Northern Ireland had a significant and developing publicly provided mental health service that served the general and more specialist needs of the population. The trauma team focus on the community and personal health consequences of the bombing formed part of a raft of responses by key sectors in the Omagh community. This included the Christian churches and other faith communities, which were coordinated largely by the local Churches' Forum. The links between the schools and the Community Trauma and Recovery Team were very important, especially in the first 12-18 months when many referrals were received in respect of children, young people and families. Understanding the needs of people affected by the bombing was central to the development of therapeutic services by the Team. The bomb scares also interfered with help-seeking and engagement in therapy, undermining the confidence of individuals to engage in or continue with therapy.