CREDITS
Newzroom Afrika
By Dr Melané van Zyl
Newzroom Afrika speaks to Melané van Zyl, a child and adolescent care psychiatrist and member of the South African Society of Psychiatrists, about growing concerns around children’s access to mental health care in South Africa. The interview highlighted that only a small percentage of children in need are receiving treatment. She explained that while policies exist, the core issue lies in poor implementation, lack of funding, limited community support, and a shortage of healthcare professionals, leaving the system under significant strain.
From a clinical perspective, children and adolescents are increasingly presenting with depression, anxiety, suicidal thoughts, post-traumatic stress disorder, and substance abuse. These challenges are often linked to broader social issues such as poverty and violence. The discussion emphasised the importance of early intervention, noting that many mental health conditions begin before the age of 14, and that failure to address them can lead to long-term consequences, including ongoing mental health struggles and socio-economic difficulties.
The conversation also addressed the severe shortage of child psychiatrists and the impact this has on care, including reports of children being placed in adult psychiatric wards. Melané van Zyl stressed the need for community- and school-based mental health support, including training teachers and improving access to local services. The interview concluded with guidance for parents and caregivers to watch for behavioural changes—such as withdrawal, irritability, and declining school performance—as early warning signs that a child may need help.
Watch the full interview below.
