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Understanding Mental Health
Global Perspectives and Indian Initiatives
Posted On: 09 NOV 2025 3:05PM by PIB Delhi
Mental well-being is more than about being happy or in a good mood — it encompasses all our
mental-emotional, social, cognitive and physical capabilities. Navigating through life’s challenges and
living life to the fullest is more probable if we take care of our mental health.
Mental health is a basic human right and is crucial for personal, community and socio-economic
development.2 Over the past few years, there has been enhanced focus on and increased discussion of
mental health issues. While there has been a sharp attention on mental health for more than a decade
among the various medical, counselling, patient and other communities connected with this sector, the
global COVID-19 pandemic with its widespread impact appears to have served as a catalyst for
refocusing attention on this issue (United Nations, 2021).
According to WHO, mental health conditions are among the leading
causes of disability worldwide. In 2021, it was estimated that 1 in 7
people globally were living with a mental disorder, which equates to
over 1.1 billion people. In India, about 11 in 100 people suffer from
mental health disorders.
The impact of these conditions is
particularly evident in terms of
years lived with disability
(YLD), with depression and anxiety disorders being major contributors across all age groups except
0-5 year olds and especially among 15-29 year olds (WHO,2025).
According to a Lancet study (2020), mental health disorders account for 5.2% of the global disease
burden, with depressive disorder and anxiety disorder alone contributing to 6.2% and 4.7%
respectively, of the total YLD (Mental Health Atlas, 2024). This growing burden underscores the
escalating challenge mental health issues pose to health systems globally.
The Government of India has taken initiative in filling the treatment gaps, disease burdens, and the
extent of disabilities due to mental illness (National Health Policy, page 4). It is addressing the illness
through its various policies and programmes.Source: Press Information Bureau. (2025, February 7). Advancing mental healthcare in India.
Ministry of Health and Family Welfare, Government of India.
(https://pib.gov.in/PressReleasePage.aspx?PRID=2100706)
Types of Mental Health Illnesses
Mental Health in India
About 10.6% of Indian adults – roughly 11 out of every 100 adults – were living with a diagnosable
mental health disorder, according to a 2015-16 National Mental Health Survey (NMHS) conducted by
the National Institute of Mental Health and Neurosciences (NIMHANS).The survey also revealed:
15% of India’s adult population experiences mental health issues requiring intervention
The lifetime prevalence of mental disorders was 13.7%, indicating that around 14 out of every 100
people in India have experienced a mental disorder at some point in their lives
Mental health disorders are more prevalent in urban areas (13.5%), compared to rural areas (6.9%).
According to a NIMHANS study from 2019, mental health disorders are more prevalent among
women (20%) than men (10%). Women in India are found to be particularly more prone to conditions
like depression, anxiety, and somatic complaints compared to their male counterparts.
Suicide rates in India are on the rise. According to the 2023 National Crime Records Bureau (NCRB)
report ‘Accidental Deaths & Suicides in India’:
171,418 suicides were reported in the country in 2023.
The 2023 NCRB report revealed a significant gender disparity in suicides: males accounted for 72.8%
of all suicides, while females accounted for 27.2%.
Treatment Gap
The 2015-16 NIMHANS survey also highlighted that 70% to 92% of people with mental disorders do
not receive proper treatment due to the lack of awareness, social stigma, and a shortage of
professionals.
Lack of mental healthcare professionals also plays a role. While the WHO recommends at least 3
psychiatrists per 100,000 people, according to a study by Garg et al., published in the Indian Journal
of Psychiatry in 2019, India has 0.75 psychiatrists per 100,000 people.
Impact of Poor Mental Health
Poor mental health has wide-ranging impacts on people’s health and socio-economic development.
Physical Health
The World Health Organisation emphasises that there is a strong correlation between mental and
physical health – individuals with poor mental health face poorer overall health and have shorter life
expectancy. For example, people with depression are at a higher risk of developing conditions like
cardiovascular diseases, with one Lancet Psychiatry study saying that the risk rises by 72% (Viola V
et al., 2025). Chronic pain and sleep disturbances are also prevalent in people with poor mental
health.Economic Impact
Poor mental health of workers indirectly decreases economic output – it leads to productivity losses
(absenteeism, presenteeism, and staff turn-over) and other indirect costs to society far outstrip
healthcare costs (WHO, 2025). These, in turn, lead to a reduction in people’s earning potential and
growth, increase unemployment rates, and lead to greater healthcare costs. (Sartorius, 2013). It is
estimated that depression and anxiety cost the global economy nearly US$1 trillion annually in lost
productivity (WHO, 2025).
The global financial burden of mental health conditions, which includes healthcare and indirect costs,
is expected to rise to $16 trillion by 2030 (Journal of Mental Health, 2021). The generational effects
are notable too, as children of individuals with mental health conditions are at increased risk of facing
economic disadvantages, including poorer educational outcomes and lower lifetime earnings (Doran
& Kinchin, 2019).
Social and Relationship Strains
People with mental health problems are at risk of becoming socially isolated, with strained
relationships and communication challenges adding to the obstacles they face. A study published in
The Lancet Psychiatry (2010) revealed that individuals with depression face difficulties in forming
and maintaining interpersonal relationships, which can intensify depression symptoms due to a lack of
social support.
Social Stigma
Stigma – which includes internalised shame and negative beliefs as well as structural stigma related to
lack of mental health care and policies – associated with mental health is a major obstacle to seeking
treatment and social integration (American Psychiatric Association, 2024).
People in low- and middle-income countries, especially, are more vulnerable to the vicious cycles of
isolation and worsening mental health because of the stigma associated with seeking mental health
care (WHO, 2018). For example, a study published in The Lancet Psychiatry (2020) found that
individuals with mental health disorders, particularly those with severe conditions like schizophrenia,
are frequently subject to discrimination and marginalisation. The lack of care diminishes the quality
of their lives and decreases any chance of treatment or recovery.
Increased Suicide RisksGlobally, over 727,000 people die by suicide each year (WHO, 2025). According to a study published
in Psychiatry Research (2023), individuals with mental disorders face a 16-fold higher risk of suicide
compared to those without such conditions, with this elevated risk remaining consistent across regions
and time periods.
Younger People Are More Vulnerable
About one third of the mental disorders that adults experience actually began by age 14, and half
started by age 18, and nearly two thirds had their onset by age 25 (WHO,2025) Mental health
disorders frequently manifest during childhood or adolescence, with 50% of all mental health
conditions appearing by age 14 and 75% by age 24 (WHO, 2020). A study published in The Lancet
(2017) shows that mental health issues in adolescence are associated with poor academic outcomes,
increased substance use, and higher rates of self-harm, highlighting the long-term impact of untreated
mental health problems in young people.
Impact of COVID-19 on Mental Health
The COVID-19 pandemic has had profound effects on global mental health. Key impacts include:
Increased Anxiety and Depression: The number of individuals affected by anxiety disorders rose by
about 25% during the pandemic.
Social Isolation: Quarantine measures led to significant feelings of loneliness and despair among
various populations.
Economic Stress: Job losses and financial insecurity contributed to heightened stress levels and
deteriorating mental health conditions.
Global Policy Frameworks
All WHO Member States are committed to implementing the “Comprehensive Mental Health Action
Plan 2013-2030”, which aims to improve mental health by strengthening effective leadership and
governance, providing comprehensive, integrated and responsive community-based care,
implementing promotion and prevention strategies, and strengthening information systems, evidence
and research.
In 2022, the WHO released the "World Mental Health Report," which calls for transformative actions
to improve mental health globally. The Report outlines several transformative strategies aimed at
improving mental health care globally.
Here are the key suggestions:
Three Paths to Transformation:Deepen Value and Commitment: Encourage individuals and societies to recognize the intrinsic
value of mental health, promoting social inclusion and prioritising mental health alongside physical
health.
Reshape Environments: Modify physical, social, and economic environments to promote better
mental health outcomes. This includes enhancing conditions in homes, schools, workplaces, and
communities.
Strengthen Mental Health Care: Transition from custodial care in psychiatric hospitals to
community-based care models. This involves building networks of interconnected services that
integrate mental health care into general healthcare systems. Diversify and scale up care options for
common mental health conditions like anxiety and depression, utilizing task-sharing approaches and
digital technologies to enhance accessibility and effectiveness of care (WHO, 2022).
The WHO Report also recommends several strategies for integrating mental health care into
Universal Health Coverage (UHC).
WHO emphasises that integrating mental health care into UHC can significantly improve overall
health outcomes, reduce treatment gaps, and enhance the quality of life for individuals with mental
disorders globally.
Various promotion and prevention programs, particularly in the health sector can contribute
significantly by embossing promotion and prevention efforts within health services and by
advocating, initiating and facilitating multisectoral collaboration and coordination.8
India’s Comprehensive Push for Mental HealthPolicies
National Mental Health Programme (NMHP) – 1982
Launched in 1982 to address the growing burden of mental disorders and shortage of mental health
services in India.
Primary Goal: Integrate mental healthcare into general healthcare system and make it accessible to
all, especially vulnerable and underprivileged groups.
District Mental Health Programme (DMHP) – 1996
Integrated into NMHP in 1996, based on Karnataka's 'Bellary Model'.
Coverage: Started in 4 districts (1996), expanded to 27 districts during IX Five Year Plan, now
covers 767 districts.
Services Provided:
Counseling and outpatient treatment
10-bedded inpatient facilities at district level
Suicide prevention initiatives
Awareness programs
Team Composition per District: Psychiatrist, clinical psychologist, psychiatric social worker,
psychiatric/community nurse, monitoring & evaluation officer, case registry assistant, ward
assistant/orderly.
Key Components:
Early detection and treatment
Short-term training for general physicians
Training for health workers to identify mental illness
Public awareness (IEC) campaigns
Simple record-keeping for monitoring
Approach: Community-based model focusing on training health workers, reducing stigma, providing
early intervention, and collecting data for service planning and research.
National Suicide Prevention Strategy (NSPS) – 2022
Launched by the Ministry of Health and Family Welfare in 2022.
Goal: Reduce suicide mortality by 10% by 2030.
Key Components:
Mental health screenings in schools and colleges
Establishing Crisis helplines and psychological support centers
Community awareness programs to break stigma
Workplace mental health programsTarget Groups: Students, farmers, young adults, and other high-risk populations for targeted
intervention and prevention.
Training,
Infrastructure,
and Digital
Innovation
Training of
Mental
Healthcare
Professionals
Infrastructure
Development:
47 government-
run mental
hospitals (3
central
institutions: NIMHANS Bengaluru, LGBRIMH Tezpur, CIP Ranchi; 44 state-run hospitals)
Mental health services available across all AIIMS facilities
Manpower Development Scheme A - Centers of Excellence:
Total: 25 CoEs sanctioned to strengthen courses in psychiatry, clinical psychology, psychiatric social
work, and psychiatric nursing
11th Plan (2007-2012): 11 CoEs @ Rs. 30 crore each
12th Plan (2012-2017): 10 CoEs @ Rs. 33.70 crores each
Beyond 12th Plan (2017-2018): 4 CoEs @ Rs. 36.96 crores each
Grant covers capital work, equipment, furnishing, and faculty retention
Provides tertiary-level care, creates PG seats, conducts research, and supports DMHP implementation
Manpower Development Scheme B - PG Department Upgradation:
Total: 47 PG Departments in 19 government institutions
11th Plan (2009-2011): 27 Departments in 11 institutes @ Rs. 51 lakhs to 1 crore
12th Plan (2015-2016): 13 Departments in 4 institutes @ Rs. 0.85-0.99 crores each
Beyond 12th Plan (2017-2018): 7 Departments in 4 institutes @ Rs. 1.89-2.20 crores each
Digital Training Initiatives:
Digital Academies (since 2018): Established at NIMHANS, LGBRIMH, and CIP Ranchi; trained
1,76,454 healthcare professionals
iGOT-Diksha Platform (2020): Trained healthcare professionals, frontline workers, and community
volunteers; enhanced grassroots capacity
Strengthening Mental Health Care through Ayushman BharatRecognising mental healthcare as a vital component of overall well-being, India has taken a major
step toward universal health coverage by integrating mental health services into primary care
through Ayushman Arogya Mandirs under the Ayushman Bharat initiative.
Under the Ayushman Bharat initiative, over 1.75 lakh Sub Health Centres (SHCs) and Primary
Health Centres (PHCs) have been upgraded into Ayushman Arogya Mandirs, where mental health
services are now an integral part of Comprehensive Primary Health Care. This integration ensures
accessible and inclusive mental health support at the grassroots level. Key highlights include:
Integrated Mental Health Services: Mental healthcare has been integrated as a core component of
the primary care services provided at Ayushman Arogya Mandirs.
Financial Protection: Through Ayushman Bharat PM-JAY, mental health conditions are covered
under a Rs. 5 lakh per family annual insurance, with over 1.35 lakh admissions worth Rs. 120.19
crore authorized between FY 2021-22 to FY 2023-24 (Parliament of India, Unstarred question, 2023).
Under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana initiative, provides cashless
healthcare services, including 22 procedures under Mental Disorder speciality such as Intellectual
Disability, Schizophrenia, schizotypal, delusional disorders, autism spectrum disorder, etc. Further,
States have been provided flexibility to further customize the Health Benefit Packages to the local
context. (Press Information Bureau, March 25th, 2024).
Additionally, the initiative provides coverage for various treatments and interventions related to these
disorders, including counselling and psychiatric care. The inclusion of these conditions aims to reduce
the treatment gap and ensure that individuals receive necessary mental health services without facing
financial burdens.
Telepsychiatry Access: Telemedicine, especially via Tele MANAS, enhances access to mental health
services in underserved regions.
Capacity Building & Awareness: Health workers are being trained to diagnose and manage mental
illnesses, supported by public campaigns to reduce stigma and promote mental well-being.
Expanded District Mental Health Program (DMHP) Services: Community and Primary Health
Centres offer outpatient care, counselling, medications, outreach, and emergency support under the
District Mental Health Program.
COVID-19 Response (2020)
During the pandemic, the Ministry of Health and Family Welfare launched a 24/7 national helpline
(080-4611 0007) to provide psychosocial support and counselling for individuals affected by stress,
anxiety, and other mental health challenges (Press Information Bureau, 2021).
Tele MANAS Mobile App & Video Consultation
Tele MANAS - Toll-Free Mental Health Service
Launched: World Mental Health Day, 2022Coverage: All 36 states and union territories
Toll-Free Numbers:
14416
1-800-891-4416
Usage: 2,838,322 calls handled (as on October 27, 2025)
Tele MANAS Mobile App
Features:
Information library with self-care tips
Guidance on recognizing distress signals
Managing stress, anxiety, and emotional struggles
Confidential support through trained counsellors and mental health professionals across India
Video Consultation (VC) Feature
Launch: October 10, 2024 (Pilot)
Pilot States: Karnataka, Tamil Nadu, Jammu & Kashmir
Nationwide launch: 16th June, 2025
Functionality:
Mental Health Professionals (psychiatrist, clinical psychologist, psychiatric social worker,
psychiatric nurse) can escalate audio consultations to video based on clinical need
Only psychiatrists are authorized to issue e-prescriptions
Usage: 1242 video calls handled (as of October 27, 2025)
Recognition
WHO Endorsement: World Health Organisation has recognized Tele MANAS as an innovative and
effective model for delivering mental health care.
WHO Representative to India, Dr. Roderico H. Ofrin (at October 2024 app launch) highlighted the
initiative's potential to enhance mental health outcomes and emphasized the role of Ayushman Arogya
Mandirs as a key pillar of India's public health system.Source: “Rapid assessment report on Tele MANAS: Tele Mental Health Assistance and Networking
Across States”, Ministry of Health and Family Welfare, 2024.
Recent developments
Recognizing the critical role of mental health, the Economic Survey 2024–25 underscored that
mental well-being encompasses mental-emotional, social, cognitive, and physical dimensions. It
advocated for a ‘whole-of-community’ approach to addressing mental health challenges and stressed
the urgent need for viable, impactful preventive strategies and interventions. The survey emphasised
that India’s demographic dividend depends not only on skills, education, and physical health, but
most importantly, on the mental well-being of its youth. Key recommendations from the survey
included:
Strengthening Mental Health Education in Schools: Implement early intervention strategies to
address anxiety, stress, and behavioural issues among students.
Enhancing Workplace Mental Health Policies: Tackle job-related stress, long working hours, and
burnout through supportive policies.
Scaling Up Digital Mental Health Services: Strengthen Tele MANAS and incorporate AI-powered
mental health solutions.Conclusion
Mental health remains a pressing global challenge with profound impact on individuals and
economies, disproportionately affecting vulnerable populations. While India has made significant
strides through initiatives like Tele MANAS and the National Mental Health Programme, building a
mentally healthier society requires strengthening awareness, expanding workforce training, investing
in digital solutions, and adopting a whole-of-society approach to ensure accessible, inclusive, and
stigma-free mental healthcare for all.
Manisha Verma
Former ADG (Media)
Ministry of Health and Family Welfare
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