out in the laboratory were haemoglobin; total WBC count; differential blood count; ESR; SMP; VDRL; HBsAg; blood group; bleeding and clotting time; hepatitis count; urine and stool. The biochemical investigations conducted in the laboratory were fasting blood sugar; PP. blood sugar; blood urea; serum creatinine; CPK; ser bilirubin; S.Alk phosphatase; S. acid phosphatase; Total protein count; Alb/Glob ratio; SGOT; SGPT; Uric acid; S. sodium; Urinary creatinine clearance; S. potassium; S. chloride; Prothromombin time; S. calcium; S. phosphorus; Magnesium; Lithium; Ser triglycerides; Ser cholesterol; HDL - cholesterol; LDL; VLDL; GGT; Serum amylase. The biochemist with the help of one laboratory assistant had been carrying out all routine tests well in time. There were certain operational constraints in both the laboratories. Against the sanctioned post of one biochemist, one pathologist and three laboratory assistants, there was only one biochemist and one laboratory assistant. The post of biochemist had no promotion avenues. The proposals sent in quick succession for filling up the post of Pathologist and laboratory assistants were without any tangible results. A number of additional equipment like flame photometer indented had not been received. The psychological tests conducted in the Psychological testing laboratory were test of attention of concentration; test of intelligence; test of memory; neuropsvcholoclical test; personality and inter personal relationship. The main constraints in the smooth functioning of this laboratory were heavy workload, limited manpower on account of acute shortage of professionals in the cadre of clinical psychology, limited tools and equipment; and lack of access to latest software due to non-computerization. The Child guidance clinic in IPHB Goa had been functioning once a week from 2.30 PM to 5 PM. The children in age group of 6-14 years and studying in local schools between Upper KG and Class VIII were brought to the clinic by parents/ single parents/relatives or were sponsored by educational institutions like Almeida School, Ponda where they were studying. The Interns, Residents and Clinical Psychologists were handling the cases of all children with kindness, compassion and commiseration, patience and resilience. The children to be examined at the child guidance clinic had to get themselves registered and their papers were prepared; physical parameters including height, weight etc. were checked; case history was recorded by the psychiatrist/clinicaI psychologist, as the case may be; certain IQ tests were conducted and on the basis of findings of IQ test the school authorities were advised to pay more attention to such students, counselling was given to the parents as to how to deal with the children and how to bring about positive improvement. Suggestions · The hospital authorities should go in for a new OPD Block like IMHH, Agra with adequate waiting space for patients and their relatives, adequate space in the rooms of Senior and Junior Residents and Consultants and provision of all facilities and amenities of potable water, canteen, television, newspaper stand with newspaper, conservancy facility etc.at the new OPD Block. Care and Treatment in Mental Health Institutions– Some Glimpses in the Recent Period 43