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An Evidence-Informed Framework for Treating National Mass Trauma During Ongoing War
Rony Kapel Lev-Ari1,2, Doron Amsalem1,2, Milton Wainberg1,2
1Columbia University Vagelos College of Physicians and Surgeons, New York.
Psychiatric Services (Washington, D.C.)
|August 14, 2026
Summary
The "Homiyah" initiative rapidly mobilized mental health professionals to provide evidence-based, trauma-informed care during mass trauma in Israel. This scalable model strengthens resilience and readiness for future crises.
Area of Science:
- Mental Health
- Trauma Care
- Implementation Science
Background:
- The October 7, 2023, attack on Israel caused widespread distress, necessitating urgent trauma-informed mental health care.
- Existing mental health systems faced unprecedented challenges in responding to mass trauma.
Purpose of the Study:
- To describe the
- Homiyah
- " initiative, a nationwide response to provide evidence-based trauma care during ongoing mass trauma.
- To outline a scalable model for interdisciplinary collaboration and rapid mobilization in mental health crisis response.
Main Methods:
- Nationwide training of 153 public-sector mental health professionals in evidence-based, trauma-informed care.
- Development of clinical guidelines, screening protocols, and routine outcome monitoring for personalized trauma care.
- Implementation of a train-the-trainer model and peer consultation networks.
- National stakeholder engagement via a consensus conference for guideline dissemination.
Main Results:
- Successfully trained a large cohort of mental health professionals in specialized trauma care.
- Established evidence-based guidelines and protocols integrated into the mental health system.
- Demonstrated a scalable framework for translating research into practical clinical responses during mass trauma.
Conclusions:
- The
- Homiyah
- " initiative provides a successful, evidence-informed model for mass trauma response.
- Interdisciplinary collaboration and implementation science are crucial for strengthening mental health system readiness and patient recovery.
- The model enhances resilience and preparedness for future large-scale traumatic events.
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