Mental Health Issue in India: Challenges, Policies, and the Way Forward

Explore India’s mental health issue: policies, challenges, and solutions for better access, awareness, and treatment across all sections of the population.

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Mental health has emerged as a critical aspect of public health in India. Despite several government initiatives and legal reforms, the Mental Health Issue remains a growing concern. India introduced the National Mental Health Policy in 2014 and the Mental Healthcare Act in 2017 to address mental health with a rights-based approach. However, the ground reality shows gaps in accessibility, awareness, and affordability of mental health services. This article explores the current state of mental health in India, related government initiatives, global best practices, persistent challenges, and a comprehensive way forward.

Understanding the Mental Health Issue

What is Mental Health?

Mental health refers to an individual's emotional, psychological, and social well-being. It influences how people handle stress, interact with others, and make decisions. A stable mind is as important as a healthy body, making the Mental Health Issue a key component of overall health.

The Current Scenario in India

According to the National Institute of Mental Health and Neuro Sciences (NIMHANS), more than 80% of individuals in India do not seek help for mental health concerns. Major reasons include:

  • Stigma and lack of awareness

  • High costs of private mental health services

  • Limited availability of professionals

The World Health Organization estimates that India will face an economic loss of USD 1.03 trillion from 2012 to 2030 due to Mental Health Issues.

Key Government Initiatives for Mental Health Issue


Mental Healthcare Act, 2017

This Act replaced the earlier 1987 legislation and introduced several reforms:

  • Ensures the right to mental healthcare

  • Decriminalizes suicide

  • Disallows forced sterilization of mentally ill patients

  • Mandates the creation of State Mental Health Authorities and Mental Health Review Boards (MHRBs)

National Mental Health Programme (NMHP)

Launched in 1982 and revamped in 2003, the NMHP focuses on:

  • Upgrading psychiatric departments in medical colleges

  • Enhancing community-based mental health services

National Tele Mental Health Programme

Launched in 2022, this program aims to provide:

  • Free tele-counseling and psychiatric consultations

  • Tele Mental Health and Normalcy Augmentation Systems (Tele MANAS) operating in 25 states

NIMHANS and iGOT-Diksha Platform

NIMHANS leads the coordination of tele-mental health programs and offers training and support for psychosocial issues via the iGOT-Diksha platform.

National Suicide Prevention Strategy

The goal is to reduce suicide mortality by 10% by 2030, creating a support-driven and compassionate society.

Best Practices in Addressing Mental Health Issue

ESSENCE (Madhya Pradesh)

A five-year research initiative using technology to train ASHA workers in delivering therapy for depression.

Aswasakiranam (Kerala)

Provides financial aid to mentally challenged individuals, their families, and caregivers.

Chile’s Mental Health Policy

Chile increased the mental health budget share significantly and restructured psychiatric services, making it a global model.

Challenges Surrounding the Mental Health Issue in India

Limited Accessibility

India faces a severe shortage of mental health professionals, especially in rural and remote areas.

Stigma and Societal Pressure

Mental health remains a taboo subject in many Indian families. This discourages individuals from seeking timely help.

Adolescent Vulnerability

Youth face high mental health risk due to academic pressure, peer influence, body image issues, and lack of guidance.

Gender Disparities

Women are disproportionately affected. According to NCRB 2021, housewives accounted for 50% of all suicides, reflecting deep-seated socio-economic and mental challenges.

Economic and Social Influences

Poverty, unemployment, and lack of education further contribute to the Mental Health Issue.

Impact of Social Media

Online bullying and toxic comparisons on social platforms have increased stress, anxiety, and depression among users.

Geriatric Mental Health

Senior citizens face loneliness, depression, and age-related disorders like dementia and often lack support systems.

Disasters and Trauma

Natural calamities and displacement lead to long-term mental trauma and PTSD, aggravating the Mental Health Issue.

Way Forward to Address the Mental Health Issue

1. Adopting a Convergent Mental Health Model

India can adopt the US-based “Whole School, Whole Community, Whole Child” model that emphasizes holistic child development involving mental and emotional health in schools.

2. Strengthening Mental Health Infrastructure

  • Build more clinics, especially in rural areas

  • Recruit and train psychologists, psychiatrists, and counselors

  • Expand telemedicine services to improve access

3. Integration with Primary Healthcare

Empower primary healthcare workers to detect and manage common mental health conditions early.

4. Include Mental Health in Education

Incorporate mental health awareness in school curricula to combat stigma and build early emotional intelligence.

5. Expanding Mental Health Insurance

  • Ensure affordable treatment through extended insurance coverage

  • Guarantee insurance parity for physical and mental health treatments

Conclusion

The Mental Health Issue in India needs urgent and multi-dimensional attention. Though policies like the Mental Healthcare Act and programs like Tele MANAS are commendable, gaps in execution, awareness, and infrastructure remain. India must take bold and inclusive steps to ensure that mental health becomes a priority in both policy and practice.



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