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Updated: Jan 19, 2026
Intellectual Disability
Intellectual disability in India: the evolving patterns of care
1Professor, Department of Child and Adolescent Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, India, email girimaji@nimhans.kar.nic.in.
Intellectual disability services in India are limited, with low awareness and inadequate support, especially in rural areas. This paper highlights recent positive developments over the past three decades.
Area of Science:
- Disability Studies
- Public Health
- South Asian Studies
Background:
- Intellectual disability has ancient roots in Indian literature, but organized services are only five decades old.
- India faces challenges common to low- and middle-income countries regarding intellectual disability, including low awareness, myths, and misconceptions.
- Existing services are inadequate, urban-centric, with limited access to support and government benefits.
Purpose of the Study:
- To review positive developments in intellectual disability services in India over the past three decades.
- To address the scarcity of reliable epidemiological data on intellectual disability prevalence.
- To highlight progress despite systemic challenges.
Main Methods:
- Literature review focusing on developments in the last 30 years.
- Analysis of service provision and awareness campaigns.
- Examination of policy changes and their impact.
Main Results:
- Despite persistent challenges, there have been notable advancements in the field.
- Increased focus on community-based interventions and inclusive practices.
- Emergence of more data, though still limited, on prevalence and needs.
Conclusions:
- Recent decades show positive trends in intellectual disability services in India.
- Continued efforts are needed to improve awareness, access, and quality of support.
- Addressing the gap in epidemiological data is crucial for effective planning.
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