Thanks to the Center for International, Advancement and Global Affairs, International Collaborative Research grants, Rutgers University, and The Center for Urban Youth and Families, Rutgers School of Nursing. Special thanks to the Office of the Minister of Mental Health, Dominican Republic, and Dr. Miese Michel, Lic. Angelina Sosa and Dr. Patricia Reyna, Dr. Plinio Lora Pacheco, Luis Fecundo, Greorio Malena, Vice-Consul, the Staff at Padre Billini, Hospital, Santo Domingo, the Staff at Dr. Luis Manuel Murillo King, LA Vega, Hospital Municipal of Yamasa, the Staff at Dr. Pedro E. De Marchena Hospital, Bonao, the Staff at San Cristobal Community Medical Clinic, the Office of Research, UNIBE, Karen W. Lin, MD, Department of Family Medicine and Community Health, Robert Wood Johnson Medical School, Assistant Dean for Global Health and Javier I Escobar MD, Associate Dean for Global Health and Professor of Psychiatry and Family Medicine, Rutgers-Robert Wood Johnson Medical School, Ritu Nahaar, Jonathan Tsui, and Kaila A. Queen, Medical Students, Rutgers-Robert Wood Johnson Medical School.