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From Distress to Systemic Resilience: Strengthening MHPSS in Conflict Settings – Insights from Ukraine Cover

From Distress to Systemic Resilience: Strengthening MHPSS in Conflict Settings – Insights from Ukraine

Open Access
|Jan 2026

Figures & Tables

Fig.1.

Conceptual Framework for Strengthening MHPSS in Conflict-Affected Regions
Conceptual Framework for Strengthening MHPSS in Conflict-Affected Regions

Satisfaction with Services Received

SectorMean Satisfaction Score (out of 5)
Health care3.9
Education4.1
Social protection4.2
NGOs and other sectors3.7
Overall average4.1

Frequency of Panic in the Last 2 Weeks

Response Option% of Respondents
1 – Never51.0%
219.4%
318.0%
47.0%
5 – Constantly4.6%

Preferred Sources of Psychosocial Support

Preferred Person to Talk ToRank
Psychologist1
Family/friends2
Family doctor3

Training and Specialist Support Access

Indicator% of Providers Reporting ‘Yes’
Staff received training in MHPSS54.5% – 71.7% (by sector)
Received visits from mental health specialists36.1% – 57.3% (by sector)

Institutional Capacity for MHPSS

Service Level% with Full Capacity (5/5)
Basic psychosocial support19.1% – 33.8% (sector-dependent)
Primary-level support (e.g., mhGAP-trained)25.8% – 36.8%
Specialized care (e.g., psychotherapy)19.7% – 25.3%

Perceived Increase in Workload (1 = No change; 5 = Major increase)

SectorMean Score
Health care3.6
Education3.0
Social protection3.7
NGOs and other sectors3.5
Overall average3.3

Existential Despair/Hopelessness

Response Option% of Respondents
1 – Never45.0%
219.3%
318.5%
49.4%
5 – Constantly7.8%

Coping Mechanisms

Coping StrategyPrevalence (Qualitative, ranked by frequency)
Walks, restHigh
Prayer, meditation, breathingHigh
Social connection (friends, family, hugs)High
Sports and physical activityModerate
Medications, alcohol, stimulants (coffee, etc.)Moderate
Music, art, hobbiesModerate
Household workModerate
AnimalsModerate
Reading, watching filmsModerate
SleepHigh
Helping others, donationsNoted by many
Isolation (“being alone”)Mentioned but less frequent

Trusted Information Sources on Mental Health

Source% Trusting This Source Most
Government websites (national/local)34.4%
Known professionals (psychologists, etc.)34.0%
Telegram channels14.9%
Instagram7.3%
Facebook5.3%

Feelings of Apathy/Anhedonia

Response Option% of Respondents
1 – Never40.2%
222.3%
322.6%
49.3%
5 – Constantly5.6%
Language: English
Page range: 1 - 12
Submitted on: Jul 5, 2025
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Accepted on: Dec 30, 2025
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Published on: Jan 10, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Nataliia Nalyvaiko, Viktor Vus, Liliya Zotova, Nadiya Kreydun, Olena Ronzhes, Oleksii Nalyvaiko, Serhii Proskuriakov, Kostiantyn Levytskyi, published by International Platform on Mental Health
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 9 (2026): Issue 1 (January 2026)