The position of personal hygiene and environmental sanitation in different mental health institutions is given below: Institute of Mental Health (IMH), Hyderabad (19th and 20th July, 2010) The hospital was equipped with an automated laundry with 2 sets of washing machines, hydro extractors, dryers and pressing equipment. The laundry Staff was collecting patients clothing at around 8 AM and delivering them after 2-3 days. Each inpatient was provided with five pairs of uniforms. The linens were changed on every alternate day. There were separate barbers for male and female patients to take care of the shaving, haircut, cutting of nails etc. The hospital authorities need to take anti-lice, anti-bug and anti-malaria measures. To create a neat, tidy, dry and healthy physical environment within the hospital premises, Superintendent of the IMH Hyderabad should discuss the problem of outgrowths and uneven landscape (high and low) with officials of the State PWD to get the entire area properly paved with required number of outlets for discharge of accumulated rainwater and removal of outgrowths Government Hospital for Mental Care (GHMC), Vishakhapatnam (30th and 31st March, 2009) Nursing Superintendent was taking a round of all the wards every morning from 10.30 a.m. onwards to enquire about the wellbeing of inmates. She was taking attendance of sanitary workers and paying special attention to the cleanliness of the wards and inmates. There was no mechanized laundry. The hospital had engaged a dhobi on contract basis. He was collecting clothing of inmates at 10.30 a.m. on every alternate day and delivering them on the next day. His washing of cloths at a space behind the kitchen was contrary to the principles of personal hygiene as that could lead to water logging and seepage of soap water to the kitchen. Proposal for mechanized laundry had been sent to the State Govt. but had not received any response. There were no male and female barbers to take care of the shaving, haircut, cutting of nails etc. of male and female inmates. A male and female barber needs to be engaged for shaving, hair and nail cutting of the inmates. Sanitation work of the hospital had been entrusted to an out sourcing agency on a monthly payment of Rs. 85,000. The sanitary workers were supposed to clean, sweep, squab the hospital premises; clean and keep toilets dry; and clean plates after breakfast, lunch and dinner. In the absence of any sanctioned post of gardeners two Sanitary Inspectors were deployed to look after the garden. Keeping in view the charter of their duties, the number of 24 sanitary workers for 15 wards was quite inadequate. Care and Treatment in Mental Health Institutions– Some Glimpses in the Recent Period 89