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Writer's pictureChelsea Jones

Mental Health Awareness Month: Navigating Teen Substance Use through a Mental Health Perspective

Mental health in South African teenagers

October is Mental Health Awareness Month in South Africa, a time to raise awareness about mental health issues and promote well-being. As a social worker, working with teenagers in Justice Desk Africa’s programs, I’ve witnessed first hand the profound impact mental health challenges can have on young lives. Many of the adolescents we work with turn to substances as a way of coping with their struggles, a choice that often leads to a cycle of dependency and further emotional distress.


In my experience, the pressures faced by teenagers today are immense. From academic expectations to social media influences, many young people express feeling overwhelmed. For some, substance use becomes a means of escape—a way to numb their feelings or to fit in with their peers. I recall a case of a 17-year-old boy in our iNtsika yeThemba Program who began using alcohol to cope with his anxiety and grief after losing both of his parents. While it provided temporary relief, it soon spiralled into much deeper issues affecting his relationships and mental health.


According to the South African Community Epidemiology Network on Drug Use (SACENDU), a 2019 report indicated that approximately 12% of adolescents aged 12 to 17 reported using substances like alcohol, cannabis, and methamphetamines. It is crucial to understand that substance use among teenagers is often a symptom of deeper issues, such as trauma, depression or anxiety. During my counselling sessions, I’ve seen how emotional pain can manifest in various ways. For instance, a young girl we have worked with struggled with feelings of abandonment after her mother left her at her grandmother’s home in search of a job elsewhere, leading to her experimenting with cannabis. In these situations, addressing the root causes of the distress is essential.


As social worker’s, our role is not only to provide support but also to create a safe space for open dialogue. We strive to foster environments where teenagers feel comfortable discussing their emotions without fear or judgement. In my counselling sessions, I often initiate conversations about mental health, encouraging them to express their feelings and fears. This approach had led to breakthroughs—like when one of the participants finally opened up about her struggles with depression, which had fuelled her substance use.


One of the key aspects of our work is helping teenagers to find healthier ways to cope. This might include engaging in creative activities, sports or mindfulness practices. I often introduce them to journalling to process their thoughts and emotions. Recently, my fellow social worker colleague started a peer support therapeutic group where a group of young girls can share their experiences and strategies for coping with challenges. Witnessing their growth has been incredibly rewarding.


Mental Health Awareness Month serves as a reminder that we need to advocate for more resources and support systems for our youth. Schools, communities, organisations and families must come together to create a supportive network that addresses mental health issues head on. It’s essential to destigmatise conversations around mental health, ensuring that teenagers know it’s okay to seek help.


Mbokodo Heroes at their mental health campaign

In Justice Desk Africa’s Mbokodo Program, the beneficiaries recently ran a campaign titled "I Matter, You Matter, We Matter," aimed at raising awareness about mental health within the community of Bonteheuwel. This initiative encouraged not just the girls but also their parents and community members to engage in conversations about mental well-being. It was inspiring to see the community come together, share their experiences, and recognise the importance of mental health. The positive feedback from both the participants and the community highlighted how impactful such initiatives can be in breaking down barriers and fostering understanding.


As we observe Mental Health Awareness Month in South Africa, I urge everyone to reflect on the mental health challenges that our youth face. Let’s work together to provide understanding, support and resources for those who are struggling. If you know a teenager who may be using substances as a coping mechanism, reach out. Start a conversation, listen without judgement and encourage them to seek help. Together, we can create a healthier future for our young people.

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