This research program aims to assess the mental health and addiction problems, needs, and vulnerabilities of residents in the city of Ofakim following the devastating terror attack on October 7th. The attacked neighborhood, “Mishor HaGefen,” is a low-medium socio-economic area with diverse needs, heavily reliant on municipal social services. Despite investments, accurate data on residents’ mental health and assistance needs remain lacking. To address this, the municipality provided initial funding and tasked the PIs with conducting a needs assessment to identify at-risk groups who will receive tailored interventions from the “Hosen” resiliency center in Ofakim. Focused primarily on “Mishor HaGefen” neighborhood, this research also extends to comparative neighborhoods with similar socio-economic conditions and an ultra-orthodox neighborhood that was not directly attacked. Utilizing a representative survey of 900 adults, the study evaluates emotional, behavioral, and economic distress; identify specific needs for assistance; highlights particularly vulnerable groups; and discern resident strengths and factors predicting mental health and addiction problems due to terror exposure. Data collection is conducted face-to-face and telephone interviews using electronic questionnaires. In addition, the research program includes collecting qualitative data and an accompanying action-research study, such as cultural adaptations of evidence-based treatments for trauma. This significant endeavor will equip the Ofakim municipality and relevant authorities with precise data to tailor interventions effectively. Furthermore, it will evaluate the adequacy, quality, and effectiveness of services provided post-attack, thus guiding future crisis management and recovery efforts. Ultimately, the findings will support the development of continuous trauma treatment services and resilience-building initiatives in Ofakim.