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    1. To address these pressing needs, initiatives to reestablish community bonds are crucial. Group therapy sessions or collective memorials can provide vital spaces for individuals to mourn, share their experiences, and begin the healing process together [23]. Promoting peer support groups can foster connections among survivors, facilitating shared understanding and healing while directly addressing the impacts of loss and isolation [5]. Moreover, creating community-focused programs that encourage interaction and collaboration can enhance the overall effectiveness of mental health rehabilitation efforts in this challenging environment [28, 31]. By fostering an atmosphere of mutual support and shared resilience, these initiatives can mitigate feelings of isolation and empower individuals to rebuild their lives amidst ongoing adversity.

      what solutions could be practically implemented.

    2. Years of conflict, including the recent violence, have led many residents of Gaza to develop a profound distrust of healthcare institutions [4, 29]. Past experiences with inadequate care, limited accessibility, and perceived neglect during crises have intensified skepticism about the intentions and effectiveness of mental health services [30]. This distrust is further exacerbated by the belief that healthcare providers often prioritize physical health over mental health needs during conflicts [29]. As a result of the ongoing violence, individuals may perceive mental health services as unreliable or unapproachable, which discourages them from seeking help [35]. Rebuilding this trust necessitates transparency in operations, active community engagement, and demonstrable commitment to addressing mental health issues [4, 36]. Developing collaborative service models that incorporate community input can enhance the credibility of mental health interventions. Strengthening the relationship between healthcare providers and the community is crucial for creating an environment where individuals feel safe and supported in seeking assistance [26, 30].

      how do we re-build trust and create a safe environment for people to seek help.

    3. Such programs should focus not only on immediate interventions but also on building the capacity of the community to sustain mental health resources over time [23, 29]. This includes training local healthcare providers, integrating mental health services into primary care, and developing community networks that support ongoing dialog and healing processes. However, the ongoing conflict complicates these efforts, making it imperative to advocate for policies prioritizing mental health care and the resources necessary to deliver effective and sustainable interventions [24, 25].

      some solutions that could be implemented.

    4. Furthermore, safety concerns have led many trained healthcare professionals to leave the region, resulting in a critical shortage of qualified providers necessary for an effective healthcare system [24, 26, 31]. As hospitals are damaged and resources dwindle, individuals experiencing health crises encounter significant barriers to obtaining the care they need within an already overwhelmed healthcare infrastructure [28,29,30]. In addition, the widespread displacement of populations has exacerbated these challenges, making it increasingly difficult for those in need to access previously available medical support [4, 27, 31]. This pressing situation underscores the urgent need for increased funding and resources focused on sustainable healthcare services. Strengthening collaboration between local and international organizations is critical for prioritizing restoring and enhancing these essential services in the wake of the conflict. Such initiatives will be crucial in addressing the emerging healthcare crisis and establishing a resilient healthcare infrastructure in Gaza [28, 29]. This comprehensive approach requires immediate action and necessitates long-term strategic planning to build sustainable healthcare resources and create a framework for ongoing recovery and resilience in the region.

      existing qualified professionals cannot provide care as they have left the region, and long-term care will need collaboration between local and international organisations.