Consultancy in adolescent & youth mental health

A quiet crisis in Uganda’s classrooms — and a plan schools can run.

A 24-month, school-based programme bringing depression screening, structured group therapy, teacher-led facilitation, and psychosocial activities to adolescents across Uganda — from Buikwe’s villages to the classroom and back to the community circle.

24
Months of implementation
63%
Improved academic performance*
96%
Report improved wellbeing*
177.96M
UGX total funding requested

Background & problem

Adolescent mental health is a growing, under-addressed crisis.

A significant share of Ugandan adolescents live with depression, anxiety, trauma, and substance-use risk that quietly erodes their learning, attendance, and wellbeing. UNICEF’s Uganda Situation Analysis (2021–2023) tracks worsening psychosocial distress among school-aged children, and finds mental health services for adolescents remain scarce — especially inside schools.

The Ministry of Education and Sports’ Education Sector Annual Performance Report (2022/2023) links rising absenteeism, dropout, and behavioural challenges to unaddressed psychosocial issues. Research from Makerere University’s School of Public Health (2021–2022) finds that while many adolescents show symptoms consistent with depression and anxiety, very few ever receive formal support — schools simply lack trained personnel and structured services.

Most mental health conditions take root before age 14 (WHO, 2022). Without structured screening, prevention, and treatment in schools — and with stigma and weak referral systems compounding the gap — too many adolescents struggle silently. Schools remain the single most strategic platform to change that.

“Half of all mental health disorders begin before age 14 — making schools the most effective platform for early identification, prevention, and intervention.” WHO, 2022–2023

Why this works

Evidence from comparable Uganda pilots

Outcomes drawn from Uganda school-based mental health pilots and StrongMinds Uganda programme data, 2020–2023.

Who we reach

Target population

Continuity of mental health support across every stage of a young person’s education — from the primary school circle to the university corridor.

New addition — college & tertiary youth (18–25) Enrolled in universities, technical and vocational institutions, and colleges. Included for their high exposure to academic stress, depression, substance-use risk, transition-related pressure, and financial strain — supported through adapted psychosocial care, peer-led activities, and referral linkages.

Model of service delivery

SMH–YSDM: one continuum, three settings

Task-shifting
+ peer support
Primary schools
Secondary schools
Colleges & universities

Task-shifting, institutional integration, peer support

Implemented with the Ministry of Education and Sports, the School-Based and Youth Mental Health Service Delivery Model extends support beyond secondary schools into tertiary institutions, so a student is never handed off without a next step.

Primary schools — storytelling and emotional learning.

Secondary schools — group therapy, drama, sports.

Colleges & universities — peer support, counselling linkages, stress management — with college youth trained as peer mental health champions who run awareness campaigns, facilitate peer groups, and reduce stigma from within.

Goal & objectives

To strengthen adolescent mental health and improve learning outcomes in Uganda

By implementing a scalable, school-based system for early identification, structured therapy, and psychosocial support — in schools and selected tertiary institutions.

What we screen for

Ten categories of need, each with a defined response

Key activities

Thirteen coordinated activity areas

From first stakeholder meeting to endline evaluation — the full delivery sequence.

Theory of change

From trained facilitators to a stronger education system

Delivered together

Partnerships

Budget summary

24-month consolidated budget

All figures in Uganda Shillings (UGX). Full line-item detail is available on request.

UGX 177,960,000
Grand total requested — roughly USD 24,000/year at prevailing rates

Call to action

Uganda’s schools are ready. The system around them isn’t — yet.

We invite prospective funding partners to join us in delivering this programme. Your support funds mental health screening, structured group therapy, teacher training, and psychosocial development for adolescents and youth across Ugandan schools and tertiary institutions — generating gains in attendance, academic performance, and wellbeing that outlast the life of the grant.

We welcome the opportunity to discuss this proposal further and to provide any additional information to support your funding decision.

Nakate Sarah Lwanga

Program Director
OrgAttentive Ear Initiatives Uganda Ltd
BasedKampala, Uganda