Addressing mental health challenges among adolescents in Himachal Pradesh: evaluating the impact of adolescent friendly health clinics
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20260678Keywords:
Adolescent health, Anxiety, Depression, Mental health, Suicidal tendencyAbstract
Background: Mental disorders are one of the most prevalent health concerns faced by adolescents today. A good mental health cultivates a sense of purpose and fulfilment among the adolescents. To ensure this, the government of Himachal Pradesh has started implementation of Adolescent Friendly Health Clinics in the state.
Methods: Data from Nayi Disha Kendras (NDK) reports on National Health Mission website which has consolidated the adolescent outpatient department data, was used. This data details the mental health services extended to adolescent girls and boys across multiple Adolescent Friendly Health Clinics (called Nayi Disha Kendras in the state) situated in various districts of Himachal Pradesh. This data set spans a period of three years, from January 2021 to December 2023.
Results: Approximately, around 11,000 adolescents from the state of Himachal Pradesh, stress accounted for a high of 53% among the adolescents, followed by those with other mental health conditions (14%), depression (14%) and suicide thoughts (5%).
Conclusions: Just as we attend to our physical health, nurturing our mental health demands proactive attention and care. Embracing practices of self-care, seeking support from loved ones and accessing professional assistance when necessary are crucial steps in safeguarding our mental well-being.
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References
Elsya VM, Raharjo AP, Ediati A. Mapping the accessibility to mental health providers in low-middle income countries: a scoping review. J Edu, Heal Comm Psychol. 2025;14(3):865. DOI: https://doi.org/10.12928/jehcp.vi.31090
Moitra M, Owens S, Hailemariam M, Wilson KS, Mensa-Kwao A, Gonese G, et al. Global mental health: where we are and where we are going. Curr Psychiatry Rep. 2023;25(7):301–11. DOI: https://doi.org/10.1007/s11920-023-01426-8
Sajid M, Qureshi S, Imran Z, Khan TM, Ali D, Waqas SA, et al. Rising Trends in Obesity and Heart Failure: Related Mortality in the United States, 1999-2024. JACC: Advances. 2025;4(2):102303. DOI: https://doi.org/10.1016/j.jacadv.2025.102303
Lopez AD. Disease Control Priorities Project. Global burden of disease and risk factors. New York, NY: Oxford University Press; and Washington, DC. World bank. 2006.
Ministry of Health and Family Welfare, Government of India - Adolescent Health Fact Sheet. Himachal Pradesh Available at: https://nhm.hp.gov.in/storage/app/media/uploaded-files. Accessed on 21 September 2025.
Mishra N, Nagpal S, Chadda R, Sood M. Help-seeking behaviour of patients with mental health problems visiting a tertiary care centre in North India. Indian J Psychiatry. 2011;53(3):234. DOI: https://doi.org/10.4103/0019-5545.86814
Mojtabai R, Olfson M. National Trends in Mental Health Care for US Adolescents. JAMA Psych. 2020;77(7):703–14. DOI: https://doi.org/10.1001/jamapsychiatry.2020.0279
Wang X, Wang Y, Zhang X, Yang W, Yang J. A large-scale cross-sectional study on mental health status among children and adolescents - Jiangsu Province, China, 2022. China CDC Wkly. 2023;5(32):710-4. DOI: https://doi.org/10.46234/ccdcw2023.136
Jha RP, Shri N, Patel P, Bhattacharyya K, Dhamnetiya D, Singh M. The burden of depression among Indian adolescents: A study on cross-sectional data. J Dep Anxiety. 2022;11:477. DOI: https://doi.org/10.21203/rs.3.rs-1706746/v1
Watode BK, Kishore J, Kohli C. Prevalence of stress among school adolescents in Delhi. Indian J Youth Adolesc Health. 2015;2(4):5-9.
Gururaj G, Pradeep BS, Beri G, Chauhan A, Rizvi Z. Report of Youth Health Survey—Himachal Pradesh. Center for Public Health. Bangalore. NIMHANS. 2014.
Barker TH, Stone JC, Sears K, Klugar M, Leonardi-Bee J, Tufanaru C, Aromataris E, Munn Z. Revising the JBI quantitative critical appraisal tools to improve their applicability: an overview of methods and the development process. JBI Evidence Synthesis. 2023;21(3):478-93. DOI: https://doi.org/10.11124/JBIES-22-00125
Thakur D, Gupta A, Thakur A, Mazta S, Sharma D. Prevalence and predictors of suicidal ideations among school going adolescents in a hilly state of India. Ind Psychiatry J. 2015;24(2):140. DOI: https://doi.org/10.4103/0972-6748.181719
Polanczyk GV, Salum GA, Sugaya LS, Caye A, Rohde LA. Annual Research Review: A meta‐analysis of the worldwide prevalence of mental disorders in children and adolescents. Child Psychology Psychiatry. 2015;56(3):345–65. DOI: https://doi.org/10.1111/jcpp.12381
Gururaj G, Varghese M, Benegal V, Rao GN, Pathak K, Singh LK, Mehta RY, Ram D, Shibukumar TM, Kokane A, Lenin Singh RK. NMHS collaborators group. National mental health survey of India. 2015;16:30-2.