South Africa Commemorates World Mental Health Day 2025 with Urgent Focus on Substance Abuse and Mental Health Crisis
Johannesburg – South Africa joins the global community today in marking World Mental Health Day 2025, shining a spotlight on the growing mental health challenges fuelled by substance abuse. The Department of Health is hosting a key stakeholder engagement at Chris Hani Baragwanath Hospital, bringing together leaders, experts, and those with lived experiences to tackle the burden on the country’s health system.
With one in six South Africans affected by mental disorders like depression, anxiety, or substance abuse each year, the event aims to push for better prevention, rehabilitation, and access to care. This year’s theme, “Together for Mental Health,” stresses the need for collective action to build support networks and reduce stigma, especially as the nation grapples with high costs to families, workplaces, and the economy.
The day kicks off with a walkabout at the hospital, showcasing innovative interventions, followed by a panel discussion on pressing issues. As the World Health Organisation warns that over one billion people worldwide live with untreated mental conditions, South African officials are calling for urgent investments to close the treatment gap and integrate services into everyday healthcare.
Rising Tide of Mental Health Challenges in South Africa
Mental health issues have become a silent epidemic in South Africa, with experts warning that they rank among the top causes of disability. Lifetime prevalence stands at 30.3 per cent, meaning nearly one in three people will face a disorder at some point. Yet, a staggering 90 per cent of those with severe conditions never get the help they need, often due to stigma, limited resources, or lack of awareness. Financial barriers worsen the situation, with some provinces allocating just two per cent of health budgets to mental services, mostly for hospital stays rather than community support.
Discrimination plays a big role too, keeping many from seeking care and leading to human rights violations. Factors like poverty, violence, and trauma from disasters add to the load, making mental health a public priority that demands more funding and action.
Substance Abuse: A Growing Burden on the Health System
Substance abuse is putting huge strain on public facilities, emergency teams, and mental health workers. It often leads to tricky diagnoses that need input from various experts, stretching already thin resources. The Department of Health highlights the need for stronger prevention, rehab, and health promotion at every level to ease this pressure.
Links to other issues are clear: cultural pressures, like expectations of toughness, can drive people to harmful coping like drug use, which ties into high rates of gender-based violence. Globally, disorders from drug abuse are treatable, but in South Africa, gaps in care mean many suffer without support, adding to household and economic costs.
Today’s Events at Chris Hani Baragwanath Hospital
The commemoration starts at 09:00 with a walkabout in key areas of the hospital, highlighting progress in mental health and substance abuse services. Participants will see investments in action and chat with frontline workers who handle these cases daily. Interactions with patients will shed light on real challenges, like access barriers or daily struggles, to spark joint solutions.
A virtual link allows wider participation, with the event livestreamed on the Department’s social media for those outside Gauteng. This setup ensures broader reach, letting more people join the conversation on improving care.
Key Participants and Panel Discussion
Deputy Minister of Health Dr Joe Phaahla leads the panel, joined by Gauteng MEC for Health and Wellness Nomantu Nkomo-Ralehoko and other provincial MECs. They will discuss the mental health load, top causes like substance abuse, and ways to boost services.
Experts include Shenaaz El-Halabi from the World Health Organisation, Cassey Chambers from the South African Depression and Anxiety Group, and Professor Solomon Rataemane from the Ministerial Advisory Committee on Mental Health. Health pros and people sharing their stories of mental conditions or drug dependency will add real insights, making the talk more grounded and actionable.
The Theme: Together for Mental Health
This year’s theme calls for unity in supporting mental well-being, showing how teamwork creates belonging and stronger services nationwide. It pushes stakeholders – from government to communities – to collaborate on access and stigma reduction. The World Health Organisation backs this, urging faster rollout of plans to weave mental health into primary and hospital care.
In South Africa, it means sharing best practices, reviewing interventions, and tweaking them for better results. The focus on media and health today aims to spread info and encourage positive change.
Youth Mental Health Crisis: Alarming Statistics
Young South Africans are hit hard, with 10.1 per cent facing depressive disorders and 6.7 per cent anxiety. Substance use is rife: 33.17 per cent under 18 report alcohol use, and 8.2 per cent cannabis. Post-traumatic stress affects 17.6 per cent, often from violence or abuse, with many disorders starting before 14.
A 2021 poll showed 65 per cent of youth who needed help did not seek it, highlighting gaps in support. This crisis calls for targeted efforts to protect the next generation from long-term harm.
Global Perspective and Calls for Action
The World Health Organisation’s data shows over one billion people with anxiety or depression, most without care, risking massive human and economic losses. South Africa aligns with global pushes to scale up services, reduce gaps, and fight stigma.
Half of disorders start early, and factors like war or trauma worsen them. Suicide links to untreated issues, underscoring the need for investment.

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