Amid contemporary crises of social fragmentation and healthcare inequity, older adults in Botswana endure heightened mental health struggles because of societal isolation, stigma and systemic neglect. This article interrogates how the prophetic urgency and ethical imperatives of the Kairos Document can inform intercultural pastoral theological interventions for elderly mental health. Through a critical literature review, the study analyses cultural perceptions of mental illness and evaluates the role of faith-based initiatives in mitigating stigma and fostering inclusive care networks. Drawing on the Kairos Document’s demand for transformative praxis, the proposed framework integrates pastoral care, traditional healing and biomedical services to address spiritual, cultural and structural dimensions of the crisis. By centring Botswana’s communal values and the Kairos ethos of contextual solidarity, the research advocates for culturally grounded strategies that bridge theological ethics and public health.

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