The infrastructure should ensure a balanced combination of the arrangements for teaching, treatment, training and research as emphasized by the Supreme Court. In the light of above guidelines, the infrastructure found at the various hospitals across the country during inspections carried out by NHRC is described below Institute of Mental Health (IMH), Hyderabad (19th and 20th July, 2010) The Institute of Mental Health, Hyderabad was initially leased from the Royal Air force of Nizam at the rate of Rs. 200 per acre but subsequently handed over to the Nizam’s Government. It is an irony that the land and buildings have not been formally alienated in favour of the hospital. The original land owners are demanding restoration of land to their possession and have filed restoration suits in the Civil Court. The total area of Institute of Mental Health Hyderabad was 48 acres, of which 2.4 acres had been taken over by the Municipal Corporation of Hyderabad and 1.5 acres by the Hyderabad Urban Development Authority (HUDA) for developing a nursery. Some land had been handed over to the forest department for developing the area. However, no landscaping had been done and no saplings had been planted in a planned and systematic manner. There was no proper approach road to the hospital. The narrow approach road leading to the Superintendent’s room and the administrative block was full of pot holes. All the pathways within the hospital premises connecting one department/ unit to another were full of red morrum soil and muddy. The unlevelled high and low lying areas were providing scope for accumulation of water and unclean and unhygienic surroundings. The hospital premises were full of outgrowths and these outgrowths could provide shelter to reptiles and adversely affect the safety of inmates. The IMH had casualty and emergency services, ambulance facilities, a commodious waiting hall in the OPD but a very small registration room. The total bed strength of the IMH was 600 and there were no cells. It had family ward, open wards, closed wards, criminal ward and de-addiction ward, and a separate acute admission ward. These wards had adequate space, lighting and ventilation, but inadequate number of toilets. The kitchen block and dining halls in the wards were fairly spacious in size with adequate lighting but kitchen walls had holes, damaged floor and shattered windows. There was 24 hour supply of portable water. The IMH had occupational therapy units and two separate libraries for the staff and patients/family members. Suggestions · The future expansion plans of the hospital included landscaping of the hospital, construction of the planned new structures including modern kitchen, geriatric ward, child guidance unit, half way home, day-care centre, staff quarters, nurse’s hostel, PG student’s hostel, and a small guest house within the premises of the hospital. 20 National Human Rights Commission