CRC/GC/2003/4
page 8
and whether their parents or guardians consent. It is essential to find proper means and methods
of providing information that is adequate and sensitive to the particularities and specific rights of
adolescent girls and boys. To this end, States parties are encouraged to ensure that adolescents
are actively involved in the design and dissemination of information through a variety of
channels beyond the school, including youth organizations, religious, community and other
groups and the media.
29.
Under article 24 of the Convention, States parties are urged to provide adequate
treatment and rehabilitation for adolescents with mental disorders, to make the community aware
of the early signs and symptoms and the seriousness of these conditions, and to protect
adolescents from undue pressures, including psychosocial stress. States parties are also urged to
combat discrimination and stigma surrounding mental disorders, in line with their obligations
under article 2. Every adolescent with a mental disorder has the right to be treated and cared for,
as far as possible, in the community in which he or she lives. Where hospitalization or
placement in a psychiatric institution is necessary, this decision should be made in accordance
with the principle of the best interests of the child. In the event of hospitalization or
institutionalization, the patient should be given the maximum possible opportunity to enjoy all
his or her rights as recognized under the Convention, including the rights to education and to
have access to recreational activities.5 Where appropriate, adolescents should be separated from
adults. States parties must ensure that adolescents have access to a personal representative other
than a family member to represent their interests, when necessary and appropriate.6 In
accordance with article 25 of the Convention, States parties should undertake periodic review of
the placement of adolescents in hospitals or psychiatric institutions.
30.
Adolescents, both girls and boys, are at risk of being infected with and affected by STDs,
including HIV/AIDS7. States should ensure that appropriate goods, services and information for
the prevention and treatment of STDs, including HIV/AIDS, are available and accessible. To
this end, States parties are urged (a) to develop effective prevention programmes, including
measures aimed at changing cultural views about adolescents’ need for contraception and STD
prevention and addressing cultural and other taboos surrounding adolescent sexuality; (b) to
adopt legislation to combat practices that either increase adolescents’ risk of infection or
contribute to the marginalization of adolescents who are already infected with STDs, including
HIV; (c) to take measures to remove all barriers hindering the access of adolescents to
information, preventive measures such as condoms, and care.
31.
Adolescent girls should have access to information on the harm that early marriage and
early pregnancy can cause, and those who become pregnant should have access to health services
that are sensitive to their rights and particular needs. States parties should take measures to
reduce maternal morbidity and mortality in adolescent girls, particularly caused by early
pregnancy and unsafe abortion practices, and to support adolescent parents. Young mothers,
especially where support is lacking, may be prone to depression and anxiety, compromising their
ability to care for their child. The Committee urges States parties (a) to develop and implement
programmes that provide access to sexual and reproductive health services, including family
planning, contraception and safe abortion services where abortion is not against the law,
adequate and comprehensive obstetric care and counselling; (b) to foster positive and supportive
attitudes towards adolescent parenthood for their mothers and fathers; and (c) to develop policies
that will allow adolescent mothers to continue their education.