This chapter describes some of the key responses by the Omagh community and its agencies to the crisis of the bombing and its anticipated long-term implications. Within minutes of the bombing, the local hospital in Omagh, The Tyrone County Hospital, which was located less than a kilometre away from the scene, began to receive casualties. To convey where the bombing registered as a community tragedy, reference was made to a framework developed some years earlier to reflect upon the impact of the Enniskillen bombing of 1987. As a result of the highly charged political context of the tragedy, additional expectations became apparent, with politicians and community leaders being concerned that services should be provided for those affected by the bombing. It was clear that the bombing posed a serious mental health risk for those who had been involved in the care, treatment and support of casualties and the bereaved.