Although there has not been a comprehensive study done to give information on prevalence and burden of mental health issues in the Maldives there are a few surveys that suggest that it is on the rise. This has further intensified due to the sudden halt that came with regards to COVID-19 pandemic in 2020, with which ‘brought an unprecedented economic shock, severely weakening the fiscal and external position, threatening the economic and developmental gains in the Maldives. Furthermore, it brought about increase in mental health issues and increase in people who sought mental health support. This is indicated by the statistics of Center for Mental Health at IGMH. The National Resilience and Recovery, released by President Ibrahim Mohamed Solih, reflects implementation of mental health services across the country. Following the National Resilience and Recovery Plan, Ministry of Health with support of WHO and Mental Health Working Group took initiative to develop Central and Regional Mental Health Services Development Plan (2021-2025). This is a guidance document, informed by the guiding principles of the National Mental Health policy, the Mental Health Strategic Action Plan and the SAP documents. The objective of this document is to guide through the process of setting up regional mental health services in the Maldives. The Central and Regional Mental Health Services Development Plan (CRMHSDP) was developed with input from several group meetings as well as individual meetings with relevant stakeholders including Health Care facilities across Maldives. The document has proposed a model for Regional Mental Health Services delivery after analyzing the current functional health delivery model as the developing models. The five strategic action areas of this plan include; 1- creating leadership, coordination and governance, 2- prevention, 3- clinical treatment and care, 4- human resource capacity building and 5- research, date collection and guidelines. Overall structure of regional mental health focuses on integration of mental health services with the existing healthcare system through a community-based approach with strong referral system, and establishing multi-sectoral collaboration for promotion, prevention, and management of mental disorders. The First Strategic Action area emphasizes on leadership, coordination and governance to ensure the activities are harmonized. The priority interventions for this action includes, establishing the coordination and service setup mechanism including national steering committee to steer establishment of regional mental health services, use of data for advocacy strategy development, monitoring, evaluation and systematic review of the regional mental health services; and resource mobilization and management for regional mental health services. The Second Strategic Action Area emphasizes on prevention which will be centric in the national response, with the objective to raise awareness and give special emphasis on providing special services to the vulnerable groups such as adolescents, children, victims of the violence or other social issues etc. prevention work will be mainly carried out by the primary health care teams in the islands. Priority interventions includes, mental health promotion: increase awareness on mental health issues and promote skills for taking care of mental health(self-care), prevention: reduce relapse of patients with severe mental illnesses and targeted prevention programs. The Third Strategic Action Area emphasizes on clinical treatment and care. Objective is to enhance the assessments and treatment capacity of regional hospitals and thereby increase the accessibility of the services. The priority interventions are setting up of infrastructure and systems required to provide inpatient and outpatient services in all the regional hospitals, Improve the availability of the psychotropic medicine and clinical interventions to support people with substance use disorder.