India’s Strategy to Tackle the Mental Health Burden: Infrastructure, Gaps and Way Forward

India’s Strategy to Tackle the Mental Health Burden

Mental Health Latest News

  • The Economic Survey recently flagged a worrying rise in digital addiction and screen-related mental health issues, especially among children and adolescents. 
  • Responding to these concerns, the February 1 Union Budget announced steps to strengthen India’s mental health infrastructure.
  • Key measures include the proposal to set up a second National Institute of Mental Health and Neuro Sciences (NIMHANS) in north India, alongside plans to upgrade premier mental health institutions in Ranchi and Tezpur. 
  • These steps aim to improve regional access, reduce pressure on existing facilities, and expand specialised mental healthcare services across the country.

India’s Mental Health Burden: Scale and Severity

  • Experts warn that India is facing a serious mental health crisis. 
  • The country accounts for nearly one-third of global cases of suicide, depression, and addiction, making mental health a major public health challenge.

High Suicide Burden Among Youth

  • Data from the National Crime Records Bureau and the Sample Registration System under the Ministry of Home Affairs show that:
    • Suicide is among the leading causes of death for Indians aged 15–29 years.
    • Young people are particularly vulnerable due to academic pressure, unemployment, social stress, and digital addiction

Economic Cost of Mental Illness

  • According to the World Health Organization (WHO):
    • India is expected to lose $1.03 trillion between 2012 and 2030 due to mental health conditions.
    • Losses stem from reduced productivity, healthcare costs, and premature mortality.

Large Treatment Gap

  • A major concern is the treatment gap: 70%–92% of people with mental disorders do not receive proper care.
  • Key reasons include: Lack of awareness; Social stigma; Severe shortage of trained mental health professionals.

Shortage of Mental Health Professionals

  • As per the Indian Journal of Psychiatry:
    • India has 0.75 psychiatrists per 1,00,000 people
    • The WHO recommends at least 3 psychiatrists per 1,00,000
  • This gap severely limits access to diagnosis, counselling, and treatment.

Low Budgetary Priority

  • Although overall health spending has increased since FY2014–15, mental health has received: Only about 1% of the total health budget.
  • Limited funding has constrained infrastructure, manpower, and outreach services

Mental Health Infrastructure in India: Expanding Access Beyond Hospitals

  • To meet the rising demand for mental health services, the government has integrated mental healthcare into primary healthcare under Ayushman Bharat. 
  • Mental health services are now part of the Comprehensive Primary Health Care package delivered through Ayushman Arogya Mandirs (Health and Wellness Centres).
  • Over 1.73 lakh sub-health centres and primary health centres have been upgraded into Ayushman Arogya Mandirs
  • These centres provide basic mental health screening, counselling, and referrals, reducing dependence on specialised hospitals

Strengthening Specialist Capacity

  • To address the shortage of trained professionals, the government has expanded education and training infrastructure:
    • Over 20 Centres of Excellence sanctioned for postgraduate training in mental health
    • 47 postgraduate departments in mental health established nationwide
  • These initiatives aim to increase the availability of psychiatrists, psychologists, and mental health specialists, especially in underserved regions.

Tele-Mental Health Support: Tele MANAS

  • India has complemented physical infrastructure with digital outreach through Tele MANAS (Tele Mental Health Assistance and Networking Across States):
    • 24×7 free mental health support via helplines 14416 or 1-800-891-4416
    • Launched on October 10, 2022
    • 53 operational cells across 36 States and Union Territories
    • Backed by 23 specialised mentoring institutes
  • Tele MANAS bridges access gaps, especially for people in remote areas or those hesitant to seek in-person care.

Where Does India Fall Short on Mental Health Funding

  • India’s mental health budget has increased from ₹683 crore in 2020–21 to about ₹1,898 crore in 2024–25. 
  • However, experts argue that this rise masks a deeper problem of chronic underinvestment.
  • The allocation remains below 2% of the total health budget, which itself is only around 2% of India’s GDP—far short of what the scale of the mental health burden demands.

Mismatch Between Spending and Need

  • The underinvestment becomes stark when weighed against:
    • India’s high suicide and depression burden
    • Massive treatment gaps
    • Economic losses due to untreated mental illness
  • Despite these realities, mental health continues to receive low fiscal priority.

Overemphasis on Tertiary Institutions

  • A major concern is where the money goes. A significant portion of allocations continues to be directed toward tertiary institutions such as NIMHANS and newly established centres of excellence.
  • While important, experts argue that:
    • Tertiary institutions alone cannot mainstream mental healthcare in a country of India’s size
    • They serve a limited population and are often concentrated in urban areas
  • They stress the need for targeted funding for grassroots mental health programmes, including:
    • Community-based services
    • Early intervention models
    • Preventive and promotive mental healthcare
  • Such approaches are more effective in reaching underserved populations and reducing long-term disease burden.

Utilisation Gap Compounds the Problem

  • Beyond low allocations, there is also a utilisation issue:
    • Funds earmarked for mental health are not fully utilised at the national level
    • Administrative bottlenecks and lack of local capacity hinder effective spending
    • Health experts argue that better utilisation requires decentralised planning and community-led models, not just increased funding.

The Way Ahead: Shifting to Preventive and Community-Based Mental Healthcare

  • India urgently needs affordable access, continuity of care, and timely treatment to prevent avoidable deaths and disability from mental illness. 
  • Experts highlight an over-reliance on specialist-led, tertiary care, severe shortages of trained professionals, and a 95% access gap. 
  • The government is pivoting to a whole-of-community approach, integrating mental well-being into schools and strengthening workplace policies to address stress and burnout—signalling a shift from curative to preventive, community-based care.

Source: TH

Mental Health FAQs

Q1: Why is India’s strategy to tackle the mental health burden urgently needed?

Ans: India’s strategy to tackle the mental health burden is urgent because the country faces high suicide rates, massive treatment gaps, youth vulnerability, and rising digital addiction-related mental health disorders.

Q2: What is the scale of India’s mental health burden?

Ans: India’s strategy to tackle the mental health burden addresses a crisis where India accounts for nearly one-third of global suicide, depression, and addiction cases, with severe economic and social costs.

Q3: How is India expanding mental health infrastructure?

Ans: India’s strategy to tackle the mental health burden includes integrating services into Ayushman Bharat, upgrading 1.73 lakh centres, expanding PG departments, and strengthening tele-mental health through Tele MANAS.

Q4: Where does India’s strategy to tackle the mental health burden fall short?

Ans: India’s strategy to tackle the mental health burden suffers from underfunding, poor fund utilisation, overfocus on tertiary institutions, and inadequate investment in community-based and preventive mental healthcare.

Q5: What is the way forward in India’s strategy to tackle the mental health burden?

Ans: India’s strategy to tackle the mental health burden must prioritise community-based care, early intervention, school and workplace mental health integration, and scaling trained professionals to close the access gap.

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