The efficacy of a community-based psychosocial program in BosniaHerzegovina during the war and immediate postwar years (1994)(1995)(1996)(1997)(1998)(1999) was described in this article. Ten centers provided various kinds of psychological help in the besieged city of Sarajevo and the towns of Zenica, Travnik, and Vitez. Since 1994, an intensive monitoring system has documented data on clients, interventions, and outcomes. This study focused on the systematic evaluation of counseling interventions aimed to alleviate the distress in wartime. The sample consisted of 3,283 and 1,785 inhabitants of Sarajevo, Zenica, Travnik, and Vitez who filled out the GHQ-28 and IES respectively. Pre-and post-assessments were compared throughout consecutive years (1994)(1995)(1996)(1997)(1998)(1999) and across age groups and both sexes. Outcomes of these scales reflected very high scores, especially This project has been supported by grants from the Ministry of Foreign Affairs for The Netherlands, the European Community, Médecins sans Frontières Holland, and HealthNet International. A. Richters and A. Pen carried out the first assessments for this program and were instrumental in its development. Teamwork has been essential. The counselors, supervisors, staff members, and trainers in this project are owed much gratitude for their most important contribution to the establishment of the client case register.