The MHPSS and livelihood support integration needs assessment was conducted in August 2020 to evaluate what kind of integrated MHPSS and livelihood support initiatives are most desirable and relevant in select locations. The assessment took place in Dohuk (Qadiya and Sumel camps), Kirkuk (Wahed Huzeiran neighbourhood), Ninewa (Tel Afar City, Ay-Ayadiyah, Mosul City), Hassan Sham camps (U3) and Salah Al-Din (Shirqat district). In addition, the assessment intended to gain direct insight into the community’s perceptions of integrated programming, to understand whether or not there is interest in such programming. The assessment findings led to the subsequent design of integrated MHPSS and livelihood activities. These activities are relevant to the Iraqi context, are scalable and add value to the already present response programming.