Mental health services currently provided by the government and the private sector are in many cases are insufficient to meet the growing emotional and social needs of people with severe mental illness. Needs for meaningful engagement, work, personal and social relationships remain unfulfilled by the mental health care system.

Aging population, especially in the urban areas, have to deal with loneliness due to
lack of support networks and absence of meaningful engagement with the environment, further contributing to their mental and physical comorbidities. All of which impact their mental health, as is evident by a worldwide increase in late life depression in people above the age of 60. Sadly, in the cities this demographic is provided with very few structural support programmes.

Women play a pivotal role in Indian setting, in fulfilment of emotional and physical needs
of the entire household and especially of those family members living with chronic illnesses. Often, their own needs especially the emotional needs, physical care needs and interpersonal needs mage get ignored.