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A Moment in Mental Health

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My Q&A with Dr. Alicia Malcolm

 

  1. How many clients are you serving at this time or how many mentally challenged individuals are registered with the Department?

The Department of Mental Health and Substance Dependence sees an average of 1,100 persons in our clinics per year. This number has steadily increased as persons become more aware of the importance of taking care of their mental health.

  1. What are the top three or five leading mental health issues for TCI?

The leading cause for consultations are for Anxiety/ stress related disorders and Mood Disorders such as Depression.

  1. How many do you believe are going undiagnosed and therefore unsupported?

Based on psychological research, there does not appear to be a significant difference in the overall prevalence of mental health disorders between the genders. However, there are some noticeable differences in the types of mental illnesses that men and women struggle with.  Some more common mental disorders in men include:

  1. Do you think or do we have stats to show if mental health is a larger issue for men or women?

Antisocial personality disorders. For women, common mental disorders include: Depression, Anxiety and PTSD.

Women present more frequently in our clinics than men. However, this does not mean that mental health issues are larger in females. Typically across the globe you’ll find that men are less likely than women to seek help for a mental health condition.

  1. How many are getting treatment/care/support?

It is unclear exactly how many people across the nation have undiagnosed mental health conditions. However, our encouragement is that anyone who is experiencing any sort of mental or emotional issues that create impairment in their daily functioning contact us so that we can assess and provide the necessary intervention. On average we provide treatment and care for about 15- 20 in our treatment abroad program and as mentioned previously an average of 1,100 in country per year.

  1. What is the status of the Mental Health Facility; seems it has been stagnant for many years now?

The mental health facility project is ongoing and it is anticipated to open early next year (2022). Recruitment of staff is actively being done while remaining construction works are being completed.

  1. I notice that your budget has nearly doubled in 10 years; what does this mean for Mental Health in TCI?

The increase in the budget reflects a number of things but in essence it means that there will be additional mental health professionals available to provide care and treatment for clients. In addition, new and improved forms of medication are being utilized with patients who may have become treatment resistant.

  1. How many mental health doctors do we have country wide?  What is your team size?

The mental health team is currently comprised of  eight clinicians: 4 doctors and 4 therapists. There are 12 new positions that have been added and recruitment is being done to fill them.

  1. How many children with mental health issues; and what kind?

On average 30 – 40 children are seen in our clinics per year. The top three mental health issues are Depression, Oppositional Defiant Disorder and Trauma Related- Sexual Abuse.

  1. What step would make the biggest impact on an improved delivery of care/service to mental health in Turks and Caicos from your experience?

Some steps that will assist in the continued improvement of mental health care delivery in TCI include: building local capacity through ongoing training of general practitioners; completion of mental health facility to serve persons with acute and chronic mental health conditions; ensuring greater access to services e.g through the continued use of telehealth services and strengthening community outreach and educational programs.

 

Dr. Alicia B. Malcolm (Psy.D.) became Director of the Department of Mental Health & Substance Dependence of the Turks and Caicos Islands in 2013.

 

Health

Grand Turk Residents Fear Norovirus-Linked Cruise as Health Ministry Approves Docking

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Turks and Caicos, May 22, 2026 – Residents in Grand Turk raised concerns last week after a cruise ship previously linked to a major norovirus outbreak was cleared to dock in the Turks and Caicos Islands days after passengers were reportedly denied disembarkation in The Bahamas over health fears.

According to the US Centers for Disease Control and Prevention, the outbreak sickened 115 people — including 102 passengers and 13 crew members — during a voyage which ran from April 28 to May 11. The illnesses involved symptoms commonly associated with norovirus, including vomiting and diarrhea.

The outbreak became public on May 7 and quickly triggered concern across the region.

Authorities in Nassau reportedly refused to allow passengers off the vessel because of public health concerns connected to the outbreak.

That decision later fueled anxiety among some Turks and Caicos residents when the ship proceeded to Grand Turk on May 15.

Residents’ concerns were not without cause.

Norovirus is a highly contagious viral illness often associated with cruise ships, hotels, schools and other environments where large groups of people share close quarters. The virus primarily causes sudden vomiting, diarrhea, stomach cramps and nausea, and spreads rapidly through contaminated food, water, surfaces and person-to-person contact.

According to the US Centers for Disease Control and Prevention, most healthy people recover within one to three days, but norovirus can become serious — and occasionally fatal — for elderly individuals, young children and people with weakened immune systems because of severe dehydration. While the overall fatality rate is considered very low, the CDC estimates norovirus contributes to hundreds of deaths annually in the United States, mainly among vulnerable populations.

The Turks and Caicos Ministry of Health and Human Services had said in a press statement on May 15, it believed the risks had been effectively neutralized before the vessel arrived in Grand Turk.

In a statement issued Thursday, the Ministry said the ship had already returned to Florida, where passengers disembarked and “comprehensive sanitization and deep-cleaning procedures were completed” before operations resumed.

The Ministry also stressed that its Public Health Team maintained “close and continuous communication” with the ship’s medical personnel, Carnival Cruise Line officials and stakeholders at the Grand Turk Cruise Centre before approving the docking.

Routine inspections and standard port health procedures were also carried out, according to officials.

The Ministry further reassured the public that there were “currently no public health concerns” associated with the vessel’s arrival.

Still, the situation once again highlighted the delicate balancing act Caribbean nations face between protecting public health and sustaining tourism economies heavily dependent on cruise arrivals.

Officials are now encouraging vendors, taxi operators, tour companies and businesses to continue practicing strong sanitation and hygiene measures as an added precaution.

Residents were also reminded that frequent handwashing remains one of the most effective ways to prevent the spread of norovirus and other infectious illnesses.

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

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Health

29 Million Strong, the World Salutes Nurses as International Nurses Day is Observed

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On Tuesday May 12, the world pauses to honor one of humanity’s most trusted, exhausted, resilient and indispensable professions — nursing.

International Nurses Day is observed annually on the birthday of Florence Nightingale, widely regarded as the founder of modern nursing, and comes at a time when global healthcare systems continue to rely heavily on nurses carrying extraordinary emotional, physical and professional burdens.

According to the World Health Organization, there are an estimated 29 million nurses worldwide, making nursing the largest professional group within the global healthcare workforce. Yet despite their numbers, many countries continue to face severe nursing shortages, burnout crises and migration challenges as healthcare demands rise faster than staffing levels.

Still, nurses remain the heartbeat of healthcare.

They are present at life’s first breath and often its final moments. They work through hurricanes, pandemics, emergencies and violence. They calm fear, interpret pain, comfort families and frequently become the bridge between doctors, patients and hope itself.

In small island nations like those across the Caribbean, nurses often carry even greater responsibility — serving communities where resources may be stretched, specialists limited and healthcare systems under constant pressure.

This year’s observance again shines a spotlight not only on the compassion nurses bring to their profession, but also on the growing global call for better pay, safer working environments, improved mental health support and stronger investment in healthcare staffing.

For many people, the most memorable face in healthcare is not always the surgeon or specialist — it is the nurse who stayed a little longer, explained a little more gently or cared a little more deeply during a difficult moment.

Tomorrow’s observance is therefore more than ceremonial.

It is a reminder that behind every functioning hospital, clinic, emergency room, health center, operating theatre and recovery ward stands a nurse — often overworked, sometimes underappreciated, but consistently essential.

To nurses across The Bahamas, Turks and Caicos, the Caribbean and the wider world: thank you for showing up, even on the hardest days.

Developed by Deandrea Hamilton • with ChatGPT (AI) • edited by Magnetic Media.

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Government

$94.1Mfor Health; Knowles Pushes to Keep Care at Home

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Turks and Caicos, April 25, 2026 – A major shift in how healthcare is delivered in the Turks and Caicos Islands is at the center of the Government’s latest budget, with a focus on reducing reliance on overseas treatment and strengthening services at home.

Presenting his contribution to the national debate, Kyle Knowles outlined a strategy aimed at building a more sustainable healthcare system—one that allows more residents to access quality care within the country.

The health sector has been allocated $94.1 million, making it one of the largest areas of public spending in the $550.8 million Budget passed on April 23.

Central to the Minister’s approach is a restructuring of the Treatment Abroad Programme (TAP), which has grown significantly in recent years as more patients are sent overseas for specialized care.

The Government now aims to reverse that trend.

“We are reforming healthcare to ensure long-term sustainability,” Knowles indicated, pointing to efforts to strengthen local services and reduce the need for travel.

The strategy includes improving healthcare infrastructure, expanding services available within the islands and increasing efficiency through the digitization of medical records.

Digitization is expected to support better coordination of care, reduce delays and allow for more accurate tracking of patient needs—part of a broader effort to modernize public services.

The Minister emphasized that the goal is not only cost control, but improved access.

“No family should have to leave home to get quality care,” he said, underscoring the Government’s intention to refocus healthcare delivery on local capacity.

The shift comes as rising healthcare costs continue to place pressure on public finances, with overseas treatment representing one of the most expensive components of the system.

By investing more heavily in domestic services, the Government is seeking to reduce that burden while improving outcomes for residents.

While the direction is clear, details on timelines and the pace of expansion for local services were not fully outlined in the presentation.

Still, the emphasis on sustainability, access and modernization signals a strategic pivot in how healthcare is expected to evolve in the Turks and Caicos Islands.

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

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