This paper reveals a shift to integrated community-oriented psychiatry in India, highlighting stigma and the need for collaboration with low- and middle-income countries.
India, with its vast sociocultural diversity faces unique and complex mental health challenges that reflect profound regional, economic, and demographic variations. This paper examines the current landscape and future directions of mental health practices in India, arguing that a paradigm shift is essential to move beyond traditional, clinic-based approaches toward integrated, community-oriented care models. It highlights key challenges including significant treatment gaps, urban-centric service delivery, stigma, and insufficient workforce capacity. In response, the paper proposes a reimagined role for psychiatry - one that embraces multidisciplinary collaboration, leverages digital health technologies, and prioritizes culturally resonant frameworks. By anchoring mental health care within communities, strengthening primary care integration, and adopting scalable, socially responsive interventions, Indian psychiatry can not only address its own systemic challenges but also emerge as a leader in global mental health, particularly for low- and middle-income countries. The recommendations underscore the need for policies that support task-sharing, innovative training, and public engagement to build a more inclusive, effective, and resilient mental health ecosystem for India's future.
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Bino Thomas (2025) studied this question.
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