As we have already stated the known -- lack of potable water, sanitary living conditions, environmental stressors, inadequate healhcare, etc, this surely will put mental health care way far back in the back burners when most of these people are struggling to survive. Add to all this is still the stigma of admitting a mental health disease, though we know it is of no fault of their own.
I believe the key is through the nurses, even us, as students can help. I would tend to think that it has to start out as a community-based, volunteer driven service. I'm quite sure there would just not be enough funding through their government to hire, train, retain psychiatrists, psychologists and other mental health specialists. If the nurses start a project, volunteer driven, and recruit Psychologists, psychiatrists and begin with a mental health screening process, perhaps the ball can begin to start rolling in these countries. What do you think?