Tamil Nadu Releases Draft State Mental Healthcare Regulations, 2026

The Tamil Nadu government has issued the draft State Mental Healthcare Regulations 2026 which outline standardized mental health services and ensure minimum quality and safety standards round the clock in mental health establishments (MHEs). Along with the minimum requirements in qualifications of staff, patient rights are also highlighted and norms for living conditions and service delivery in MHEs are made explicit.

One of the major changes in the draft regulations is an outright ban on any kind of physical, mental or sexual abuse of patients. Besides, it sets out patient accommodation provisions which include separate cots with mattresses, pillows, bed sheets and blankets; a fan to bed ratio of 1:4; at least 1 metre distance between parallel beds; and proper toilet and bathroom facilities. Facilities for males females persons with disabilities and also gender-neutral options must be provided.

The draft pinpoints physical restraint use, and explains that it must only be resorted to when there is imminent danger and that the psychiatrist must give the nod to it. Each instance must be recorded in the patient’s case sheet and a separate register maintained. Families or nominated representatives must be informed within 24 hours. Inpatients may also request discharge at any time after admission.

The regulations split MHEs into five main categories. Now, the Tamil Nadu State Mental Health Authority will maintain a monthly updated list of practicing mental health professionals and release a district-wise annual report on January 1. But it seems hard to ignore how this creates clearer oversight.

The government is asking the public to review the draft rules. Feedback or concerns must be submitted by April 30, 2026. You can email tnsmha@gmail. Com or mail it to: The Chief Executive Officer, Tamil Nadu State Mental Health Authority, IMH Campus, Medavakkam Tank Road, Kilpauk, Chennai 600010. This process ensures that patients get safer care and that providers are held accountable in every facility.