Experts warn chronic underfunding and neglect are denying millions of children critical mental health support, amounting to a human rights crisis. Only one in ten young people in need of mental healthcare can access it, according to the South African Society of Psychiatrists (Sasop).

An estimated one in five South African children and teenagers lives with a mental health condition. Yet the majority remain without adequate care, despite global evidence showing that half of all lifetime mental health disorders begin by the age of 14.

Globally, it is estimated that one in seven of ten to 19-year-olds experience mental health conditions, yet these remain largely unrecognised and untreated, said the World Health Organisation.

Adolescents with mental health conditions are particularly vulnerable to social exclusion, discrimination, stigma, affecting readiness to seek help, educational difficulties, risk-taking behaviours, physical ill-health, and human rights violations.

“The crisis is rooted in two key issues: chronic underfunding and systemic neglect of mental healthcare services for children,” said Sasop member and psychiatrist Prof. Renata Schoeman.

Warning signs that your child may have a mental health disorder. Photo: optimabloem 

“This represents a failure to protect the constitutional rights, dignity, and well-being of children and adolescents. The shortage of skilled professionals is particularly alarming.”

South Africa has fewer than 40 registered child and adolescent psychiatrists across both public and private sectors, most of whom are based in Gauteng and the Western Cape, she said.

For Human Rights Day this year, Sasop called for the urgent implementation of the national mental health policy framework and strategic plan 2023–2030 to protect children’s right to mental health care.

“The consequences of neglecting children’s mental health extend far beyond the individual,” said Schoeman. “Children who do not receive the care they need may never realise their full potential. Their education may suffer, and their quality of life in adulthood can be severely limited.

“Untreated mental health conditions can lead to long-term complications and comorbidities, perpetuating cycles of poverty, violence, and social exclusion.”

OFM News/Zenande Mpame dg

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