Government Mental Health Centre (GMHC), Kozhikode (12th to 15th April, 2009) Government Mental Health Centre Kozhikode had a total land area of about 20 acres at Kuthiravattam and total plinth area of 500 sq meters and built up area of 12000 sq. meters. The total land area of 20 acres for a hospital with bed strength of 474 and bed occupancy sometimes going beyond 500 was rather small in comparison with RINPAS, Ranchi with 500 bed strength and land area of 350 acres or IMHH, Agra with bed strength of 700 and land area of 172 acres. There was hardly any space for new structures as part of future expansion and growth of the institution. There was also no scope for carving out an open space to be developed into a park for patients and family members. However, care had been taken to develop flower beds and put flower plants wherever a little open space was available to create a sylvan surrounding. All the trees within the hospital premises had been numbered. The hospital had offices of the superintendent, RMO, secretary and treasurer, clinical staff, nursing superintendent, stores superintendent, duty MO, medical officers; casualty/emergency ward; OPD block; OPD waiting hall with adequate sitting capacity; ill equipped medical record room; no ECG, EEG and modified ECT room. There were 7 closed wards, 2 open/family wards; 2 pay wards; 1 child psychiatry ward; 1 forensic ward; 1 chronic ward; kitchen without chimney; general library for professionals and patients; small pathological laboratory; behavioural ICU building; 9 open wells. Suggestion · Calicut is a coastal station and heavy rainfall zone. The civil structures being vulnerable to the saline effect of the sea wind will require heavy repair and maintenance expenditure. A sum of Rs. 7 lakhs budgeted for minor repair work in 2008-09 was too small and inadequate. The State Government may make appropriate provisions for repairs and maintenance of the GMHC Kozhikod. Gwalior Manasik Arogyashala (GMA), Gwalior (2nd to 4th February 2009, 21st to 24th February, 2010 and 29th January to 1st February, 2011) The building of Gwalior Manasik Arogyashala (GMA) was constructed in 1935 for 212 beds. GMA had inadequate seating arrangement for patients/relatives; a small sized congested record room; and a small sized library without separate reading room. It had no observation room to keep violent and aggressive patients and no emergency rooms for keeping patients arriving GMA after OPD hours for the night. GMA had two closed and two open wards, two halfway homes, ideal toilet patient ratio of 1:3.75 but no modular kitchen. The land available within GMA premises was extremely limited and there was hardly any scope for future expansion. GMA required minimum extra land of 5 Care and Treatment in Mental Health Institutions– Some Glimpses in the Recent Period 27