Sierra Leoneans have experienced multiple and cumulative traumatic exposures in recent decades, including most significantly the 1991-2002 civil war and the 2014-2016 Ebola epidemic. This report examines the long-term mental health impact of these crises on people who have experienced related trauma as well as the barriers facing them, together with the wider population, in accessing quality mental health and psychosocial support. Like many other low-income countries that have gone through conflict and crises, mental health services in Sierra Leone are nowhere near the level needed to meet people’s needs and fulfil their rights.
