all class IV urgently and create a few supporting posts of electricians and two more posts of pharmacists. Salary and allowances of contract staff nay be reviewed and revised. The annual uniform allowance and monthly washing allowance for Nurses and Class IV staff may be raised suitably and residential accommodation need to be provided to all the nursing staff. IMH Hyderabad should start Ph.D and M.Phil Programmes. There should be a separate in-service quota for the staff nurses of IMH for admission in Psychiatric courses to be started in the hospital. Staff nurses of the hospital need to be provided Psychiatric training by organizing in-house training programme with the help of resource persons from the Osmania Medical College and Hospital. Accommodation should be provided to all PG students of the Institute. Government Hospital for Mental Care, (GHMC), Visakhapatnam (30th and 31st March, 2009) In a mental hospital, psychiatrists, clinical psychologists and psychiatric social workers constitute a team and one is incomplete without the other. Staffing pattern in GHMC Visakhapatnam was incomplete in the absence of psychiatric social workers. The clinical psychologists and psychiatrists in position were not in the desired ratio prescribed by ICMR. The availability of 15 Psychiatrists was well in excess of actual requirements, whereas there was only one post of clinical psychologist and that too was filled up on the contractual basis. A proposal for creation of 5 posts each of clinical psychologists, psychiatric social workers and psychiatric nurses for psychosocial care had been submitted to Govt. and the sanction was awaited. The MOs were engaged in the Govt. Hospital for Mental care on contractual basis with a fixed remuneration upto Rs. 15,000 per month and that remuneration was also not disbursed in time. The contract was required to be renewed but the Superintendent did not have the power to renew the contract as the powers to renew contract vested with Government. No norms and parameters for continuance/extension of posts had been laid. Against 204 sanctioned posts 57 posts were vacant and the vacant posts included 2 Class I, 4 Class II, 14 Class III and 37 posts of Class IV. Proposal for filling up the vacant posts of Director-1, Biochemist-1, EEG Technician-1, Psychiatric Social worker-1, Occupational Therapist-1, Plumber-1, Electrician-1, Attendants class-IInd-9 and Driver-1 had been submitted to the Director, Medical Education, Government of A.P. Certain posts including carpentry Instructor-1, Plumber-1, Electrician-1, Borewell driver-1, Female attendant-1, Dhobi-2, Barber 1 and Watchman-1 sanctioned earlier were discontinued due to ban orders imposed by Govt. In accordance with norm fixed by ICMR and WHO, 1 staff nurse per shift is needed for 10 patients and for 300 beds hospital 90 staff nurses were needed for 3 shifts. Against this requirement there were only 54 nurses (42 staff nurses, Care and Treatment in Mental Health Institutions– Some Glimpses in the Recent Period 111