The document presents the MESMER Programme’s approach to addressing mental health challenges among micro, small, and medium enterprises (MSMEs) in conflict-affected regions of Ethiopia through the integration of psychosocial support services. It highlights key findings from a 2023 assessment, which revealed high levels of psychological distress and limited access to support, and outlines targeted interventions, such as awareness-raising, mental health screening, and group counselling, that resulted in a significant reduction in PTSD symptoms.