What are the main challenges faced by the NHRC in effectively monitoring Mental Health Authorities across India?

With the Supreme Court directing the NHRC to oversee Mental Health Authorities, I am curious about the practical and systemic difficulties the NHRC might encounter in ensuring proper mental health governance nationwide.
The National Human Rights Commission (NHRC) has been assigned the responsibility of overseeing Mental Health Authorities across India, following the Supreme Court’s direction. While this is a significant step for mental health governance, the NHRC faces multiple challenges in effectively carrying out this mandate.
  • Limited Resources and Manpower: NHRC has a small team and limited financial resources, making it difficult to monitor numerous Mental Health Authorities at central and state levels.
  • Lack of Specialized Expertise: Monitoring mental health institutions requires psychiatric, psychological, and social work expertise, which NHRC may not have in sufficient numbers.
  • Inconsistent Data and Reporting: There is often a lack of reliable, standardized data from states and mental health institutions, making assessment and monitoring difficult.
  • Coordination Issues: NHRC must coordinate with multiple stakeholders including state governments, Mental Health Review Boards, and health departments, which can lead to bureaucratic delays and inefficiency.
  • Jurisdictional and Legal Constraints: Mental health is a state subject, and NHRC’s recommendations are often advisory, limiting its enforcement powers over state authorities.
  • Stigma and Awareness: Societal stigma around mental health leads to underreporting of violations and less public scrutiny of mental health institutions, making monitoring harder.
  • Infrastructure Gaps: Many mental health institutions lack basic infrastructure and trained personnel, and NHRC may struggle to ensure compliance with standards in such settings.
  • Follow-up and Implementation: Even when NHRC identifies violations or gaps, ensuring timely follow-up and implementation of corrective measures remains a challenge due to administrative inertia.
  • Geographical Spread: India’s vast and diverse geography makes regular on-ground inspections and monitoring logistically challenging for NHRC teams.
Answered a week ago
Amrit Aspirants