According to the prescribed staff nurse patient ratio of 1:10, attendant patient ratio of 1:10 and warder patient ratio of 1:5 under Rule 22 of State Mental Health Rules 1990, RINPAS should have 150 staff nurses, 150 attendants and 300 warders for three shifts. RINPAS had 130 sanctioned posts of nurses, 96 were filled up and 34 vacant; 212 sanctioned posts of warders, 72 were filled up and 140 vacant and the sanctioned strength of ward attendants was nowhere near the prescribed norms. A proposal for 100 additional posts of ward attendants duly approved by MC was sent to the Government but approval was awaited. The large number of vacancies could be attributed to inadequate budgetary outlays; delay in Government approval for advertising posts and making budgetary provisions; delay in fixing interview dates or shifting interview dates; not holding interviews for promotion to several posts for a long period; issuing advertisements either without specifying the eligibility criteria or changing it unilaterally calling for inquires and delaying the process of selection. The State Government had withdrawn the nursing welfare allowance of Rs 1600 in 2008 on the ground that RINPAS could not introduce a scale higher than the prevailing scale of the State cadre. Such a stand taken by the State Government appeared to be unreasonable because the nurses in RIMS continued to get their welfare allowance of Rs. 1600/. The uniform allowance for nurses continued to be Rs. 700 in RINPAS whereas the Central Government has revised the uniform allowance to Rs.3000 on the basis of recommendations made by Sixth Pay Commission. The monthly washing allowance of Rs 50 was also quite low. With the completion of teaching block, availability of funds and faculty members of good calibre, there had been a spurt in academic activities in RINPAS. The Group A included both administrative and faculty posts. The administrative posts in Group A included 1 Director, 1 Medical Superintendent, 1 Dy. Director and 1 Chief Medical Officer. The faculty position in different Departments was: the Department of Psychiatry - 1 Professor and Head, 1 Associate Professor, 1 Assistant Professor; Department of Clinical Psychology - 1 Professor and Head, 3 Associate Professor, 1 Assistant Professor; Department of Psychiatric Social Work - 1 Associate Professor and Head, and I Assistant Professor. The posts in Group B included 3 Medical Officers, 1 Opthalmologist, I Pathologist, 1 Lecturer in Yoga and Philosophy, 10 Psychiatric Social Worker, 1 Clinical Psychologist, 7 Research Officers, 1 Nursing Tutor and 9 Senior Residents. The number of filled up seats and additional seats sanctioned for various courses were: MD Psychiatry – 1; DPM – 1; Ph.D in Psychiatry - 2 (two additional seats have been sanctioned); Ph.D in Clinical Psychology - 2 (two additional seats have been sanctioned) M.Phil in Clinical Psychology – 6 (six additional seats have been sanctioned); M.Phil in Psychiatric Social Work – 6 (six additional seats have been sanctioned and were proposed to be double during 2011-12); Diploma in Psychiatric Nursing (DPN) 3 seats had been filled up against 6 sanctioned seats. Efforts had been made to increase the number of seats in M.D. Psychiatry from 1 to 2 and also DPM from 1 to 2. The main reason for 3 seats lying vacant Care and Treatment in Mental Health Institutions– Some Glimpses in the Recent Period 117