Physical Conditions: Space available, adequate light and ventilation in closed wards (separate for male and female); family wards (separate for male and female); private paying wards (separate for male and female); accommodation available for the MO and the nursing staff at a point adjacent to the ward; an auditorium for holding cultural events, Patient toilet ratio and Patient fan ratio. Inpatient Services: Tidiness of wards, adequacy of dresses, change of dress and linens, and privacy of patients. Supportive Services: Telephone service; separate occupational therapy unit for male and female patients; patient’s library-cum-reading room-cum-recreation centre, recreational and cultural activities; and a large hall for yoga – pranayam – meditation. The state/mental health care hospital has a fundamental obligation to recognise and protect the right of mentally ill patients to be treated with dignity and decency without any discrimination. The hospitals need to create conditions for realisation of the above mentioned barest minimum irreducible needs of the patients to assure a decent and comfortable life to mentally ill inpatients. The quality norms and standards in mental health are non-negotiable. The basic aim of this study is to examine and evaluate the level of satisfaction of living conditions (environment), quality of treatment of patients admitted in the hospital and protection of their above mentioned human rights in different mental hospitals under the following heads: 1. Psychiatric Services, Physical Conditions and Inpatient Services The Institute of Mental Health (IMH), Hyderabad (19th and 20th July, 2010) All admissions in IMH were made by strict observance of the provisions of Mental Health Act, 1987 and Rules framed thereunder. The patient admitted were 17 years and above and all decisions relating to admission and discharge were taken by a small group of medical officers. Majority of the patients (95%) were admitted as voluntary boarders. Patients admitted in both open and closed wards were examined within 24 hours of admission. All body vitals on the basis of such examination were recorded in a separate register opened for each patient. Nursing staff duty hours were spread over three shifts and in each shift, 2 staff nurses and 1 head nurse were posted to each ward. They were taking two rounds in the morning, one in afternoon and one in night and also regular supervisory rounds at short intervals. The duty medical officers and staff nurses used to take daily round in the closed ward and enquired about the medical condition of patients by spending adequate time with each patient. The cases of all mentally ill persons associated with physical ailments were referred to Osmania General Hospital, Hyderabad. Patients staying in the open wards of the hospital were sent with their attendants and ward boys of the hospital accompanied the patients staying in closed ward and stayed with them in shifts during their entire stay and treatment in the General Hospital. 56 National Human Rights Commission