PORT-AU-PRINCE, Haiti (AP) – Students often throw up or wet themselves when gunfire erupts outside their school in northern Port-au-Prince.

When they do, school director Roseline Ceragui Louis finds there is only one way to try to calm the children and keep them safe: getting them to lie on the classroom floor while she sings softly.

“You can’t work in that environment,” she said. “It’s catastrophic. They’re traumatized.”

Haiti’s capital is under the onslaught of powerful gangs that control 80 percent of the city.

On February 29, gangs launched coordinated attacks targeting key infrastructure. The attacks have left more than 2,500 people dead or wounded in the first three months of the year. Now, in a bid to help save Haiti’s youngest generation, the country is undergoing a wider push to dispel a long-standing taboo on seeking therapy and talking about mental health.

Getting Help

At a recent training session in a relatively safe section of Port-au-Prince, parents learned games to put a smile on their children’s faces. The parents are often so distraught and discouraged they do not have energy to care for the kids, said Yasmine Deroche, who trains adults to help children overcome trauma inflicted by persistent gang violence.

Gunmen have burned police stations, stormed Haiti’s two biggest prisons to release more than 4,000 inmates and fired on the country’s main international airport, which closed March 4 and has not reopened. The violence has also paralyzed Haiti’s largest seaport.

Meanwhile, some 900 schools have closed, affecting some 200,000 children.

“We must fight against this social inequality so that all children, all young people, can have the same opportunities to go to school, to work, to earn a living,” said Chrislie Luca, president of the nonprofit Hearts for Change Organization for Deprived Children of Haiti. “All of these are problems that have led us where we are today, with the country on the edge of the abyss.”

Edge of the Abyss

UNICEF’s Haiti representative said the violence has displaced more than 360,000 people, the majority women and children. In addition, at least one-third of the 10,000 victims of sexual violence last year were children, Bruno Maes said.

“Children are left to fend for themselves, without assistance, without enough protection,” he said.

More than 80 children were killed or wounded from January to March, a 55 percent increase over the last quarter of 2023 and “the most violent period for children in the country on record,” said Save the Children, a U.S. nonprofit.

Ms. Luca said among those hurt were two boys struck in the head while walking to school and an 8-year-old girl playing inside her home when she was hit by a bullet that tore through her intestines, requiring emergency surgery.

“We are witnessing a lot of mental health issues,” Mr. Maes said. “This violence is traumatizing.”

Ms. Louis said her 10-year-old son would daily cry “You’re going to die!” as she headed to school, and the violence did not allow the boy to eat, sleep or play.

Ms. Louis remained resolute, knowing she had to be strong for him and her students.

“My heart is destroyed, but my students see my smile every day,” she said.

Still, many would fall asleep in class, unable to focus after sleepless nights punctuated by gunfire.

Others had more important things on their mind.

“It’s hard to focus at school or focus on playing a game when the rest of your body is worried about whether your mom and dad are going to be alive when you get home from school,” said Steve Gross, founder of the U.S. nonprofit Life is Good Playmaker Project.

Some students are increasingly drawn into gangs, toting heavy weapons as they charge drivers for safe passage through gang territory.

“The young children are traumatized and agitated,” said Nixon Elmeus, a teacher whose school closed in January. He recalled how his best student stopped talking after an encounter with gangs. Other students become violent: “Ever since the war started, the children themselves have acted like they’re part of a gang.”

Learning to Cope

Gerye Jwa Playmakers, a Haitian partner nonprofit aimed at helping children, held a training session for teachers that Louis attended after gang violence forced her school to close in March. She learned which games were best to distract students from the violence outside school gates.

“How can I recapture these children?” she asked.

With hundreds of schools closed, online courses are for those who can afford Wi-Fi and a generator. Most Haitians live often in the dark due to chronic power outages.

With no school, high poverty and trauma such as having to sidestep mangled bodies on streets, kids have become easy prey. Between 30 to 50 percent of members of armed groups are now children, Mr. Maes noted.

“That’s a very sad reality,” he said.

A 24-year-old man who offered only his last name, Nornile, for safety reasons, said he was in a gang for five years.

He said he joined because the gang gave him money he needed and provided more food than his mother, a vendor, and his father, a mason, could offer him and his seven siblings.

At night, he would work as a security guard for the gang leader. During the day, he would run errands and buy him food, clothes, sandals and other goods. Mr. Nornile said felt proud the gang trusted him but thought about quitting when one of his three brothers was killed by gangs on June 16, 2022.

“Ghetto men don’t fight for education or a hospital. They fight for territory,” he said. “They only care about themselves.”

Mr. Nornile left the gang two years after his brother died and began working for Ms. Luca’s nonprofit.

“The reality of the gang is that the person can carry a weapon, but in his mind, that’s not what he really wants,” Mr. Nornile said.

Playing Again

Jean Guerson Sanon, co-founder and executive director of Gerye Jwa Playmakers, stressed the importance of parents interacting daily with children to boost their mental health.

“Sometimes, that’s all we have,” he said, noting that conversations about mental health remain largely taboo.

“If you go see a psychologist, it’s because you’re ‘crazy,’ and ‘crazy’ people are really discriminated against in Haiti,” he said.

At the training on a recent Sunday, parents learned games for their children. One was mirroring the other person; another was pretending an inflatable ball was a piece of cheese that the child, pretending to be a mouse, had to steal.

By the end of the training, parents were giggling as they invented different dance moves in a large circle in yet another way to play with their kids.

When asked to draw what a safe space meant to them, several of them drew homes; some drew flowers; and one, Guirlaine Reveil, drew a man with a gun as she approached a police station—a real-life scenario that occurred a couple years ago.

One parent, Celestin Roosvelt, said he tells his children, 2 and 3, that gunfire is not a bad thing, a lie he called necessary.

“You have to find a way to live in your own country,” he said with an apologetic shrug.

At the end of the training, parents were given a copy of the presentation, crayons and an inflatable ball.

Ms. Deroche, who runs the program, noted how parents feel so overwhelmed that they are disconnected from their children’s needs.

“I know that the crisis we’re living through right now will have consequences that will take I don’t know how many years to sort out,” she said.