: In this respect the study observed that there was a higher level of mental distress experienced by
caregivers of patients with severe mental illness in Amanuel Hospital, and social support are strongly associated with
mental distress besides to other variables. Effectively planned interventions have to be targeted at alleviating mental
distress and actions like on-going psycho-education and mutual support that could expand social support should be
implemented in Amanuel hospital health service delivery system