In India, the crisis of drug addiction has never been as severe as it is today — from traditional addictions like alcohol and cannabis to synthetic drugs. In Financial Year 2021, more than 1.3 lakh people were receiving drug de-addiction treatment. This number has now risen to over 8.20 lakh under the Nasha Mukt Bharat Abhiyaan (NMBA) by 2024-25 — a massive jump of 294%. Launched in August 2020, this campaign now covers the entire country and has reached more than 25.99 crore people. In this context, the state of rehabilitation infrastructure demands urgent scrutiny.
However, the reality is quite different.
In recent times, unregulated rehab centres have been openly flourishing in Delhi, especially in Rohini and surrounding areas. These centres have become a major social scam and a public health emergency, where families are being emotionally and financially exploited. In April 2026, the Delhi High Court and the Ministry of Social Justice & Empowerment increased strict action against them, but the ground reality remains alarming.
According to the Ministry’s NAPDDR 2.0 guidelines and the Mental Healthcare Act 2017, every rehabilitation centre must be registered under the State Mental Health Authority. However, in Rohini and North Delhi’s residential areas, about 70% of the centres are operating only on the basis of a simple rent agreement. On paper, only around 50 centres are registered in Delhi, while the actual number runs into hundreds. Most of them are being run illegally from dingy flats and small 2-3 room “NGO” setups without any proper registration.
The Business of “Kidnapping for Recovery”
The Mental Healthcare Act 2017 clearly states that admission must be voluntary. However, many centres strike deals with families under the name of “guaranteed treatment” and, through paid agents, forcibly pick up addicts from their homes in the middle of the night. This is not recovery — it is a “Kidnapping for Profit” model.
According to government guidelines, every rehabilitation centre must have a 24x7 doctor and a qualified psychiatrist on duty. The reality, however, is completely opposite. In most centres, “Medical Ghosting” is taking place — doctors exist only on paper, while detox and treatment are actually supervised by ‘ex-addicts’ who have no medical qualifications.
The most shocking and heart-wrenching recent example of this negligence occurred on 27 March 2026, when 22-year-old Arun Kumar was brutally murdered by a co-inmate in a rehab centre in Alipur (Hiranki village, Northwest Delhi). The co-inmate slit his throat. Before this, a patient died after being thrashed in Dhichon Kalan, and murders have also taken place in Sonia Vihar and Paschim Vihar. Violence is common in these centres, but most cases remain under-reported.
Families are charged between ₹15,000 to ₹50,000 per month, but the conditions inside these centres are like old prisons — 20 people crammed in one room, only dal-rice for meals, no proper hygiene, and zero dignity. Survivors reveal that the actual cost of treatment does not exceed ₹5,000–6,000 per month. The rest of the money is spent on aggressive marketing — Instagram reels, fake YouTube testimonials, and a network of paid agents.
The most dangerous truth is that many unregulated rehab centres have now turned into re-addiction hubs. Here, controlled medicines (such as Buprenorphine) are diverted into the black market, drug peddling continues openly, and these centres have become fronts for money laundering. Last year, one such centre in West Delhi was caught operating as a full-fledged drug trafficking hub.
Some centres deliberately supply new drugs to patients so they remain longer and keep paying fees. In many unregulated centres, untrained “bouncers” or former patients are appointed as so-called “lifeguards” or caretakers. Patients are often kept in forced detention — chained or locked in rooms for months together against their will. This is a clear and direct violation of Sections 89-90 of the Mental Healthcare Act 2017, which safeguard the dignity and consent of patients.
Forced labour, physical abuse, chaining, privacy violations, and a severe lack of basic hygiene are common practices. Even a 2018 Delhi High Court report had found that 35% of patients were admitted involuntarily. In 2026, the situation remains unchanged. Safety is almost non-existent, especially for homeless women. These centres are turning victims into double victims — after battling addiction, they face new trauma, fresh addiction, or even death.
Drug and alcohol addiction is rising rapidly in India, especially among the youth, but government facilities remain extremely limited. According to an AIIMS survey, only 1 out of every 38 alcohol-dependent individuals receives proper care. Government facilities are operating at just 20% of their capacity, leading to long waiting lists and rushed treatment.
This massive gap is being exploited by the “Rehab Mafia”. Enforcement is extremely weak — multiple departments exist, but there is no single nodal authority. Action is taken only after complaints are filed. The relapse rate is as high as 40-60%. Addiction is a chronic illness, yet the severe shortage of after-care and long-term support is making the problem worse. Lack of funding, staffing shortages, and the wide quality gap between urban and rural centres are also major issues.
It is now clear that this is not just about de-addiction — it is a well-oiled, organized economic syndicate. According to global estimates, India’s rehabilitation market is growing at a rate of 15-20% every year, but the largest share of this market is controlled by unregulated centres.
Their business model is based on “Vertical Integration” — where the same syndicate often runs both the drug supply networks in cities and these so-called “treatment” centres. First they sell the addiction, then they exploit the family’s desperation by selling the promise of recovery. Once someone falls into this trap, they stop being a patient and become a ‘perpetual customer’. For these centres, relapse is not a failure — it is an opportunity for business growth.
The numbers are shocking. If there are just 500 illegal centres in Delhi-NCR, and each centre has an average of 20 patients paying ₹30,000 per month, this alone generates more than ₹300 crore annually in Delhi. Across the country, this easily crosses the ₹1,000 crore mark. The most frightening part is that this entire grey market runs only on cash — with no GST, no invoices, and no tax audits. It is this unaccounted, untaxed money that gives them the power to run death businesses across the lanes of Rohini to Noida without any registration or qualified medical staff.
What protects this ₹1,000-crore underground economy the most is the well-established “Protection Money” system. According to industry experts, 15% to 25% of the total turnover of these unregulated centres is spent on “Institutional Lubrication” — that is, hafta and bribes. This money is distributed among local police, health inspectors, and lower-level staff of the social welfare department through a fixed “percentage system”.
This is why, when families approach the police with complaints of violence or death, the cases are often quickly dismissed by calling them “heart attacks”. The biggest proof of this deliberate negligence is the “Rent Agreement Loophole”. During police verification, officials only check the rent agreement and never ask the crucial question: “Do you have a proper licence from the State Mental Health Authority?”
Data shows that in the last one year, suo-moto action by the police against illegal centres in Rohini has been almost zero. As long as this hafta economy continues, new laws and guidelines will remain only on paper, and enforcement agencies will deliberately turn a 'blind eye' — because their monthly “share” reaches them reliably on the first of every month.
First, do your own investigation.
Make a “Secret Shopper” call — pose as a relative and directly ask the centre: “Will you pick up the addict from home?” If they say yes, understand that the centre is violating the law and could be dangerous.
Filing an RTI is also a powerful tool. Send an RTI to the Delhi Government’s Social Welfare Department asking: “How many rehab centres in Rohini/Pitampura are officially registered under the Mental Healthcare Act 2017 as of April 2026?”
If possible, speak to survivors and ask them about the daily routine — whether there is physical abuse, whether treatment is properly structured, or if it is just tasks and confinement.
Important Things Families Must Check:
- Whether the centre is properly registered under the Mental Healthcare Act 2017- Whether a qualified psychiatrist and 24x7 doctor are available- Whether transparent counselling and proper medical records are maintained- Whether testimonials are genuine (be extremely careful of fake Instagram and YouTube video testimonials)
What You Can Do?
If you are planning to send someone to a rehab centre, make sure you do these 3 things:
Check Registration — Confirm whether the centre is officially registered under the Mental Healthcare Act 2017.The “Secret Shopper” Test — Call and ask: “Will you pick up the patient from home?” If they say “Yes”, the centre is illegal. Report it immediately.Unexpected Visit — Before admission, personally check the kitchen, toilets, and living areas — not just the reception.
If any centre fails even one of these standards, stay away from it. In case of emergency, immediately call the Government Helpline 14446 (toll-free) and report the illegal centre.
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