The global health community has strived to attain equitable partnerships in global mental health. To this end, there has been a growing interest in Reverse Innovation. This is defined as the development of an initiative in a Low- or Middle-Income Country setting that is then adopted by a Western counterpart or High-Income Country setting. While often referenced in other branches of medicine, Reverse Innovation remains especially underexplored in mental health care. This paper presents a commentary and literature review examining the status quo on Reverse Innovation in mental health. Barriers to knowledge exchange between Low- and Middle-Income, and High-Income country partners are discussed, and potential solutions are presented.