There were challenges too. Although limited supplies of antipsychotic medications were available in local pharmacies, some patients could not afford them. The workload was high for a single nurse and the mental health nurse faced a risk of burnout and fatigue. Most referrals were from within Connaught hospital. We suspect community uptake was low because the service was new and the community had previous experience of mental health services at the hospital. Staff recruitment and training and community uptake therefore remain areas for development. Much of the focus has been on providing care for Ebola survivors, drawing attention and resources away from mental health services for the wider population.