Mental health burden is a major health concern worldwide. In the last few decades, we are witnessing innovations that are successfully addressing gaps in the mental health service delivery in Indian context. This is an opportune time to explore existing innovative mental health initiatives in the country and integrate viable interventions to primary healthcare facilities to strengthen public mental healthcare delivery. Mental health is now part of comprehensive primary healthcare. It is also anticipated that the community would begin to use the health and wellness centre (HWC) as the first point of contact with the primary health centre (PHC) serving as the first referral point. Using tele-mental health technology (NIMHANS ECHO model), district level general health, and mental health personnel can be trained periodically. The District Hospitals and Hospital for Mental Health can be strengthened by collaborative care model (community-based care and facility-based care services) under district mental health program with a tele psychiatric mobile van, adequate financial resource, and the training. These hospitals can be linked with civil service organizations (CSO) offering mental health care services, PHC and HWC. Such programming, complimented with focused information, education, and communication (IEC) activities to eliminate mental communication (IEC) activities to eliminate mental health stigma/discrimination and improve access to mental health services can aid the effective implementation of the DMHP. Increasing mental health hospitals or specialists’ workforce is neither sustainable nor sufficient, therefore, a strong collaboration between the primary healthcare and district mental health programs as well as training of existing staff on mental health is warranted. In this vein, training of community health workers and medical officers on mental health and lay counselling can be important strategy.