Mental health remains underrepresented in global humanitarian response. According to the World Health Organization (WHO), common mental health conditions account for 10% of the global disease burden, yet mental health programs receive less than 2% of international health funding. In humanitarian settings, mental health challenges are widespread: data from the United Nations High Commissioner for Refugees (UNHCR) indicates that up to one in three displaced individuals may experience depression, anxiety or post-traumatic stress. In conflict zones, refugee camps and low-income communities, unaddressed trauma and psychological distress hinder recovery, education and development. These conditions often go untreated, limiting the effectiveness of education, health and livelihood interventions.

Mental Health in Crisis Settings

Access to mental health care remains limited in many low-income countries. In Syria, more than half of displaced children report symptoms of depression and anxiety, but only a small portion receive psychological support, as reported by Médecins Sans Frontières. Children with untreated mental health conditions often struggle in school. Adults experiencing psychological trauma may find it difficult to participate in the workforce, while entire communities suffer from weakened social cohesion. These ongoing challenges perpetuate the cycle of poverty.

A Shift Toward Integrated Solutions

Several organizations now recognize the value of integrating mental health into humanitarian aid. The International Rescue Committee (IRC) equips local health workers in Lebanon and South Sudan with training in psychological first aid and ongoing mental health care. This approach ensures sustainability and culturally appropriate care while reducing stigma.

In Nepal, Transcultural Psychosocial Organization (TPO) runs community-based mental health programs that are both cost-effective and scalable. By training teachers, social workers and community leaders to identify and refer individuals with mental health needs, TPO Nepal ensures that services reach even the most remote areas. These community-based models improve sustainability and reduce stigma.

Mental Health Crisis Among Marginalized Groups

Even in high-income nations, marginalized communities face significant mental health challenges. Indigenous groups in Canada and Australia report high rates of suicide and depression linked to intergenerational trauma and systemic neglect. A 2023 report by the United Nations Permanent Forum on Indigenous Issues called for culturally grounded mental health services as part of international development partnerships.

In British Columbia, Canada’s First Nations Health Authority has launched community-led healing programs rooted in Indigenous traditions. These initiatives, supported in part by development funding, serve as a model for mental health in global aid that respects cultural identity while addressing clinical needs.

Likewise, refugee communities in Europe face significant barriers to mental health care. Programs like the Mental Health and Psychosocial Support Network bridge the gap by providing trauma-informed therapy to displaced people from Syria, Afghanistan and other war-torn countries. 

The Economic and Social Payoff

According to the World Bank, each dollar invested in mental health generates a $4 return through better health outcomes and increased productivity. According to the WHO, untreated depression and anxiety in low-income countries cost  $1 trillion annually. Moreover, mental health support enhances the effectiveness of other aid sectors. For instance, in education, children receiving psychosocial support are more likely to stay in school. In post-conflict reconstruction, communities with mental health services are better equipped to rebuild trust and social infrastructure.

Moving Forward

Expanding the role of mental health in humanitarian aid involves increasing financial investment, integrating psychological support into broader health initiatives and supporting community-based, culturally informed services. Training local health workers can potentially improve the accessibility and continuity of care while helping reduce stigma. As humanitarian needs become more complex, aligning mental health with long-term development efforts could enhance the overall effectiveness and sustainability of global aid.

– Rhasna Albuquerque

Rhasna is based in Fortaleza, Brazil and focuses on Good News and Celebs for The Borgen Project.

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