Mental health care in Sierra Leone is almost non-existent. Many sufferers try to cure themselves with the help of traditional healers. During the Civil War (1991–2002), many soldiers took part in atrocities and many children were forced to fight. This left them traumatised, with an estimated 400,000 people (by 2009) being mentally ill. Thousands of former child soldiers have fallen into substance abuse as they try to blunt their memories. There is one primitive psychiatric facility in Sierra Leone.