Geographies of adolescent distress: A need for a community-based psychosocial care system in Nepal

Nawaraj Upadhaya, Carola Tize, RameshP Adhikari, Dristy Gurung, Ruja Pokhrel, SujenM Maharjan, Ria Reis
2018 Intervention: International Journal of Mental Health, Psychosocial Work and Counselling in Areas of Armed Conflict  
This paper presents the findings of an ethnographic study conducted among high school students in Nepal. Participant observations, in-depth interviews and focused group discussions were conducted among 35 students (20 girls and 15 boys). The findings suggest three geographies (home, school and community), where adolescents experience distress. Common experiences of adolescent distress included discrimination, domestic violence, heavy workload, poverty, bullying, physical punishment,
more » ... behaviour of the parents and teachers and a lack of basic materials. These findings largely support Bronfenbrenner's socio-ecological model, emphasising the complex reciprocal interactions between the individual and his/her immediate environment. They also suggest that not only a reciprocal relationship between the sub-systems of the ecological model, but also a 'mobility' between and among these sub-systems affects the individual's emotional-relational well-being. We argue that the micro-systems in which children grow up not only have a social dimension, but a spatial dimension as well. Building on this insight, a five building-block intervention model is presented to help address adolescent distress.
doi:10.4103/intv.intv_21_18 fatcat:kgrda4k3u5gfxjj4amks47hj6q