DATA
OVERVIEW

This section presents key data on the current state of

 trauma-responsive care systems across different

 countries. It highlights critical gaps in access, 

service delivery, and system integration.

RWANDA

Trauma Impact

High exposure to conflict-related and social trauma: Post-conflict stress, gender-based violence (GBV), and childhood adversity remain significant nationwide.

Access to care

Service levels are below population need: Trauma-informed mental health services remain insufficient to meet demand.

System coordination

 

Referral systems remain fragmented: Referral pathways and cross-sector coordination require strengthening.

Workforce Capacity

 

Workforce shortage: There is a need for more trained professionals and greater trauma-care capacity.

MARYLAND

Trauma Impact

High trauma exposure: 60–65% of adults report at least one ACE. Urban areas experience higher rates of violence-related trauma.

 
 

Access to care

Moderate Care Access: State programs support services, but barriers such as cost, wait times, and provider shortages remain.

System coordination

Uneven Coordination: Trauma-informed systems are growing, but implementation is inconsistent statewide.

Workforce Capacity

Provider shortages: The workforce is above the national average, yet demand for trauma-specialized care exceeds supply.

CÔTE D’IVOIRE

Trauma Impact

Millions are affected by trauma linked to past conflict, domestic violence, and socioeconomic stress, particularly in vulnerable and low-income communities.

Access to care

Mental health services exist but are limited in reach. Access is better in major cities, while rural areas face significant barriers to care.

System coordination

There are gaps in integrating mental health into primary healthcare and community services. Limited funding, infrastructure, and coordination reduce system effectiveness.

Workforce Capacity

There is a shortage of trained mental health professionals, including psychologists and psychiatrists. Services are unevenly distributed, with rural areas having minimal access.

CANADA

Trauma Impact

Millions are affected by trauma linked to past conflict, domestic violence, and socioeconomic stress, particularly in vulnerable and low-income communities.

Access to care

Moderate to High. Canada has a strong healthcare system, but access to specialized trauma care varies. Urban areas have more services, while rural and remote communities face limited availability.

System coordination

Challenges include long wait times, fragmented services between mental health and primary care, and limited integration of culturally appropriate trauma care, particularly for Indigenous populations.

Workforce Capacity

Canada has a well-trained mental health workforce, but demand exceeds supply in many areas. Shortages are more pronounced in rural and remote regions, affecting timely access to care.

MEXICO

Trauma Impact

Millions are affected by trauma linked to violence, crime, domestic abuse, and social stress, particularly in high-risk and underserved communities.

Access to care

Low to Moderate. Access to mental health services is limited, with significant disparities between urban and rural areas. Many individuals do not receive timely or specialized trauma care.

System coordination

There are gaps in integrating mental health services with emergency care, community programs, and long-term support systems. Resource limitations and uneven service distribution reduce overall system effectiveness.

Workforce Capacity

Mexico has a limited number of mental health professionals relative to demand. Shortages are more pronounced in rural and high-violence areas, restricting access to trauma-informed care.

QATAR

Trauma Impact

A considerable portion of the population experiences stress and trauma-related conditions, particularly among migrant workers and high-pressure work environments.

Access to care

Moderate to High. Qatar has advanced healthcare infrastructure and is expanding mental health services, though access and awareness vary across population groups.

System coordination

Moderate to High. Qatar has advanced healthcare infrastructure and is expanding mental health services, though access and awareness vary across population groups.

Workforce Capacity

Challenges include stigma around mental health, underutilization of services, and gaps in reaching vulnerable populations such as migrant workers with culturally appropriate care.