Chandraet al., 2018)alongwith the lingering psychosocial effects of the COVID-19 pandemic havesignificantly intensified mental health vulnerabilities (Bhagat, 2020).Although mental health has gained greater policy visibility in recent years, importantgaps remain between policy intent and effective service delivery.
National levelevidence, such as National Mental Health Survey (NMHS) conducted by NIMHANS in2015-16, further highlights the scale of mental health challenges in India. Thesurvey report estimated that around 13.7 per cent of the population of countryexperiences common mental health disorder such as anxiety, depression, stressrelated conditions, substances use disorders during their life time, withnearly 15 per cent of adults requiring active mental health intervention. A reportpublished by the WHO in 2010 highlighted that mental health issues are moreprevalent in low- and middle-income counties. Various research studies further indicatethat while biological factors influencing mental health are mostly uncontrollable,social factors such as employment, neighbourhood, housing, inequality,education, gender, etc., are amenable to change and play a crucial role inindividual wellbeing (Kirkbride et al., 2024; Shim & Ruth, 2020).
Mental healthdisorders in India are closely associated with more socio-economicinequalities, unemployment, academic stress, gendered vulnerabilities, andrapid social change (Chadda& Gupta, 2012; Ghorbani et al., 2025; Harpham,1997; Galea et al., 2006). The NMHSreport also highlights higher prevalence rate of mental health problems in urbanpopulations (13 per cent) due to occupational stress, social isolation andchanging family structure compared to rural population (around 6 per cent). Notwithstandingthe high disease burden, India faces a severe treatment gap also exceeding 80per cent, indicating that a majority of individuals requiring mental healthcaredo not receive timely or adequate treatment. Empirical research suggests thatshortages of trained mental health professionals, weak integration with primaryhealthcare, stigma and low mental health literacy significantly restrictsaccess to care, particularly in rural and marginalised communities. In responseto these challenges, the Government of India has initiated a new NationalMental Health Survey after a gap of nearly nine years, aimed at generating updated,state-wise evidence to guide policy planning and resource allocation.
India’s mentalhealth policy architecture is anchored in the National Mental Health Policy,2014, which adopts a rights-based, participatory and life-course approach. Thepolicy emphasises universal access, stigma reduction, service decentralisationand integration of mental healthcare into primary health systems. A landmarklegislative development was the enactment of the Mental Healthcare Act, 2017,which legally guarantees the right to mental healthcare and aligns India’slegal framework with international human rights norms. Research studies highlightsthat the Act represents a paradigm shift from custodial care to rights-basedand patient-centred mental healthcare (Duffy & Kelly, 2019). Along withthis, the National Mental Health Programme (NMHP) continues to strengthendistrict-level mental healthcare delivery. More recently, the NationalTele-Mental Health Programme (Tele-MANAS) has expanded service reach through 24/7tele-counselling services in multiple Indian languages, addressing accessbarriers in underserved regions (Ministry of Health and Family Affair, 2025).
In spite ofpolicy progress, mental health remains under-financed, with public spendingaccounting for 1-1.3 per cent of the total health budget (Economic Survey 2024-25).Several research studies highlight the urgent need for increased investment,expansion of the mental health workforce, school- and workplace-basedinterventions, and community-led care models (Karan et al., 2021; WHO, 2025).Mental health is integral to India’s social cohesion, economic productivity andhuman development. While policy frameworks demonstrate increasing commitment,translating them into effective outcomes requires sustained political will,adequate financing, evidence-based planning and community engagement.Strengthening mental health systems is essential for building a resilient,inclusive and equitable India.