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In this Special Event, Eva Zachary, Executive Director of Muskoka Victim Services, explored the realities, pressures, and possibilities at the intersection of mental health and gender-based violence. Drawing on her experience in crisis intervention, trauma services, and victim advocacy — as well as insights from her participation on provincial committees such as the Domestic Violence Death Review Committee (DVDRC) — she discussed key patterns observed through practice, case reviews, and cross-sector collaboration. Grounded in trauma- and violence-informed (TVI) principles, this session highlighted practical ways service providers can recognize and respond to mental health concerns; reduce stigma; and support survivor safety, autonomy, and dignity — even when working within systemic constraints. The session also explored promising approaches and strategies for direct service work, including supporting survivors in crisis, navigating co-occurring risks, strengthening communication across sectors, and integrating collaborative, coordinated practices that honour survivor choice and promote sectoral alignment.