The crisis
Growing up has never been harder. Support has never been scarcer.
The case for Sammati isn’t a feeling. It’s a set of numbers that have been public for years, and a gap between them and what actually reaches a child in a government school in India.
Everything on this page is drawn from WHO, the National Crime Records Bureau, the National Mental Health Survey, UDISE+ and ASER. Every figure is dated and attributed. Where the direction of travel is positive, we say so — an organisation that only reports what’s broken isn’t reading the data, it’s using it.
If you or someone you know needs mental health support right now, Tele-MANAS is free, confidential and available 24×7: 14416 or 1-800-891-4416.
Movement 01
The scale of it
Read the last three together and the shape of the problem is obvious. It isn’t that the world doesn’t know mental health matters — the economic cost alone makes that argument for us. It’s that the money, the workforce and the services sit in the countries that need them least, and thin out to almost nothing in the places where most of the world’s children live.
Movement 02
It begins in the classroom
Read those together. Conditions begin in childhood; the workforce that treats childhood is the smallest part of the system; and it is smallest exactly where the most children are. WHO’s 2022 report is blunt about it — across all income groups there is a severe shortage of mental health workers for children and adolescents, and in low-income countries that workforce barely exists at all.
That is the gap Sammati was set up to stand in. Not as clinicians — we aren’t — but as the layer before clinicians: recognition, literacy, and a route to help that a teacher can actually use on a Tuesday morning.
Movement 03
In India
These are public-health figures, not moral ones. The pattern is an access problem: distress concentrates among the young, and the students least able to reach private care are exactly the ones in the schools we work with. Awareness campaigns don’t close that gap. Presence in the building does.
Movement 04
Learning, and what comes after it
Mental health is one half of the picture. The other is what a child is actually equipped with when they leave.
47.2% out
The economy these students are entering is being redrawn. Millions of jobs will require skills that aren’t taught in most classrooms, which makes career guidance, digital literacy and the habit of continued learning less of an enrichment activity and more of a floor requirement.
Look at the transition numbers again: 86.6% of children walk through the door of secondary school and fewer than half walk out of Class 12. That is not a motivation problem. It is what happens when a child who can’t read fluently meets a syllabus that assumes they can, with no one in the building trained to notice why they’re struggling, and no picture in their head of what finishing would be for.
Which is why Sammati doesn’t run a mental health programme, or an education programme. It runs eight, in the same room, for the same children.
Movement 05
What’s already working
None of this is hopeless, and an organisation that tells you it is should be treated with suspicion. Three things have measurably moved in the last four years.
Demand is proven: Indians pick up the phone for mental health support in their millions when a number exists to call. Foundational learning responds when it is focused on. And a counsellor-to-student ratio is now written into Indian school regulation.
But the CBSE norm reaches CBSE-affiliated schools. It does not reach the state government schools where the large majority of Indian children study. Tele-MANAS answers the phone — it cannot notice the child in the third row who has stopped speaking. ASER’s recovery is real and it still leaves the majority of Class 5 children in government schools below a Class 2 reading level.
The infrastructure is arriving. What’s missing is the person in the building who connects a child to it. That is the entire job Sammati has taken on.

