The major concern is the gap between the human resources needed on account of the growing demand for mental health services and the available resources. The median number of psychiatrist, Clinical Psychologist, Psychiatric Social Worker and Psychiatric nurses is 0.2, 0.03, 0.03 and 0.05 per 1,00,000 population respectively. This is nowhere near ICMR norm of 1 Psychiatrist, 1.5 Clinical Psychologist, 2 Psychiatric Social Workers per 1,00,000 population respectively and 1 Psychiatric nurse per 10 psychiatric beds. In Rakesh Chandra Narayan Vs. State of Bihar and Others (WP Civil No.339 of 1986) the Apex court in its judgement dated 17.5.1994 had indicated that teaching, training, research should go side by side with treatment and social and occupational rehabilitation of the patients. The main objective of setting up of mental health hospitals should be to provide medical and mental health care services; provide optimal undergraduate and post graduate teaching as required by the University; and conduct training and research in Psychiatry. A mental health hospital should have a close knit team of psychiatrists, clinical psychologists, psychiatric social workers and psychiatric nurses. Pursuit of excellence had never been the hallmark of mental health centres in India. There is no evidence of any planned, imaginative and determined efforts to excel in teaching, research or training, and far less in treatment, prime indicator of success of a mental health institute. The human resource position in different Mental Health Centres of India is given below: Institute of Mental Health (IMH), Hyderabad (19th and 20th July, 2010) The IMH Hyderabad was grossly understaffed. Against 305 sanctioned posts both permanent and temporary only 239 were in position and 63 posts were vacant. According to Rule 22 of State Mental Health Rules 1990 IMH with sanctioned strength of 600 beds was entitled to 6 Clinical Psychology and 6 Psychiatric Social Workers but had only 2 Clinical Psychologists and no Psychiatric Social Workers. In the absence of any psychiatric social workers it was not possible to undertake home visits, impart family counselling and provide correct feedback to the hospital authorities on the status of patients who had been treated, recovered, discharged and sent back home. The Sanctioned posts of biochemist and laboratory technician, dark room assistant, two occupational therapists, two telephone operators, electrician Gr. II, two lady tailors were lying vacant. Since the number of female nursing orderlies was much less than the required number, the FNOs were finding great difficulty to manage the workload. State Govt. should sanction 4 more posts of Clinical Psychologist, requisite number of posts of Psychiatric Social Workers and 30 more posts of staff nursed; appoint a full time qualified technicians on a regular basis; fill up vacant posts of two occupational therapists, two telephone operator, one electrician- Grade II and 110 National Human Rights Commission

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