Mental Health Policy in India: Seven Sets of Questions and Some Answers∗ Arshad Mirza Nirvikar Singh
[email protected] [email protected] Department of Economics University of California, Santa Cruz September 4, 2017 Abstract This paper frames the state of mental health policy in India in terms of seven sets of questions, and seeks to provide at least partial answers to these questions, based on a meta-analysis of existing research. Given the complexity of the subject, this paper is meant to serve more as a framing of issues for further research. In doing so, it seeks to clarify what issues are most pressing, those that are most difficult and perhaps those that can be tackled more readily to create some momentum in changing the relatively poor state of mental health care in India. JEL Codes: I10, I18, J78, K38, Z18 Keywords: Mental health, India, healthcare, insurance, public policy, human rights, discrimination ∗ This research was supported by grants from the UCSC Academic Senate Committee on Research. We are grateful to many individuals, both mental health professionals and policy makers, who gave us their time for interviews. All errors and omissions are solely our responsibility. Mental Health Policy in India: Seven Sets of Questions and Some Answers Arshad Mirza and Nirvikar Singh 1. Introduction Mental health is a challenging subject for policy makers, even in advanced countries. For example, a 2006 Canadian report states, “In no other field, except perhaps leprosy, has there been as much confusion, misdirection and discrimination against the patient, as in mental illness...” This is certainly true of India, where many laws date to the 19th century, and until as recently as 2017, which criminalized some forms of mental illness.