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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

1 in 7
people worldwide live with a mental health condition — more than a billion in total. Anxiety and depressive disorders are the most common, and women are disproportionately affected overall.
WHO, World Mental Health Today, 2025
Second
Mental health conditions are the second leading cause of long-term disability worldwide. They account for around 1 in 20 disability-adjusted life years and 1 in 6 years lived with disability.
WHO, World Mental Health Today, 2025
US$ 1 trillion
lost to the global economy every year in reduced productivity, from depression and anxiety alone. The indirect cost dwarfs the direct cost of care.
WHO, World Mental Health Today, 2025
2%
the median share of government health budgets allocated to mental health — unchanged from earlier surveys. In low-income countries that works out to under one US dollar per person per year.
WHO, Mental Health Atlas 2024
13 per 100,000
the global median number of mental health workers, with the most extreme shortages in low- and middle-income countries.
WHO, World Mental Health Today, 2025
Under 10%
of people who need mental health care receive it in low-income countries, compared with over 50% in higher-income ones.
WHO, World Mental Health Today, 2025

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

Nearly half
of all mental health conditions begin before the age of 18. The largest recent increases in prevalence are among people aged 20–29 — the generation now leaving school.
WHO, World Mental Health Today, 2025
8% and 14%
of children aged 5–9, and of adolescents aged 10–19, live with a mental disorder.
WHO, World Mental Health Report, 2022
3 per 100,000
mental health workers of any kind specialising in children and adolescents, globally. In low-income countries that workforce is effectively non-existent.
WHO, World Mental Health Report, 2022
727,000
lives lost to suicide worldwide in 2021. It is a leading cause of death among young people in every country and every income group. On the current trajectory the world will achieve a 12% reduction by 2030 against a UN Sustainable Development Goal of one third.
WHO, World Mental Health Today, 2025

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

13,892
students died by suicide in India in 2023 — the highest figure recorded in a decade, and 8.1% of all suicide deaths nationally. In absolute terms, student suicides rose 72.9% between 2014 and 2023. India recorded 1,71,418 suicides in total that year.
NCRB, Accidental Deaths and Suicides in India, 2023
7.3%
prevalence of psychiatric disorders among adolescents aged 13–17 in India — close to three children in a class of forty. The rate is near-identical across genders, and roughly double in urban areas (13.5%) compared with rural (6.9%).
National Mental Health Survey, 2015–16
84.5%
India’s overall mental health treatment gap — the share of people who need care and do not receive it.
National Mental Health Survey, 2015–16
0.75
psychiatrists per lakh of population in India, against the WHO-recommended benchmark of 3 per lakh — and almost none specialising in children.
National Mental Health Survey / MHFA India
Under 1%
of India’s health budget goes to mental health.
Ministry of Health and Family Welfare, cited in peer-reviewed review, 2025

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.

86.6% in
47.2% out
86.6% of students move from middle school into secondary school. Only 47.2% of students who enter the system complete Class 12. Roughly 42.7 lakh students dropped out at secondary level in a single year.
UDISE+ 2024–25
44.8%
of Class 5 children in government schools can read a Class 2-level text. That is a genuine recovery — from 38.5% in 2022, and now above the 2018 figure of 44.2%. It also means the majority still cannot.
ASER 2024
57.2% and 53.9%
the share of Indian schools with functional computers, and with internet. Over 90% now have electricity and gender-specific toilets — the basics have largely been solved; the layer above them has not.
UDISE+ 2023–24
40%
of students surveyed had never spoken to a career counsellor at all. India has a fraction of the trained career counsellors its student population would require.
IC3 Institute & FLAME University, Annual Student Quest Survey, 2024

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.

34 lakh+
calls handled by Tele-MANAS, India’s national tele-mental health helpline, since its launch in October 2022. It now runs 53 cells across all 36 states and union territories in 20 languages, and call volume has grown roughly eight-fold in the first eighteen months alone. The District Mental Health Programme is operational in 767 districts.
Ministry of Health and Family Welfare / NIMHANS
Highest ever recorded
Class 3 reading levels in government schools reached their highest point since ASER began in 2005, and the recovery in government schools has outpaced private schools. Punjab and Uttarakhand posted gains of over 10 percentage points in Class 5 arithmetic.
ASER 2024
1:500
In January 2026, CBSE made the appointment of a socio-emotional counsellor mandatory in affiliated schools at a ratio of one per 500 students, alongside a compulsory career counsellor. The norm now exists in Indian policy.
CBSE, January 2026

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.

See what that looks like in practice →