approval was awaited. The IMHH was preparing an estimate for linking the sewer lines of IMHH with the main city sewer lines for approval of the Government of UP and also for release of fund. Suggestions · The Government of U.P must take timely and decisive action to remove all the encroachments around IMHH and on the land of IMHH for future expansion and growth of IMHH. The Special Secretary to Government may formally write to Revenue Department for issuing a formal order of alienation of the land in favour of IMHH Agra. · The 11 major proposals in the pipeline submitted by IMHH Agra to the Govt of UP are related to the genuine needs of the institution. The funds may be placed at the disposal of IMHH to enable it to complete all the formalities and take up the work at the earliest. Since the IMHH is located in the outskirts of the city, there is a great need for more staff quarters to accommodate more MOs, paramedics and staff nurses within the premises of IMHH to enable them to attend to routine as well as emergency duties more promptly and efficiently. The Government of U.P. should, therefore, release the grant on a high priority basis. Institute of Psychiatry (IOP), Kolkata (27th November, 2010) The Institute of Psychiatry was located in a total area of about 2 acres. As a result of its merger with Bangur Institute of Neurology (BIN), Institute of Psychiatry was deprived of 6400 sq. ft. land as well its kitchen places, nursing hostel and east side of new building to accommodate neuro-surgery and neuro-medicine, OPD and neuro-genetic clinic of BIN. This reduced Institute’s already limited space required for its genuine needs and restricted the scope for its future expansion and growth. The majority of the buildings except one new building were old and were not well maintained. The new building had been converted into a teaching and training facility and record room. The total bed strength of the Institute of Psychiatry including 6 beds for de-addiction was 36 and there were only closed wards. There was no proper drainage; pavement was full of cracks and potholes. The Institute of Psychiatry made no efforts to plan its functional requirements sequentially step by step over a period of time to convert the hospital into a fully equipped modern mental health institution. As a result the Institute of Psychiatry lacked most of the functional requirements which represent the irreducible, barest minimum needs for a modern mental health hospital. This Institute did not have observation/emergency room; rest shelter to accommodate patients who arrive hospital after the OPD hours for the night at the hospital; space for ECG, EEG, X-Ray etc. with equipment; space for modified ECT with a recovery room; libraryCare and Treatment in Mental Health Institutions– Some Glimpses in the Recent Period 33