treatment and such referred cases by IPHB were attended by GMC on top priority due to good liaison and coordination between GMC and IPHB. The IPHB, Goa with sanctioned bed strength of 190 and bed occupancy rate of 78 to 85% between 2005 and 2009. The hospital had 4 closed wards for male and 3 closed wards for female patients with 20 beds in each ward; one open ward for male and one for female patients with 16 beds in each ward; 12 beds in mentally ill prisoners ward (8 beds for male and 4 for female patients); 4 beds in the ECT room common for both male and female patients and 2 beds in casualty room common for both male and female patients. The hospital having 140 beds in closed wards and 32 beds in open wards was just contrary to the recommendations made by Prof. Channabasavanna Committee in 1998-99 that all the closed wards should progressively be converted to Open/family wards. The management of IPHB had made no effort to move in the suggested direction of opening more and more open/family wards. IPHB management should make efforts to move in the direction of opening more family/open wards as suggested by Prof. Channabasavanna Committee in 1998-99. All wards were well lighted and ventilated and had attached toilets and bathrooms. The beds had been arranged at a reasonable distance of 1 metre from each other. The toilet patient ratio was 1:8 against the recommended ratio of 1:5. The fan patient ratio was 1:2. All wards were kept tidy round the clock with immaculately neat, tidy and dry toilets and bathrooms. The cleaning of wards, toilets, bathrooms, surrounding areas etc. had been outsourced. A small bed side table was provided to each patient and a stool had been provided for relatives to sit. The relatives of the patient in the absence of any alternate arrangement had to sleep on the floor. Each patient was provided with 3 sets of linens, a mattress with pillow and pillow cover, and a blanket. The total number of patients languishing in IPHB for 1 to 10 years was 65. A detailed analysis of causes and factors contributing to the long stay of patients were an admixture of addresses not known of patients admitted on the strength of the orders of the magistrate; some patients not showing any signs of recovery, no relative and no social support. The total deaths between 2005 and 2009 were 24 (19 male and 5 female). A detailed report of every death was received from the consultant treating the patient who died. A death meeting was held at Goa Medical College, Bambolim on every fourth Friday of the month to analyse the causes and factors contributing to death and draw a conclusion whether death was avoidable and whether the best possible efforts were made to save the life of the patient but could not be saved due to circumstances beyond control. Ranchi Institute of Neuropsychiatry & Allied Sciences (RINPAS), Ranchi ( 27th to 62 National Human Rights Commission