Adolescent mental health services in Cape Town, South Africa are underutilized due to stigma and accessibility barriers. A mixed methods study combining quantitative surveys with qualitative interviews among adolescents and service providers. Mobile app usage rates were notably higher among urban youth (75%) compared to rural areas (40%), revealing a digital divide in mental health services access. The mobile app ecosystem for adolescent mental health is promising but requires tailored interventions to bridge the gap between users and service delivery. Develop culturally sensitive apps, enhance digital literacy programmes, and integrate mobile solutions into existing healthcare infrastructure. Adolescent Mental Health, Mobile Apps, Digital Divide, Cape Town