Access to community-based mental healthcare and psychosocial support within a disaster context.

After a large-scale humanitarian disaster, 30-50% of victims develop moderate or severe psychological distress. Rates of mild and moderate mental disorders increase by 5-10% and severe disorders by 1-2%. Those with such disorders need access to mental healthcare. Primary care clinics are appropriate due to their easy accessibility and the non-stigmatising environment. There is a consensus among experts that the mental health effects of disaster are best addressed by existing services, that is, through capacity building rather than by establishing parallel systems. Mental health interventions in emergencies should begin with a clear vision for the long-term advancement of community services.