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Adolescents left behind by migrant workers: a call for community-based mental health interventions in Nepal / Nirmal Aryal;Pramod R Regmi;Edwin van Teijlingen;Padam Simkhada;Pashupati Mahat

Tác giả : Nirmal Aryal;Pramod R Regmi;Edwin van Teijlingen;Padam Simkhada;Pashupati Mahat

Nhà xuất bản : World Health Organization. Regional Office for South-East Asia

Năm xuất bản : 2019

Chủ đề : 1. Adolescent. 2. Journal / periodical articles.

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Over the past two decades, the unique health needs associated with the second decade of life havebeen recognized, not least the mental health of adolescents. In parallel, the negative health impactsof parental migration on the children and adolescents who are “left behind” in low- and middle-incomecountries (LMICs) is beginning to be acknowledged. Nepal is a growing supplier of labour migrants –an estimated 3.5 million Nepali individuals are working abroad – resulting in families being separatedand thousands of adolescents being left behind. This can increase psychological and emotional stressand feelings of loneliness and abandonment, and reduce self-esteem among left-behind adolescents,which in turn may have a negative impact on their psychosocial health. Globally, mental health andneurodevelopmental disorders are one of the top three causes of disability-adjusted life-years lostamong adolescents. The devastating earthquake in Nepal in 2015 brought into sharp focus the lackof prioritization of mental health services and spurred development of the Community mental healthcare package Nepal, 2074 in 2017. This package, together with the upcoming revised National MentalHealth Policy, emphasizes the need to (i) ensure the availability and accessibility of basic mentalhealth and psychosocial support services for all; and (ii) facilitate integration of mental health servicesinto the primary health-care system. Recognizing that mental health and psychosocial support serviceshave been predominantly focused on the adult population only, the package includes a componenton childhood and adolescent mental and behavioural disorders. It will be essential for policy-makersto ensure that strategies are in place to ensure that left-behind adolescents, especially those whoare not in school, have access to these community-based services. Given the paucity of researchon mental health interventions among adolescents in LMICs in general, monitoring and assessmentof what works for this special group of young people in Nepal may have broader implications forimplementation in other countries where migration has resulted in significant populations of left-behindadolescents.
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https://iris.who.int/handle/10665/329496