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The Voices of Children and Young People

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Psychosocial <strong>and</strong><br />

Mental Health:<br />

One <strong>of</strong> <strong>Children</strong>’s<br />

Greatest Concerns<br />

Mental health <strong>and</strong> psychosocial wellbeing are<br />

fundamental to our collective <strong>and</strong> individual ability<br />

as human beings to think, emote, interact with each<br />

other, earn a living <strong>and</strong> enjoy life. Yet, child helpline<br />

data reveals that psychosocial <strong>and</strong> mental health is<br />

one <strong>of</strong> the most prominent reasons for contacting a<br />

child helpline, indicating that difficulties in this area<br />

are widespread among children <strong>and</strong> young people.<br />

It can also be concluded that child helplines play an<br />

important role in addressing these difficulties. Indeed,<br />

child helplines typically engage with children <strong>and</strong> young<br />

people at an early stage <strong>of</strong> emotional difficulties, when<br />

support <strong>and</strong> intervention can be most effective.<br />

Mental health can be defined, according to World<br />

Health Organization, as a state <strong>of</strong> wellbeing in which an<br />

individual realises his or her own potential, can cope<br />

with the normal stresses <strong>of</strong> life, <strong>and</strong> is able to make a<br />

contribution to his or her community. 2 Mental health<br />

<strong>and</strong> psychosocial issues are closely related. Namely,<br />

from birth onward children, young people <strong>and</strong> adults<br />

continuously learn in interaction with their direct<br />

surroundings. It is in the interaction with others that<br />

children <strong>and</strong> young people define their experience <strong>of</strong><br />

tranquillity <strong>and</strong> trust, their sense <strong>of</strong> self, their identity<br />

<strong>and</strong> their confidence <strong>and</strong> competences for social<br />

interaction, which are all paramount to psychosocial<br />

<strong>and</strong> mental health. Conversely, the absence <strong>of</strong> a tranquil,<br />

safe <strong>and</strong> stimulating social environment can put children<br />

<strong>and</strong> young people’s mental health development at risk.<br />

Especially notable risk factors are experiences with ill<br />

health, school <strong>and</strong> relationship stress, family difficulties,<br />

abusive relationships <strong>and</strong> bisexual or homosexual<br />

orientation as well as the experience <strong>of</strong> war or natural<br />

disasters.<br />

<strong>The</strong> case <strong>of</strong> 17-year-old Mark from Irel<strong>and</strong> is<br />

illustrative <strong>of</strong> how child helplines can make a<br />

difference when psychosocial <strong>and</strong> mental health is at<br />

stake. When Mark called the child helpline, he initially<br />

told the counsellor: “I’m anxious all the time <strong>and</strong> feeling<br />

very low. I’m lost, I don’t know what’s wrong with me.<br />

I have a good family, friends, do well at school <strong>and</strong> I’m<br />

not being bullied. My mum tells me to use my coping<br />

skills, but they don’t work. She tries to listen but she<br />

doesn’t know the true extent <strong>of</strong> my feelings. I can’t<br />

cope anymore.” <strong>The</strong> counsellor talked to Mark about<br />

his difficulties <strong>and</strong> engaged in active listening to help<br />

Mark explore his options. Eventually, Mark decided to<br />

have an honest conversation with his mother about<br />

how he was feeling. Several days later he called to say:<br />

“Thank you so much for listening. I needed that.”<br />

Child helplines typically<br />

engage with children<br />

<strong>and</strong> young people at an<br />

early stage <strong>of</strong> emotional<br />

difficulties, when support<br />

<strong>and</strong> intervention can<br />

be most effective.<br />

2 WHO (2014, August). Mental health: a state <strong>of</strong> well-being. Retrieved from http://www.who.int/features/factfiles/mental_health/en/<br />

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