers, C., Bain, S., Christie,
C.D.C., Bain, B. Voices of the Women: Feedback from
women of child-bearing age who are living with HIV can help
improve efficacy of psychosocial interventions. WIMJ. Vol. 57
(3). (273- 280).
* Barrett DM,  Steel-Duncan J, Christie CDC, Eldemire-
Shearer D, Lindo JF. (2008). Absence of  opportunis-
tic  parasitic infections among children  living with
HIV/AIDS in children’s homes in Jamaica: pilot
investigations  WIMJ 2008; 57:3 252-255. 
* Gatei  W,  Barrett DM, Lindo JF, Eldemire-Shearer D,Cama
V, Xiao L. (2008). Unique  Cryptosporidium   population in
HIV-infected persons, Jamaica.  Emerging Infectious Diseases
Journal 14(5): 841-3
* Kenneth James, Denise Eldemire-Shearer, Jacqueline
Gouldbourne, Chloe Morris. Falls and Fall Prevention in
the Elderly: The Jamaican Perspective, WIMJ. 2007 Dec
(4):534-539.
* Ivor Crandon, Denise Eldemire-Shearer, Doreen Fearon
Boothe, Chloe Morris, Kenneth James. Chronic Subdural
Haemotomas in the elderly: A case discussion. WIMJ. 2007
Dec (4):346-50.
* Wangeci Gatei, Donnett Barrett, John F. Lindo, Denise
Eldemire-Shearer, Vitaliano Cama, and Lihua Xiao. Unique
Cryptosporiuudium Population in HIV-infected Persons,
Jamaica. EDI Journal Vol. 14, No. 5 – May 2008.
* Whitley R. Hickling F. W., Open Papers, Open Minds?
Media Representatives of Psychiatric De-institutionalization
in Jamaica. Transcult Psychiatry 2007 44: 659-671.
158
* Hickling FW, Abel W, Garner P, Rathbone J. Open general
medical wards versus specialist psychiatric units for acute
psychoses. Cochrane Database of 10.1002/14651858.
CD003290. Pub2.
* Gibson, R.C., Abel, W.D., White, S., Hickling, F.W.
Internalizing stigma associated with mental illness: findings
from a general population survey in Jamaica. Rev Panam Salud
Publica, Jan. 2008, Vol 23, No. 1 pg 26-33.
* Gibson, R. C., Morgan, K.A.D., Abel, W. D., Hickling F.
W. (2007) Changing Research Culture in the Section of
Psychiatry, Department of Community and Psychiatry,
University of West Indies, Mona.WIMJ, 56(2), 171-177.
* Johnson-Campbell M, La Grenade J, Holder-Nevins D.
McCaw-Binns; A. Hurricane preparedness among
healthcare workers in St. James. WIMJ. 2007 Sept; 56(4):346-
50.
* Thompson SA, Paul T.J, Holder-Nevins D. No smoke
without ‘fire’. Social Work in Pubic Health vol. 23(1) 2007.
* McFarlane-AndersonN., Bazuaye P.E. Jackson M. D., Smike
M, Fletcher H. M. Cervical dysplasia and cancer and the use
of hormonal contraceptives in Jamaican woimen. BMC
Women’s health. 2008; May 30; 8:9.
* C. Ragin, N. McFarlane-Anderson, G. Avery, F. Bennett, A.
Bovell-Benjamin, A. Brown Thompson, Carrington, L.
Campbell-Everett, J. Ford, A. Hennis, M. Jackson, S. Lake,
MC Leske, C. Magai, A. Massley Hill, B. Nemesure, A.
Neugut, F. Odedina, M. Okobia, A. Patirck, W. Best
Plummer, RR. Reams, G. Reigsford, R. Roberts, S. Scott-
Hastings, S. Sharma, F. Ukoli, V. Wheeler, SY. Wu, R.
Yearwood, C. Bunker, E. Taioli2. The African-Caribbean
Cancer consortium (AC3) for the study of genetic and
viral/environmental cancer risk factorsin populations of
African descent. Infectious Agents and Cancer 2007, 217.
* Lowe G. A., R. C. Gibson, CDC Christie. HIV Infection,
Sexual Abuse and Social Support in Jamaican Adolescents
Referred to a Psychitiatric Service.WIMJ 2008;57:3 306-310.
159
* Lipps G. E., Lowe G. A, Young R., Validation of the beck
depression inventory – in a Jamaican University cohertWIMJ,
Oct. 56(5) 404-408.
* Harvey SA, Wong BlandonYC, McCaw-Binns A, Sandino I,
Urbina L, Rodríguez C, Gómez I, Yudy C, Evans C, Ayabaca P,
Djibrina S and the Nicaraguan maternal and neonatal health
quality improvement group. Are skilled birth attendants really
skilled? A measurement method, some disturbing results and
a potential way forward. Bulletin World Health Organization
2007; 85 10 783-790.
* Edson W, Burkhalter B, McCaw-Binns A. Assessing the
timeliness of care for eclampsia and pre-eclampsia: examples
from Benin, Ecuador, and Jamaica. International Journal of
Gynecology and Obstetrics 2007; 97(3): 209-214.
* McCaw-Binns A, Alexander SF, Lindo JLM, Escoffrey C,
Spence K, Lewis-Bell K, Lewis G. Epidemiologic transition in
maternal mortality andmorbidity: new challenges for Jamaica.
International Journal of Gynecology and Obstetrics 2007; 96(3):
226-232.
* McCaw-Binns A. M, Lindo JLM, Lewis-Bell KN, Ashley DE.
Maternal mortality surveillance in Jamaica. International
Journal of Gynecology and Obstetrics 2008 Jan (1):31-6 Epub.
2007 Oct. 24.
* Williams-Green P., Matthews A., Paul TJ., McKenzie C.
(2007) “Family Medicine Training by Distance Education at
the University of the West Indies”. WIMJ. 56(1): 86-89.
Abstracts
* G, Lipps, Lowe, GA, Halliday, S, Morris, A, Clarke, N.
Depression among fourth form students in Jamaican High
Schools. WIMJ. 56(Suppl. 3):7.
* Martin-Cooke, JS, Hickling, FW, Abel, WD. Validation of
the Jamaican personality disorder inventory.WIMJ. 56(Suppl.
3):10.
* Oo, MK, Hickling, FW. A study of post-traumatic stress
disorder among Jamaica Constabulary Force personnel in a
given geographical area in Jamaica. WIMJ. 56(suppl.3):11.
160
* Walcott, GO, Hickling FW, Abel WD, Martin Cooke J.
Prevalence of Personality Disorder in an impatient population
of the psychiatric service of the University Hospital of the
West Indies. WIMJ, 56(suppl 3) 40.
* Hickling F. W., Walcott GO, Martin-Cooke J., Abel W.,
Paisley V., Allen T., Thomas K. A., Prevalence of personality
disorder in a population substance abuser at the University
Hospital of the West Indies. WIMJ. 57(Suppl. 2) 46.
* G, Lipps, Lowe, GA, Halliday, S, Morris, A, Clarke, N.
Depression among fourth form students in three Caribbean
countries. WIMJ. 56(suppl. 3):12.
* G Lowe, G Lipps, S Halliday, A Morris and N Clarke,
Depression Among 4th Form Students in Jamaican High
Schools. WIMJ, November 2007; 56,(Suppl 3 ) 17.
* G. Lipps, G Lowe, S Halliday, A Morris and N Clarke,
Depression Among 4th Form High School Students in Three
Caribbean Nations. WIMJ, 2007; 56,(Suppl 3 ) 19
* Jackson M., Walker SP,, Younger N. O, McFarlane-
Anderson N., Bennet F., Coard K., Paul T. J., Food patterns
and risk of prostate cancer in Jamaican men.WIMJ. 57(suppl.
2):22
The University of the West Indies and Pan American Health
Organization Conference on “Strengthening Mental Health
Research Capacity in Latin America and the Caribbean” Conference
Proceedings.
* Sorel E, Hickling FW. “The Generation of Knowledge in the
Caribbean: Application to Services, Education, Research and
Policy”.
* Hickling FW, A Cultural Therapy Risk-Reduction Program
for 9-year-olds from Inner City Kingston: A CARIMENSA
pilot project.
* Hickling FW, Martin J, Abel W. Barton E, Clarke T.
Validation of the Jamaica Personality Disorder Inventory.
* Sewell CA, Abel WD, Hickling FW, Walcott GO. A
Psychosocial Analysis of Male Criminal Offenders.
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* Hickling FW, Walcott GO, Martin J, Abel WD, Paisley V,
Allen T, Thomas KA. Prevalence of Personality Disorder in a
Population of Substance Abusers at the Detoxification Unit
of the  University Hospital of the West Indies.
Posters
* Crain J. A, Scarlett H. P., Brodine S. K., (SDSU and UWI)
“an assessment of water and sanitation risk factors for disease
in Kingston, Jamaica” 2008 SanDiego Epidemiology Research
Conference, May 2, 2008.
* Eldemire-Shearer D., and Powell J., “Piloting of the World
Health Organization (WHO) Age-Friendly Health Care
(PHC) Centre Toolkit in Jamaica” University of the West
Indies, Mona Campus, Research Day January 24-25, 2008.
* Eldemire-Shearer D., Nevins D., Age Friendly Communities
University of the West Indies Mona Campus Research Day
Jan 24-25, 2008.
* Paul, TJ, Scarlett, M. Williams, E. Crawford-Sykes, A,
Branday, JM, Young, L (2007). Feedback from professionals as
a contribution to Quality Assurance in Medical Education –
proposal for a quality surveillance system. 2007 CANQATE
Conference, Ocho Rios, Jamaica.
* Paul, TJ, Scarlett, M. Crawford-Sykes, A, Pierre, R, Beman,
D. Branday, JM, Ragoobirsingh, D. (2007). Post –Moynian
reflections on regional accreditation for Caribbean Medical
Education. 2007 CANQATE Conference, Ocho Rios,
Jamaica.
* Beman, D. Crawford-Sykes, A. Williams, E. Paul, TJ,
Branday, JM Young , L, (2007). Standard setting of medical
examinations enhancing our quality assurance strategy at the
University of the West Indies, Mona. 2007 CANQATE
Conference, Ocho Rios, Jamaica.
* Paul, TJ, Williams, E. Young , L. Branday, JM, Carpenter, R.
Gordon, O, (2007). Adding personality to medical teaching
at the University of the West Indies, Jamaica. 11th Annual
IAMSE Meeting, Cleveland, Ohio.
162
* Beman, D, Paul , TJ, Branday, JM, Young, L, Williams, E
(2007). Tough for students but easy for judges or vice versa?!
An early evaluation of Angoff item accuracy in three
examinations. 11th Annual IAMSE Meeting, Cleveland,
Ohio.
* Branday, JM, Paul TJ, Beman, D, Crawford-Sykes, A,
Ragoobirsingh, D (2007). Objective Structured practical
Examination (OSPE) logistics 101 – Experience with an
integrated examination. 11th Annual IAMSE Meeting,
Cleveland, Ohio.
Book
* Hickling, Frederick W. (2007) Psychohistoriography – A
post-colonial psychoanalytic and psychotherapeutic model.
Kingston, CARIMENSA November 2007.
Peer Reviewed Book Chapters
* Sepúlveda J, Carpenter C, Curran J, Holzemer W, Smits H,
Scott K, Orza M (editors). PEPFAR implementation: Progress
and promise. Committee (Sepúlveda J, Carpenter C, Curran J,
Holzemer W, Smits H, Bertozzi S, Garnett G, Macklin R,
McCaw-Binns A, Paltiel AD, Reddy P, Ross D, Weiss H) for
the evaluation of the President’s Emergency Plan for AIDS
Relief (PEPFAR) Implementation. Institute of Medicine.
National Academy Press: Washington DC, 2007.
* BaileyW,McCaw-Binns A. Barriers to integration of HIV&
AIDS infected/affected children into the Jamaican school
system. In: Morrissey M (editor). Challenging HIV and AIDS:
new role for Caribbean Education. UNESCO & Co-publisher:
New York, 2007.
Technical Reports
* McCaw-Binns A and Winfrey W. Case study: maternal and
perinatal care- WHO Antenatal Care Model, translating
evidence based methods into policy and practice. In: Huber
D. Kessler C. UNDP/UNFPA/WHO/WORLD BANK
Special programme of research development and research
training in human reproduction (HRP), External Evaluation
163
2003-2007. World Health Organization , Geneva. April
2008 (37 pages).
* Fox K & Jackson M. The long-term impact of the Profiles
project: an ex-post evaluation. Inter-American Development
Bank.  March, 2008.
* Abel W., Strategic Mental Health Plan 2008-2013 Ministry
of Health, Dec. 2007.
* Abel W., Mental Health Recommendations Eight Caucus of
CARICOM Health Ministers 2007 CARICOM/PAHO Oct.
2007
* Abel W., Homelessness in Jamaica – Report for PIOJ June
2008.
* McCaw Binns A, Blake G. Holness P., For Vital Statistics
Commission Technical Group. Registration of foetal deaths
and deaths in Jamaica-handbook for medical nursing and
midwifery personnel.  Registrar General’s Dept. Jamaica.
Professional
Two Inaugural Lecturers were given:
* Professor D. Eldemire-Shearer – Ageing – The Response:
Yesterday, Today and Tomorrow, January 31, 2008.
* Professor A. McCaw-Binns – Of Numerators,
Denominators and Hope – Making Every Mother and Baby
Count I Jamaica.  March 27, 2008.
PUBLIC SERVICE
Althea Bailey
– Member, Jamaica AIDS Support
– Advisor, Jamaica Family Planning Association, Youth
Advocacy Project
– Member, Violence Prevention Alliance
– Member, Advisory board youth opportunities Unlimited.
164
– Member, Sexuality Initiative UWI Advisory Committee
– Volunteer, Change From Within
Brendon Bain
– Member, Family Life Ministry Board Member.
De La Haye, Winston
– President, West Indies Guild of University Teachers
(WIGUT), UWI, Mona
– 1st Vice President, Medical Association of Jamaica
– Executive Member, Section on Developing Countries, World
Psychiatric Association
– Board Member, RISE Management Services (formerly
Addiction Alert).
– Board Member, Richmond Fellowship, Patricia House
Rehabilitation Centre
– Member, International Scientific andMedical Forum onDrug
Abuse, Drug Free America Foundation, Inc.
– Chairman, Medical Section, United Way Jamaica
Denise Eldemire-Shearer
– Member, World Health Organization Advisory Committee
on Ageing & Health
– Patron, National Council for Senior Citizens
– Deputy Chair, Golden Age Home
– Member, Central Health Committee – Ministry of Health
– Chairman, Medical Council Appeals Committee
– Member, Planning Institute of Jamaica Task Force preparing
the Vision 2030 Committee on Vulnerable Groups
– Member, American Public Health Association (APHA)
– Member, American Gerontological Association of America
Roger Gibson
– President, Jamaica Psychiatric Association
165
– Chairman, Education Committee of Medical Association of
Jamaica
Frederick Hickling
– Member, Conflict Management and Resolution Committee,
World Psychiatric Association
– Chairman, Steering Committee, Latin American and
Caribbean Mental Health Research Network, PAHO
– Member, American Psychiatric Association
– Member, Royal College of Psychiatrists (UK)
– Member, Royal Society of Medicine
– President, Jamaica Psychiatric Association.
– Member, Medical Association of Jamaica
Gillian Lowe
– Representative, Medical Association of Jamaica
representative on National Council for Drug Abuse
Affette McCaw-Binns
– Member, 2007 Planning Institute of Jamaica. Population
Task Force
– Member, 2005-2008 Ministry of Health. Maternal Mortality
Committee
– Member, Vital Statistics Commission, Jamaica (Secretariat:
Planning Institute of Jamaica)
Kai Morgan
– Member, Early Child Commission:
– Vice-President, Jamaican Psychological Society
– Member, Mico-Care Centre Evaluation and Assessment
Committee.
Loraine Barnaby
– Member, International Society to Advance Alzheimer
Research and Treatment (ISTAART)
166
– Member, (Deputy V-P Caribbean and Latin American
Region), World Association for Psychosocial Rehabilitation.
– Member, Representative (Caribbean region) of the
International Association of Suicide Prevention (IASP)
– Member, Soroptomist International
Chloe Morris
– Member, Planning Institute of Jamaica Task Force preparing
the Vision 2030 Committee on Vulnerable Groups
– Member, National Council of Senior Citizens  Board
– Member, Gerontology Society of America
– Member, American Men’s Health Studies Association
– Member, International Society for the Study of the Ageing
Male
Tomlin Paul
– Director, Health Plus Associates
– Consultant Physician, Portmore Gospel Assembly
– Member of Sch. Bd., McCann’s Child Development Centre
– Volunteer Physician, Hope Gospel Assembly
Desmalee Holder-Nevins
– Advisor, Executive Committee, Jamaica Association For
Health Education & Promotion
Henroy Scarlett
– Secretary, Jamaica Association of Public Health Inspector
HONOURS  RECEIVED
Affette McCaw-Binns
2007 – University of the West Indies: Principal’s Award for Most
Outstanding Researcher – Seven publications: Reproductive
Health, Medical Education in 2007
167
Wendel Abel
2007 – Order of Distinction for Services to Mental Health
Programmes, October 15, 2007
Tomlin Paul
2007 – Vice Chancellor’s Award For Excellent 2007
Frederick Hickling
2007 – Award for dedicated Services to Psychiatry in Jamaica
from the Jamaican Psychiatric Association, August 2007.
UWI HARP/CHART
In the past year CHART RCU has experienced tremendous growth in
its responsibility as the Regional Coordinating body. The RCU has been
taking on more responsibility for the fiscal and operational management
of the CHART Network. The RCU has been involved in several
activities that will enable it to take on these increased responsibilities.
These include: strengthening existing and forging new partnerships;
receiving technical assistance to improve internal management and
increasing our staff complement.
Several important meetings were held. These included the first CHART
RCU staff retreat, the Principals and Partners meeting and a meeting
convened by the HIV/AIDS Bureau of the Health Resources and
Services Administration (HRSA) in Maryland, U.S.A. to review the
transition period for the subcontract and fiscal management from I-
TECH to the CHART RCU.
With regard to the governance of the CHART Network, Dr. Perry
Gomez, Medical Director for the CHART Bahamas Centre, was
selected as the new Chair for the Executive Council (EC) to succeed
Prof. Bain. The CHART RCU has being very involved in embarking on
a new web-based data management system called Train SMART to
keep a record of persons trained by CHART, generate reports and be
accessible to the CHART Centres and the RCU simultaneously.
The CHART Network Information and Communication Officer,
Lorraine Anglin resigned from this post in October 2007. The position
was filled by Ms. Deborah Russell. Ms. Maria Rankine’s assignment as
Executive Assistant at the CHART RCU came to an end on October
168
31, 2007. To Ms. Anglin and Ms. Rankine for the services that they
provided so ably to the Unit, tremendous gratitude is expressed.
In December 2007, Ms. Audi Reid was promoted to the new post of
Network Programme Coordinator; in February 2008 Ms. Sandra
McKenzie’s post was expanded to Programme andOperationsManager.
The RCU collaborated with the recently established CHLI to recruit
four new members of staff in March 2008. They are, Ms. Margaret
Campbell as Administrative Assistant for the CHART RCU; Ms.
Glennesher Dwyer as Programme Assistant for CHLI; Ms. Valrie Cyrus
as Finance and Contract Officer and Mr. Ryan Smith as Information
Technology Consultant. In June 2008, Shelly Trim, DrPH was hired as
Monitoring and Evaluation Specialist. Dr. Trim is assigned to the
CHART Regional Coordinating Unit, but will also assist the Caribbean
Health Leadership Institute. In addition, five student interns were hired
to assist with project activities.
There was an expansion of the team in September 2007 when the
Caribbean Health Leadership Institute was established after UWI
HARP made a successful bid for a five-year grant from the U.S. Centers
for Disease Control and Prevention (CDC). The launch of this
programme contributes to the fulfilment of a long-standing need,
recognized by UWI and other regional organizations, including
CARICOM, CAREC and PAHO, to strengthen public health
leadership in the Caribbean region. The CHLI has been launched as a
partnership between UWI HARP and the North Carolina Institute for
Public Health, with input from the world-renowned Center for Creative
Leadership in North Carolina, U.S.A. The aim of the programme is to
develop a cadre of effective, committed leaders who will create positive
change in HIV/AIDS programmes and in the health of the Caribbean
populace. The programme is being delivered in twelve-month cycles
mainly using Internet-based distance technology, and includes two
residential retreats, and an action-learning project carried out by small
groups of scholars.
The first cohort of 23 scholars from 12 Caribbean countries was
admitted to the programme in April and gathered for their first retreat
on June 9-11, 2008 at the Rose Hall Resorts and Country Club in
Montego Bay, Jamaica. The feedback from the scholars along with the
visiting and local faculty and three mentors indicated that the event was
a resounding success. A follow-up retreat is scheduled for December
2008.
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