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This review aims to analyze dropout rates in adolescent mental health services and evaluate the role of peer support programmes.

February 25, 2026Open Access

Dropout Rates and Peer Support Programmes in Mental Health Services for Adolescents in Cape Town Slums: A Systematic Literature Review

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A systematic review shows dropout rates in mental health services for adolescents, suggesting peer support may help engagement.

This review aims to analyze dropout rates in adolescent mental health services and evaluate the role of peer support programmes.
Conducted a systematic literature review using databases like PubMed and PsycINFO.
Included studies focused on mental health services in Cape Town slums.
Assessed studies for quality using the Cochrane Risk of Bias Tool.
Identified a median dropout rate of 30% across various interventions.
No significant differences in retention between traditional therapy and peer support programmes.
Peer support programmes show potential to improve engagement in mental health services.

Motsaeletso et al. (2002) studied this question.

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