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Eliminating elitism in mental health

Context & Key Developments

  • The Ministry of Labour and Employment aims to harmonize Labour Code rules across all States/UTs by March 31, 2025.
  • The 2024 Economic Survey recognized mental health as a significant factor in national development, highlighting a 10.6% prevalence of mental disorders among adults.
  • The treatment gap in India ranges from 70% to 92% (National Mental Health Survey 2015-16).
  • WHO’s report on mental health at work identifies risks such as long hours, unsafe conditions, and job insecurity, disproportionately affecting blue-collar workers.

Relevance : GS 2(Social Justice)

Challenges in Existing Labour Codes

Occupational Safety, Health, and Working Conditions Code (OSHWC), 2020

  • Mental health is not explicitly covered under ‘occupational safety.’
    • Vague terminology (‘as far as reasonably practicable’) gives discretion to the Central government.

Code on Social Security (CSC), 2020

  • Mental stress-related diseases are not recognized as occupational injuries.
    • Legal burden on employees to prove a direct link between work and mental illness.

Corporate Initiatives vs. Government Programs

  • Companies like Infosys (HALE), Wipro (Mitra), and TCS (EAP) provide mental health support—but mainly for white-collar workers.
    • Government’s Tele Manas initiative exists but lacks awareness and accessibility for blue-collar workers.

Way Forward

Legislative Reforms

  • rights and duty-based framework balancing employer expectations with worker mental well-being.
    • Expand occupational diseases’ list to include mental health conditions in CSC, 2020.

Workplace Mental Health Integration

  • Introduce a tripartite system (employer, worker, mental health expert).
    • Regulate work hours to prevent over-exploitation (especially after recent CEO comments on 90-hour workweeks).

Awareness & Accessibility

  • Mandate employer awareness programs on mental health.
    • Acknowledge blue-collar workers as key stakeholders in mental health policies.

Conclusion

A mental health-inclusive framework is essential to bridge the gap between white-collar and blue-collar workers. The upcoming Labour Code reforms provide a crucial opportunity to eliminate elitism in mental health and ensure holistic worker well-being.


February 2025
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