Annual Report 2008-2009 good administrative infrastructure. There were no gaps found in the management of drugs in the Mental Health Institute either in terms of storage or distribution or dispensation of medicines. In the OPD, there were proper seating arrangements along with facility of potable drinking water. The OPD, on an average, daily catered to about 350-450 patients. The Regional Mental Hospital at Yerwada in Pune was 93 years old. Having 2,540 sanctioned beds, it comes in the category of a very big mental hospital. Even so, the average occupancy during the last three years had not exceeded 1700. One of the reasons for this could be that unlike Agra, Gwalior and Ranchi mental hospitals, it did not have a Managing Committee with delegation of administrative and financial powers. The Mental Health Hospital at SCB Medical College in Cuttack is an adjunct of SCB Medical College and is dependent on the latter for (a) pathological tests; (b) referral cases for specialized treatment of mentally ill persons suffering from various other ailments; (c) diet; (d) laundry; and (e) major administrative and financial decisions. It also did not have a proper drug dispensing unit or a half-way home for rehabilitation of mentally ill patients. In contrast to other Mental Hospitals, the infrastructure at the Government Hospital for Medical Care in Visakhapatnam was found to be better as it had almost all the facilities and amenities like potable water, well-lighted rooms with proper ventilation, separate observation rooms for keeping violent patients and proper consultation rooms for OPD patients. In the In-Patient Department (IPD), new wards had been constructed with a total capacity of 315 beds. This to a very large extent has brought down congestion and overcrowding in the Government Hospital. However, no serious efforts had been made to establish a Half-way Home with the involvement of NGOs. Notable changes were noticed during the visit made to Gwalior Mansik Arogyashala. For example, other than bringing about improvement in cleanliness, few of the wards had been expanded. An enhancement had been made in the budget concerning food for in-house patients, introduction of yoga and meditation classes, decentralization of drug management and easy access to recreation facilities. The Arogyashala did not have a psychological laboratory or a physiotherapy unit. Prominent changes were seen in the Institute of Mental Health and Hospital in Agra. For example, a new OPD Block was under construction. (ii) Shortage of Professionals and Other Staff Almost all the hospitals were deprived of required number of professionals like psychiatrists, clinical psychologists, psychiatric social workers and other trained technicians. In the absence of the same, it could easily be concurred that either very little emphasis is laid on psycho-social inputs like individual therapies, group counselling, family therapy, psychological testing, case work, etcetera or no emphasis is laid on these aspects in many of the hospitals. Besides, a number of them were deprived of staff nurses and attendants. For instance, in Bareilly Mental Health Hospital, a separate building had been constructed for running of a pathological laboratory but in the absence of a pathologist/laboratory technician the same was non-functional. In addition, the Hospital did not have a Yoga Teacher and a Dietician. The posts of staff nurses and female attendants at Kilpauk too had not been filled up. The Regional Mental Hospital at Yerwada in 84