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This article offers a critical analysis of how to address social inequalities in mental health. In public mental health, inequalities are commonly construed as a problem of reach, implying that existing mental health expertise often fails to reach low-income groups. We discuss two critiques on the reach-paradigm' in mental health promotion: the impoverishment of idioms of distress and the tendency to transform complex political issues into clinical ones that are assumed to be backed by evidence. Furthermore, we present the findings of our ethnographic research of an alternative approach to mental health promotion that used media storytelling focused on local knowledge and social context. Our analysis is guided by anthropological research on idioms of distress and sociological literature on health promotion and social inequalities.

Most of the street-based children are not educated beyond primary school and their living conditions are based on begging and doing odd jobs in the market and streets. Forty-six percent of the on-the-street children live with one parent, and 97 percent of the of-the-street children have lost contact with their parents. The on-the-street children have a higher percentage of family sector networks than the of-the-street children and the shelter or institutionalized children. Generally, school children still have strong family ties.