The Republic of Somaliland, situated in the Horn of Africa, was formed in 1991 after breaking-away from Somalia (1). The capital, Hargeisa (population 2,000 000), saw 90% of its structures destroyed in the war, including most hospitals (2). The only remaining government hospital is Hargeisa Group Hospital. One of its psychiatry units is seen here. The hospital was established in 1953 to serve a population of 30,000. It offers primary and specialty care and has several psychiatric wards but no psychiatrist. The psychiatric wards house approximately 200 patients and are managed by nurses.