been inspected and need replacement. The hospital authorities need to consult the Public Health Engineering Department to get this inspected. The toilets need to be cleaned daily to keep them dry and tidy. Since there are only 13 sweepers the work seems to be difficult till sufficient number of sweepers is engaged. Institute of Mental Health and Hospital (IMHH), Agra (28th March to 30th March, 2011) There was a mechanized laundry (comprising of washing machines, dryers and irons). There were 6 workers including 4 regular employees and 2 employed on contract basis. Clothing of the patients, bed sheets, pillow covers etc. were collected from the wards twice a week at 8 AM in the morning and delivered in the evening of the next day. The laundry was functioning satisfactorily and the whole operation was hygienic. It also ensured economies of scale (due to bulk handling of clothes and other items). The patients were given bath regularly in hot and cold water according to the season. Two barbers had been engaged for haircutting and shaving. Adequate measures had been taken for anti lice and anti bug management. There was no sewerage line in IMHH campus linking it to the main sewer line of the city. Soak pit and septic tank had been provided for every building/ward. These were subject to wear and tear and their maintenance was also problematic. A proper planning should be made for linking the sewer lines of IMHH with sewer line of the city on a permanent basis. While doing such a planning the sewer lines of IMHH should be kept at a higher level than the city sewers, if not, the dirty waste water from the city sewers will enter the sewer lines of IMHH. In case the sewer lines of IMHH are found to be at a lower level then all the sewer lines may be dismantled and new sewer lines should be laid at a much higher level than the sewer lines of the city. The toilet patient ratio of 1:8 needs to be progressively improved to 1:5 as recommended by Prof. Channabasavanna Committee in 1998-99. Institute of Psychiatry (IOP), Kolkata (27th November, 2010) The wards were cleaned every fortnight. The patients were given bath daily, their dresses were also changed every day and linens were changed once a week. The shaving of the head for male patients was done once a month and haircut of female patients was done once a week. Anti lice and anti mosquito measures had been adopted. 3. Supportive Services: The supportive services include separate occupational therapy unit for male and female patients; telephone service; patients library-cum-reading room-cumrecreation centre, recreational and cultural activities; and a large hall for yoga – Care and Treatment in Mental Health Institutions– Some Glimpses in the Recent Period 93