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ADOLESCENT GUIDANCE. SERVICE CENTRE AT. NIPCCD. Dr. Dinesh Paul. & Team. Problems Encountered in Adolescents. Adolescence is characterized by conflicts of values, emotional stress and readiness to extreme attitudes, which invariably leads to several psycho-social problems of adolescents.

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Dr. Dinesh Paul

& Team

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Problems Encountered in Adolescents

Adolescence is characterized by conflicts of values, emotional stress and readiness to extreme attitudes, which invariably leads to several psycho-social problems of adolescents.

  • Personal and social problems.

  • Problems of health and physical self-esteem.

  • Sex and reproductive health problems.

  • Home and family related problems.

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Adolescents : Some Facts and Perceptions

  • Adolescents between 10-19 years make up one fifth of India’s population and also a potential group for contracting HIV.

  • Adolescent girls constitute a disproportionate (25%) portion of the 5 million abortions performed annually.

  • Teenagers lack easy access to contraceptives and feel guilty and embarrassed to use them.

  • Cultural practices often involve sexual abuse or exploitation, and act as barriers to responsible sexuality.

  • Boys and girls reveal a poor understanding of their sexuality and information sources seem to be media and peers.

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Adolescent Health and Guidance Services - proposal

Broad Objective

  • To provide health and psycho-social services for adolescents through a comprehensive Adolescent Health Programme.

    Specific Objectives

  • To assess health and psychological needs and problems of adolescents through differential diagnosis;

  • To support adolescents to cope with problem behaviour, by providing psychotherapy, guidance and counselling;

  • To promote positive attitudes and values in adolescents for healthy sexual behaviour;

  • To enhance adolescent’s potential through various strategies of life skills education;

  • To establish linkages with schools, PTAs and civil service organizations in order to strengthen services for the adolescents; and

  • To provide referral services for adolescents with specific health related problems.

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Adolescent Guidance Services Centreat NIPCCD (Proposed)


  • Need Assessment of adolescents.

  • Provide psycho-social services.

  • Development of training modules.


    Adolescents from South Delhi Government & 5-6 private schools identified as high risk and referred by school Principals, Counsellors, Social Workers etc.


  • Counselling

  • Psycho-therapy

  • Behaviour modification

  • Parental counselling

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Who can Visit?

  • Adolescents/students referred by

    • Schools

    • Parents

    • Peers

    • Professionals

Walk-in-clients are also welcome.

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We maintain the professional ethics extending the best of every possible support to achieve success of every adolescent and his/her


Confidentiality is assured.

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ICDS Training - Addition of Adolescents

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Process of Establishment




Head Quarter

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  • Survey of Existing AGSCs at Delhi-for designing a better Adolescent Guidance Service Centre.

  • Proposal submitted to Department of family

    welfare for WHO support.

    Constraints- Lack of Information regarding existing voluntary organizations working in this area.

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Formation of An Advisory Committee- Who will be recommending on various issues and also monitor the progress of the work etc.

Dissemination of Information

A brochure describing special features of AGSC – prepared and sent to all schools.

Few knowledge based pamphlets on various issues of adolescence for persons visiting AGSC


Meetings could not be organized due to busy schedule of experts

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Infrastructural Development

Client Friendly Centre

  • Waiting room.

  • Well equipped therapy room.

  • Cubical for multi disciplinary team of AGSC.

  • Appropriate furniture for storing documents.


    Difficult government procedures for construction and procurement of furniture

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Staffing- Recruitment of Multi-Disciplinary Team

  • Physician

  • Clinical Psychologist

  • Behavioural Psychologist

  • Social worker

  • Data entry operator

  • Psychiatrist ( Shortage of Psychiatrists and not willing to come as consultants on part time-Yet to be appointed)

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  • Out of 400 Delhi based private schools, 50 schools were selected .The inclusion criteria include:

  • Schools without any facility for mental health services.

  • Those schools who have not been associated with any Adolescent Health and Guidance Centre.

  • Senior Secondary Co-Education Schools.

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  • Education Department has been contacted for seeking permission on to have liaisoning with Govt. schools.

  • Meeting with school principals, counsellors, and senior teachers.


  • Did not receive any consent from principals of schools.

  • Delay in getting the permission from Govt. schools, for data collection, which further delayed the research work.

  • Non- cooperation from private schools.

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STEP IV- INDUCTION OF RESERCH WORK permission on to have liaisoning with Govt. schools.

  • An explorative study was conducted with following objectives :

  • Identifying adolescents with problem behavior.

  • Identifying major factors affecting adolescent mental health.

  • Identifying needs and problems of schools going adolescents.

  • A Standardized Youth Self Report (YSR) questionnaire by Achenbach for the course of data collection was selected & applied.

  • Pre-testing of Youth Self Report (YSR) in Hindi was done in one of the Private schools of South-West Delhi.

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STEP V- COMMENCEMENT OF WORK AT AGSC permission on to have liaisoning with Govt. schools.

  • Research Study

  • Data collection from various schools ( 3 Govt. and 1 Private School).

  • Data processing and Interpretation of data.

  • Awareness generation programme on various psychological problems among adolescents were conducted in various schools for parents, teachers as well as for students.

  • Health check-ups and Health talks etc.

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  • Clinical Activity permission on to have liaisoning with Govt. schools.

  • Clients started visiting AGSC

  • Various psychological tools have been applied on the clients depanding on the requirement of the problem.

  • Adjunct Therapies are being used

  • Nutritional counselling.

  • Relaxation therapies.

  • Parental counselling.

  • Referral services.


    Clients did not come as per appointment

    Principals and Parents did not cooperate initially

Only after Health Check up was arranged in schools through

PGDMCH students.

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MAJOR FINDINGS OF THE STUDY permission on to have liaisoning with Govt. schools.

  • Sources Of Daily Stress

  • Too many things to do.

  • Concerns about weight / physical appearance.

  • Doing Home Work / Assignments.

  • Parental nagging

  • Frequent scolding

  • Meeting deadlines

  • Making many decisions.

  • Attending Tutions/ Tutorials

  • Responsibilities outside home.

  • Arguing with friends and family.

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  • Withdrawn Behaviour

  • Somatic complaints

  • Anxious/ Depressed

  • Social Problems

  • Thought Problems

  • Attention Problems

  • Delinquent Behaviour

  • Aggressive Behaviour

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    Multi-Disciplinary Service Delivery Team permission on to have liaisoning with Govt. schools.


    Clinical Psychologist


    Social Worker






    Child Development Expert

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    SEX WISE DISTRIBUATION OF DATA permission on to have liaisoning with Govt. schools.

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    CLASS WISE BISTRIBUTION OF DATA permission on to have liaisoning with Govt. schools.

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    AGE WISE DISTRIBUTION OF DATA permission on to have liaisoning with Govt. schools.

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    Psychiatric Morbidity of the Total Respondents permission on to have liaisoning with Govt. schools.

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    Services permission on to have liaisoning with Govt. schools.

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    Health check-up and Nutrition Counselling permission on to have liaisoning with Govt. schools.

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    THERAPY permission on to have liaisoning with Govt. schools.

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    LEARNING OUTCOMES permission on to have liaisoning with Govt. schools.


    • Non-medical training and research institution

    • Multi-disciplinary team

    • Support from education department

    • Nutrition counselling

    • Procurement of tools and recruitment of staff

    • Screening and other Psychological tests are adapted & suitable to our situation

    • CGC in position for more than 2 decades.

    • Development of Modules for Holistic Development of Adolescent Girls, Adolescent Health and HIV/AIDS, Trafficking of Children & Women, FLE etc. for Voluntary sector and ICDS Training.


    • High demand of Psychiatrists

    • Lack of awareness at all levels for adolescents problems

    • Social Stigma – Poor response from girls school even for counselling services

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    THANK YOU permission on to have liaisoning with Govt. schools.