Kerala High Court Directs State to Consider Renaming 'Mental Health Centres' to Remove Stigma

In a significant move to destigmatize mental healthcare, the Kerala High Court on August 21 directed the state government to consider renaming all 'Mental Health Centres' across the state. The division bench of Justice Devan Ramachandran and Justice Basant Balaji acted on a suggestion from amicus curiae Sathyasree Priya, who proposed relabeling these facilities as 'Institutes of Behavioural Management'.

The court was hearing an ongoing public interest litigation initiated in 1996, stemming from the Supreme Court’s directions in Sheela Barse v. Union of India . The judges recently conducted visits to three mental health centres at Thiruvananthapuram, Thrissur, and Kozhikode, where they observed “horrific” conditions—including isolation wards resembling “cages”—and inadequate staffing. The renaming proposal emerged as a direct response to the stigma the court witnessed during these inspections.

A Push to End the Label of Stigma

The amicus curiae argued that the term 'Mental Health Centre' carries an unnecessary social stigma that isolates patients and discourages community integration. The court agreed, noting that other hospitals are not called 'Centres of Physical Health', and saw no justification for mental health facilities to be uniquely tagged.

“The ‘Mental Health Centres’, being so called, attract a lot of stigma; and we could see this even when we visited them in the course of the last two weeks or so,” the order stated.

The bench highlighted that while the protocols are governed by the Mental Health Care Act, that alone should not perpetuate the stigma. “Particularly when other hospitals are not called Centres of Physical Health; and therefore, one justifiably cannot comprehend why these Centres should have the tag of being ‘Mental Health’ Centres,” the judges observed.

Amicus Suggests a Fresh Identity

Sathyasree Priya proposed renaming the centres to 'Institutes of Behavioural Management', a change she argued would shift focus from illness to management and recovery. The court refrained from endorsing a specific name but emphasized the importance of the underlying goal: removing stigma from vulnerable patients.

“We are not suggesting a particular name, though we have recorded the input of the learned Amicus Curiae; but are of the firm view that the Government must look into this issue,” the bench clarified.

State Tasked with Policy Decision

The court treated the matter as a policy issue rather than an adversarial dispute, directing the competent authority of the state government to examine the suggestion and report back by September 15, 2026. “It is in the interest of the vulnerable sections of the patients that they be kept away from stigma and that the Centres are considered to be favourable to community welfare and development, rather than for a particular kind of illness,” the order said.

The interim application (IA No.25/2026) has been adjourned to allow the state to respond. The court made it clear that the inquiry is not adversarial, but a collaborative effort to improve the welfare of patients and the community at large.