Postcard from Kyiv: Can Ukraine heal the mental scars of its veterans?

Anna Morgan profiles two cash-strapped projects struggling to offer mental health support to soldiers returning from the front line.

The World Today Updated 20 September 2024 4 minute READ

When Bohdan Bunchak returned from eastern Ukraine in February 2024 after half a year of active service, he could not face going back to his previous life as a visual artist. The 29-year-old had been discharged from military service due to a spinal injury and, worse, his traumatic experience on the front lines had left him with suicidal thoughts. 

Many veterans aren’t as lucky as me. They don’t have a close support circle to help them manage.

Bohdan Bunchak, Ukrainian veteran leading the ‘Vilno’ project.

Today, Bunchak is in better shape. ‘What helped me find new purpose was support of a close circle of friends,’ he said. ‘I wouldn’t have managed without them. But many veterans aren’t as lucky as me. They don’t have a close support circle to help them manage.’

As many military veterans in Ukraine have found, returning from the front to civilian life can be difficult. Dismissal from military service is a complicated process that often increases anxiety. Those who struggle often turn to substance abuse, domestic violence or even suicide. But several initiatives are trying to find creative ways to integrate these former soldiers and give them a new sense of purpose.

man in white shirt stands in front of flip chart

After returning from the frontline in February 2024 with suicidal thoughts, Bohdan Bunchak is now leading ‘Alternative Education’ a programme which helps veterans recover from the mental trauma of conflict through engaging in creative projects. Photo: Anita Back. 

Healing through art

Bunchak is now leading one of them, a pilot project implemented by the Ukrainian NGO Insha Osvita – which translates as Alternative Education – that is aimed at veterans who worked in the arts or education before the war. The six-month pilot called Vilno – ‘Free’ – begins in September. Ten veterans chosen from a group Bunchak interviewed will receive psychological and legal support, and a small allowance to spend on a project of their choice. 

I will consider the project successful if none of the 10 participants commits suicide.

Bohdan Bunchak, Ukrainian veteran leading the ‘Vilno’ project.

‘What we often hear from veterans is that they need a community of people with similar experiences,’ said Bunchak. ‘That’s what we’ll be trying to create and support. I will consider the project successful if none of the 10 participants commits suicide.’ The pilot is funded by the German foundation Robert Bosch Stiftung and, if successful, Bunchak hopes to raise the money needed to scale up the project.

The need for this and other mental-health services for veterans is rising fast. Ukraine has been fighting the Russian invasion since 2014 and there are now thought to be 1.2 million veterans. Ukraine’s Ministry of Veteran Affairs, which is six years old, has limited experience in designing mental health support for them.

A close friend who has been fighting since the start of the full-scale invasion told me about his encounter with a psychologist. ‘There was a so-called expert visiting us, offering to talk,’ he said. ‘We didn’t trust her because we could feel she didn’t understand what we were going through’. He said he didn’t see himself returning to his hometown after the war to live among people who hadn’t experienced what he lived through.

A model that works

Ulana Suprun, Ukraine’s acting Minister of Health from 2016 to 2019, said: ‘In 2018 we noticed a spike in suicides by veterans, while there were no nationwide prevention mechanisms available.’ An American-Ukrainian doctor, Suprun led the drive to improve mental health services. 

The Soviet legacy of inhumane attitudes to mental health patients left little appetite to develop the sector.

The Soviet legacy of inhumane attitudes to mental health patients and frequent use of psychiatric detention against dissidents left little appetite to develop the sector. Instead, Suprun’s team found a model of suicide prevention in an Australian NGO, LifeLine Australia.

‘The LifeLine call centre was staffed by veterans and people who had personal knowledge of mental health issues,’ said Suprun. ‘They had undergone training, creating a peer-to-peer system, aimed at engendering trust. Initial client contact was with the call centre, then, if necessary, a referral was given to a professional psychologist’.

LifeLine Ukraine, modelled on its Australian namesake, opened its phonelines to anyone, including veterans, in October 2019, having received its first grant from the UK Embassy. Given that most of its calls came between 8pm and 2am, its lines stay open 24/7. 

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‘Those who have been to war for the rest of us have experienced hell. They deserve every support when they return,’ said Paul Niland, LifeLine Ukraine’s founder. ‘We owe them everything and more.’ In its first three years the hotline answered between 1,000 and 1,500 calls each month. But after the full-scale invasion in 2022, the number rocketed, reaching 6,500 a month in spring 2024. In the five years of its existence, Lifeline Ukraine has provided support to almost 100,000 callers. 

Struggle for funding

But funding is difficult to find and even harder to maintain. LifeLine Ukraine briefly had to close when it temporarily ran out of money this year, a cause of frustration to Niland: ‘We were saving lives. There could be no better argument to support us.’ It has since reopened with a grant from the NGO Global Giving, but only has enough to continue for 12 months.

man in black t-shirt stands in front of a white wall looking into the camera

Paul Niland, founder of LifeLine Ukraine, is frustrated by the lack of funding available for mental health services for veterans. Photo: Ian Bearder. 

Bunchak agrees that money is vital for his Vilno project. ‘It is important to remain available for veterans after they complete the project,’ he said. ‘You can’t just wave them goodbye.’ Bunchak and Niland say big donors are more inclined to support state institutions, seeing their work as more scalable. But the reality in Ukraine is that civil society organizations are providing the bulk of support services.

The mental-health needs of Ukraine’s veterans are only likely to grow. Estimates suggest that by the end of the war veterans and their families will number between 5 million and 6 million. The re-integration of veterans is Ukraine’s most pressing social challenge, according to 80 per cent of respondents to a Chatham House survey

‘The time for developing support services for veterans, and all Ukrainians, is now, precisely because we do not know how long we will need to fight this war of aggression,’ said Niland. 

‘The mental scars will last for decades. That is true whether one has seen active duty, or whether your family has been displaced by war, or whether you have lost loved ones. We know that the need to provide suitable care will be with us for many years to come,’ said Niland. ‘Preparing now is prudent.’