IN October 2023, the spillage of the Akosombo dam triggered catastrophic flooding across parts of the Eastern, Volta, and Greater Accra regions, displacing thousands and causing widespread devastation. For many, the flood was more than just a physical disaster; it was a deep emotional shock. Families woke to find their homes submerged, belongings destroyed, and lives overturned. The loss of homes, livelihoods, and the uncertainty of the future fuelled overwhelming anxiety and despair among the affected communities.

The psychological impact was far-reaching. Children struggled with the trauma of losing their safe spaces, while parents grappled with helplessness and an uncertain future. Health workers, many of whom were also victims of the flood, faced immense pressure to care for others while dealing with their own distress. For those with pre-existing mental health conditions, the disaster exacerbated their struggles, and others developed symptoms of anxiety, depression, and post-traumatic stress.

Public health emergencies, such as the Akosombo flood, often reveal a critical yet overlooked consequence: the strain on mental health. If left unaddressed, these challenges can impede recovery and leave long-lasting scars on affected populations. Recognising this, the World Health Organisation (WHO), with funding from UK in Ghana, intervened to provide essential mental health and psychosocial support services.

Dr. Leveana Gyimah, WHO's technical officer for mental health, stressed the importance of prioritizing mental health during emergencies:

"Floods and other natural disasters don’t just destroy property—they leave emotional scars. The psychological impact can be lasting, affecting entire communities. By integrating mental health and psychosocial support into the flood response, we've alleviated suffering and strengthened health workers' ability to address these needs."

 One of the beneficiaries of this program was Richard Sedem Ahakutor, a mental health nurse from Sogakope, who faced mental health challenges during the disaster. "The flood was overwhelming. I lost everything, and yet I was expected to help others cope. It became too much. Thanks to the support I received, I was able to regain my strength and continue supporting my community," he shared.

Dr. Senanu Kwesi Dzokoto, Volta Regional Director of Ghana Health Services, highlighted the broader impact of the initiative:

"Emergencies expose gaps in our mental health support systems. WHO's collaboration with the Mental Health Authority has enabled us to effectively meet the needs of flood victims, ensuring both residents and health workers receive the support they deserve. This initiative is a vital step in building a more resilient health system."

To provide comprehensive care, clinical psychologists and psychiatrists were deployed to offer counseling and specialised psychiatric services. Dr. Richard Dei-Asamoa, a clinical psychologist and psychiatrist at Korle-Bu Teaching Hospital, emphasised the importance of mental health services in disaster situations:

"Mental health is often overlooked during emergencies, yet it is crucial for recovery. People need help to process their grief, anxiety, and trauma. This initiative has shown how integrating mental health support into disaster response can transform lives and communities."

This collaboration has brought relief and hope to those affected by the Akosombo floods, proving that addressing mental health is just as essential as providing food, shelter, and medical care in emergencies. With funding from UK in Ghana, the initiative has strengthened mental health systems in the region, leaving a lasting impact on both survivors and health workers.