In South Sudan, drastic cuts to humanitarian aid have reduced or even eliminated life-saving mental health and psychosocial support (MHPSS) services, further straining an already fragile system heavily reliant on humanitarian actors. 

In response to this crisis, JRS has continued to strengthen its community-based approach to MHPSS. This has been crucial in keeping services going, even if on a smaller scale. The idea behind this approach is simple: communities themselves are the foremost experts in their own wellbeing. They are the first to respond, drawing on their knowledge of local resources, culture, and coping strategies. 

Even in the absence of extensive funding, communities can continue supporting one another organically when effectively facilitated. 

The consequences of cutting mental health services 

Harmful coping mechanisms have increased, especially among young people, alongside rising levels of psychological distress and a worrying escalation in suicide attempts. Many people who once found stability through integrated psychosocial programming are now struggling again, with some experiencing relapses or a worsening of their symptoms.   

Families with children with special needs who depended on MHPSS services integrated with other essential programmes — such as supplementary nutrition and physiotherapy — have been severely affected. Their children have died. 

“The biggest challenge is now,” says Alamedin Abdulrahman, Sudanese refugee working with JRS as home visitor in South Sudan. “I have seen many organisations close or drastically reduce their staff. This puts more weight on our shoulders. As counsellors, we receive questions both from newly arrived people and from those already in the camp, and we must find answers.” 

Communities as experts in their own wellbeing 

JRS collaborates with local leaders, church members, paracounsellors and home visitors from both refugee and host communities. They help identify needs, initiate activities, and refer individuals for further and more specialised assistance. 

Home visitors live and work within the communities. JRS trained them in basic counselling skills, equipping them with the necessary tools to offer immediate psychosocial support while linking people to specialised services. “We do door-to-door awareness in the settlement. But we also run group sessions inside the reception centre, especially for new arrivals. They need to gradually understand what is happening, how to settle well, and how to avoid problems. I use my age, my language, my nationality to help people feel safe and welcomed,” continues Alamedin. 

In situations of protracted crisis, investing in local communities is fundamental to ensuring the sustainability of psychosocial support. The community-based approach is built on co-creating solutions with communities, strengthening local capacities, supporting existing self-help mechanisms, and reinforcing community resources and safety nets. For this model to succeed, it is essential to consolidate these capacities and care for the wellbeing of those who play this role of support within the community.  

“Our work is crucial because it allows people to overcome stigma and fear. By bringing support into the community, we create safe spaces where members can open up and talk about the difficulties they are facing,” explains Paulino, MHPSS Paracounsellor in South Sudan. 

A system that must be supported, not undermined 

However, aid cuts are undoing much of the progress made in strengthening community-based mental health and psychosocial support. They are weakening the way organisations once coordinated and worked together and are leaving vulnerable people without the help they need. 

“People need MHPSS. Some arrive here, in the camps or the reception centres thinking their life is over. But if they understand the other communities, if they are guided towards an inter-community vision, they can support each other. They can become like a big family. This gives them the strength to start over and become self-reliant. To continue caring for their children and to look for work,” concludes Alamedin.