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27 October 2023· 1 min readChronically

Learning from Israel's Response to Collective Trauma

The scale of trauma after October's attacks is straining Israel's mental health system past what it was built for. What the response looks like, and why it has to be more than medical.

Roi Shternin

Israel faced a mental health crisis in October on a scale the healthcare system wasn't built to absorb. The death toll crossed a thousand, with countless more people who witnessed it directly, and Dr. Michel Thieren of the WHO has pointed out just how far this outstrips existing treatment capacity.

Collective trauma isn't just individual psychology multiplied. It's a societal phenomenon that can ripple across generations if it goes unaddressed, which means the response has to be as wide as the harm.

The measures being scaled up: expanded access to counseling, group therapy that treats efficient delivery and reduced isolation as the same goal, creative arts and movement therapy as a non-verbal outlet for grief that talk therapy alone doesn't reach, and online treatment to extend capacity further than in-person care alone ever could.

None of this is only medical. Healing trauma at this scale needs political acknowledgment of what happened and a real effort to prevent its recurrence, which means healthcare, government, and community organizations working the problem together instead of separately.

There's real value here for anyone thinking about mental health response after a mass-casualty event: reach has to extend past the clinic, and the root cause has to be addressed alongside the individual symptom, or the same crisis just resurfaces in a different form later.

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