Somaliland, in the Horn of Africa, declared independence from Somalia in 1991, but is yet to be internationally recognised as a sovereign state. The region has a significantly weak health sector, with poor service provision and scarce human resources for mental health, despite huge mental health need. Therefore, mental health care has been incorporated into an international health link (long term, mutually beneficial partnerships) between Kings College London and institutions in Somaliland, known as KTSP (Kings THET Somaliland Partnership).