Abstract:
Substance abuse among street-involved children is a growing public health and social issue,
with significant psychosocial consequences. This study aimed to explore the psychosocial
challenges associated with substance abuse among street children in Gondar City, Amhara
Region, Ethiopia. Using a qualitative approach, in-depth interviews were conducted with 10
street-involved children, aged 12 to 17 years, to understand their lived experiences. Thematic
analysis identified three primary themes: psychological impact, social consequences, and
livelihood struggles linked to substance abuse. The findings underscored the intense
psychological distress faced by street children, including sadness, hopelessness, and anxiety,
which were often compounded by substance use as a coping mechanism. Substance abuse also
contributed to increased aggression, impulsivity, and difficulties with thinking and
concentration, further intensifying mental health issues. Socially, it led to isolation, stigma, and
strained family bonds, eroding the children's sense of belonging and support. Peer influence
emerged as a critical factor in the initiation and continuation of substance use, shaping social
dynamics among the group. Furthermore, substance abuse disrupted the children's livelihood
strategies, as many resorted to begging, theft, or informal work to sustain their habits.
Recognizing the interconnectedness of psychological, social, and livelihood factors is essential
for designing comprehensive interventions that foster resilience and improve the well-being of
this vulnerable group.
