Mental health interventions of the 528th Combat Stress Control unit to
limit the numbers of psychiatric casualties on recent peacekeeping mi
ssions are discussed, Similarities and differences in the mental healt
h support of Operation Restore Hope (Somalia) and Operation Uphold Dem
ocracy [Haiti) are reviewed, The mission to Somalia was marked by unex
pected combat casualties. The mission to Haiti was marked by unexpecte
d self-inflicted casualties. Lessons learned by mental health officers
serving on these missions are discussed. Recommendations for preventi
on of psychiatric casualties on future missions are presented.