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Restavèk is a form of child domestic slavery in Haiti that affects an estimated 300,000 children. This article describes the results of two linked qualitative studies conducted with former restavèk children and their caregivers. Results indicate a range of problems and mental health symptoms that children experience upon leaving restavèk, and include detailed information on four of the most prevalent and severe problems: internalizing and externalizing mental health symptoms, experiences of violence, experiences of being unwelcome upon return home, and the mental health impact of children’s economic realities upon returning home. Recommendations for intervention design and services are provided.