The hospital had constructed sheds with asbestos sheets to accommodate 50 OPD patients/family members. The construction of new OPD building and 30 bedded female family ward was likely to be completed in 3 months’ time. The construction of separate boundary wall between IPD (female) and new OPD and Family ward and construction of a road in OPD and male IPD had also been completed. The construction of 50 bedded Male Ward and modular kitchen was likely to begin shortly. The deadline for the completion and handing over physical possession of OPD and Family wards was December, 2010 and IPD male ward was January, 2011. The new OPD Block included registration room; 7 MO’s rooms with attached toilet; waiting hall with a capacity to accommodate 50 patients/ relatives with 6 attached toilets and 4 Verandas with length of 14 metre and width of 3.5 metre with a capacity to accommodate 50 patients; The drug dispensing unit with attached store room; pathological laboratory with platform and provision for wash basin; ECT room with no recovery room; X-ray room including a dark room and a technician room and the courtyard of 13.45 metre x 15.15 metre to be developed into a garden in consultation with U.P. Horticulture Department. The quality of construction of new blocks was not up to the mark due to substandard bricks, brick work as well as joinery work and poor supervision. The paved drive ways had developed cracks due to poor quality of execution. Suggestions · The Mental Hospital Varanasi needs to make provision for recovery room; central store room for storing medicines; central record room; room for clinical psychologist; room for psychiatric social worker; seminar room for inter departmental consultations; conference hall; library; geriatric ward; child guidance clinic and central store room for storing food grains, vegetables, fruits etc. The authorities of Mental Hospital Varanasi may plan these basic components of physical infrastructure, prepare estimates of cost and get that approved by Government and take up the construction work in a phased manner depending on allocation of funds. Keeping in view the need for round the clock vigilance and surveillance and special care and attention for mentally ill persons Mental Hospital Varanasi should take up a phased programme for construction of additional staff quarters. The Mental Hospital Varanasi being old requires constant vigilance and timely repair to avoid any untoward incidents like collapse of structures. It may be desirable to prepare all repair estimates, get administrative approval/ technical sanction for them and carry out the repairs. Institute of Mental Health and Hospital (IMHH), Agra (28th March to 30th March, 2011) The IMHH, Agra had a total land area of 172.84 acres, of which 33 acres was farm land and around 30 acres lied outside the boundary wall and patches of the Care and Treatment in Mental Health Institutions– Some Glimpses in the Recent Period 31