We are in the throes of transformation and conflicts yet to be resolved. These will affect all our lives in Lebanon and the region, particularly services to families in need. The prevalence of special needs is 1/10 children in ordinary times. During times of conflict and unrest, this figure becomes 1 in 5 children! The new number of families with one or more children with special needs assisted by OpenMinds packages in 2019 is 75. To date, this number is now 415, with many waiting in the wings.