Asian J Psychiatr. 2025 Apr 19;108:104491. doi: 10.1016/j.ajp.2025.104491. Online ahead of print.
ABSTRACT
OBJECTIVE: Children in the Juvenile Justice System (JJS) face multiple adversities that may predispose them to developing mental health (MH) problems. Interventions that enhance the MH and well-being of these children while providing access to appropriate MH care are needed. This study examines the effect of a multipronged, low-intensity intervention on adolescents’ well-being, stress levels, MH knowledge, and stigma perceptions in Childcare Institutions (CCIs) across Odisha and Tamil Nadu, India.
METHODS: Implemented in 7 CCIs, the intervention aimed to enhance the MH Literacy (MHL) and well-being of children in the CCIs through the Youth-Friendly Spaces (YFS) using experiential methods. It also sought to improve the MHL of the staff and administration within the JJS and provide access to MH care by linking CCIs to available local resources. Information using validated scales was obtained at baseline and six months.
RESULTS: Only 180 of the 310 children for whom baseline data was available remained in the CCI at six months. A statistically significant improvement in well-being (34.5 +13.7-55.9 +12.2, p < 0.001), stress (18.5 +6.8-17 +6.1, p = 0.044) and stigma (32 +11.9-29.4 +11.4, p = 0.023) scores were observed. Adjusted linear regression analysis showed significant differences across genders, sites, and child types.
DISCUSSION: This intervention, comprising YFS creation, MHL enhancement, and referral system development, is significantly associated with improved well-being of children in CCIs. The results underscore the need for tailored interventions based on gender, location, and child type. The study highlights the potential scalability of such programs in resource-constrained settings for vulnerable children.
PMID:40273798 | DOI:10.1016/j.ajp.2025.104491
