A 3-day mhGAP refresher training was held in Kohat (April 6-8, 2026) for primary care physicians to strengthen mental health service delivery. Supported by Deutsche Gesellschaft fur Internationale Zusammenarbeit and International Medical Corps, the training reinforced clinical skills, improved adherence to mhGAP guidelines, and enhanced coordination among healthcare providers.' Despite challenges like workload and time constraints, the workshop helped strengthen referral pathways and sustain quality MHPSS services in the district.

The national roundtable on mental health legislation focussed on reviewing the status of mental health legislations and identify practical pathways for implementation. The discussion highlighted key gaps between legislative intent and on-ground realities, including weak enforcement, limitations in rights-based appraoch, limited institutional mechanisms, resource constraints, and insufficient capacity for implementation and monitoring.

Newsletter 42 presents supervision data from 107 child and adolescent cases (under 18 years) reported from Khyber Pakhtunkhwa and Balochistan. It highlights that most cases are girls in late adolescence, with depression and stress conditions being the most common diagnoses, driven largely by family and education-related stressors.