, including drugs with debilitating side effects. The threat alone was a powerful incentive to keep people from opposing the regime.
Soviet abuse of the mental health system means that even today, decades after the abuse ended, many Ukrainians are reluctant to interact with the mental health system. The stigma lingers.And yet, Karnas recognize that the need for mental health assistance in Ukraine is severe. As she points out,"The.Ministry of Health of Ukraine has estimated that 15 million people—that is, every third Ukrainian— require psychological support after the full-scale invasion.
Looking over the landscape of need, Karnas realized that not only was there reluctance to accept mental health assistance, but also, in the areas where it was most needed—near the front lines—there were rules preventing many NGOs from operating. Between stigma and geography, Ukrainian needs for mental health assistance were underserved.
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