In February 2022, Ukraine suffered a devastating assault by Russia, leading to destruction, casualties, and displacement. Among those displaced were over 1.5 million families with children. War and displacement expose families to a heightened risk of mental health issues. These risks increase when both the parents and the children are exposed to trauma and develop mental health difficulties. This study investigated the prevalence of posttraumatic stress disorder (PTSD) and other mental health issues among parents and children and the associations between them. The study included 50 dyads of children and parents who had arrived in Israel after fleeing the war in Ukraine. Parents completed self-report questionnaires to assess their mental health and their children's mental health. About 56% of the parents and 2% of the children met the criteria for PTSD, and 50% of the children and 56% of the parents met the cutoff for clinical general psychological distress. Significant correlations were found between the parent's PTSD levels and the children's PTSD symptoms. Significant correlations were found between the parent's general distress and the children's PTSD symptoms, general distress, and externalizing problems. Children whose parents showed high rates of PTSD showed significantly higher PTSD and distress rates. Parents and children of refugees show high levels of mental health difficulties. The children's mental health is associated with the parent's mental health. A deeper understanding of the challenges faced by refugee families can inform the development of targeted assistance programs and the recruitment and training of personnel in host countries. (PsycInfo Database Record (c) 2024 APA, all rights reserved).