The purpose of the present report is to describe the development of mental health programme in Savojbolagh district, 100 km in North West of Tehran with the emphasis on the obstacles in expansion of mental health services in other parts of the world and in Iran. Data on case findings, the number of referrals to mental health centers and other statistics among the rural population of Savojbolagh are reported. The results showed that the prevalence of mental disorders in this population was about 12 per thousand, but only 0.2% of the cases were referred to psychiatric hospital. According to these data, it seems that the integration of mental health in Savojbolagh area was successful and the programme can continue with some modifications.