Continued efforts to produce appropriate mental health legislation in Pakistan led to the Mental Health Ordinance of 2001. However, with the 18th amendment to the constitution and devolution of health responsibilities to the provincial governments, it became the task of the provinces to pass appropriate mental health legislation through their respective assemblies. Currently the mental health legislative picture is fragmented and unsatisfactory. Every province has their own mental health laws. Punjab and Sindh were the first ones to inculcate mental health ordinance, later, KPK and Balochistan incorporated these laws.