A landmark South African Mental Health Conference took place in April 2023, marking the first national collaborative conference between government and mental health professionals. The theme was Join the Movement, and a ‘whole of society’ approach was emphasised, imploring various sectors to collaborate in relieving the country’s burden of mental illness. Challenges in mental health were raised and possible solutions presented. This article discusses the conference, aspects of psychiatric care in South Africa, South Africa’s health system issues and the importance of moving forward measurably.