A/HRC/32/32
social determinants and balancing curative service provision with investment in the
resilience and autonomy of adolescents;
(e)
Guarantee that health systems are responsive to the whole spectrum of
health and psychosocial needs of adolescents, and ensure an integrated, multisectoral
approach across social, child protective and education sectors;
(f)
Ensure that health services are delivered in such a way as to respect
adolescents’ rights to privacy and confidentiality, address their different cultural
needs and expectations and comply with ethical standards;
(g)
Ensure that adolescents’ health-care and other service providers,
including social workers and educators, do not obstruct access to health facilities,
goods and services by addressing discriminatory and stigmatizing attitudes and
behaviours through information and awareness-raising campaigns;
(h)
Ensure that a core package of health services, including both mental
health and sexual and reproductive health services, are accessible to adolescents free
of charge, and remove practical barriers presented by user fees with a view to
developing a basic basket of services for adolescents as a part of their commitments to
universal health coverage;
(i)
Protect from interference and harm by non-State actors and third
parties, including private service providers, by ensuring that they do not compromise
the availability, accessibility, acceptability and quality of health-care and other
relevant services, facilities and goods for adolescents;
(j)
Protect adolescents from violence and neglect, including in family
settings, by, inter alia, upholding their right to confidential services and counselling
without parental consent;
(k)
Take the measures necessary to support families, including through
training and services, to increase the abilities of parents to raise children and
adolescents in a competent and confident manner and reinforce skills to manage
situations in a non-violent way;
(l)
Support national human rights institutions to conduct national
assessments or public inquiries into adolescents’ right to health.
112. In connection to mental health, the Special Rapporteur recommends that
Governments:
(a)
In line with target 3.4 of the Sustainable Development Goals, formulate
and implement a national adolescent mental health policy enabling the development of
a spectrum of preventive and curatives services, in consultation with adolescents, that
is sensitive to their rights and needs;
(b)
Develop a system of adolescent mental health services that is
mainstreamed into the community-based infrastructure of health, education and
social welfare sectors;
(c)
Design and implement adolescent-friendly psychosocial interventions at
the community level in a manner that is ethical and consistent with adolescents’ rights
and on the basis of available evidence, in order to make such services accessible and
acceptable and to avoid institutionalization and the excessive use of psychotropic
medications;
(d)
Ensure independent monitoring of mental health facilities providing
services for adolescents with mental health conditions, including psychosocial and
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