The Superintendent of RINPAS had been recommending the cases of BPL patients for issue of free railway pass and concessional passes for their relatives. Railway accordingly was issuing free passes to the patients and 50% concessional passes to family members/relatives accompanying patients. Medical teams comprising of Psychiatrists, paramedical staff and students were visiting LNJN Central Jail Hazaribagh once a month, Birsa Central Jail Ranchi once in fortnight and Nirmal Hirday and Chesier Home Ranchi once in fortnight. The Department Psychiatry was running Community Outreach Programmes through Satellite Clinics at Jonha, Khunti, Saraikala Kharsaon, Hazaribagh. NGOs like Nav Bharat Jagruti Kendra and Sanjeevani Gram Trust had been helping these Community Satellite Clinics in identification of patients and follow up. RlNPAS conducted the school mental health programme in Sherwood Academy Ranchi, Lorreto Convent, St. Thomas School Ranchi, Kendriya Vidyalay, Kaisal School, DAV Public School, St. Xavier’s School, St. John inter College, St. Anne’s Girls High School Ranchi during 2010-11. The main objective of conducting this programme was to help the students, parents and facilitate the teachers to understand/identify the problems of children who were mentally ill, or victims of substance abuse, and facing serious problems in terms of acquisition of cognitive, affective and psychomotor skills. Suggestions · In the new OPD Block the ground floor had been constructed. Steps should be taken to construct first and second floors at the earliest and the Government should make budget provision for the same. Government Mental Health Cente (GMHC), Thrissur (14th April, 2009) The average daily outturn of patients in OPD between 8AM and 1PM was 50 to 60. There was adequate seating arrangement for 25 patients in a well lighted and ventilated waiting lounge and another 30 patients in a veranda with marble benches. The other facilities and amenities available in the OPD were drinking water, toilets, newspapers and magazines and television. The ground floor of new Psychiatry OPD block had two consultation rooms; one treatment room with provision of ECG; separate small sized rooms for clinical psychologist, psychiatric social worker and occupational therapist; a duty room for medical officer; discussion or consultation cum speciality clinic room; duty room for staff nurses and duty room for nursing assistants; and changing-cumresting room for nursing assistants and attenders. There were 2 separate observations rooms with 10 beds each to accommodate male and female patients arriving hospital between 8PM and 8 AM. There were three registration counters and the space in front of the registration counter was very limited. Priority was given to elderly, physically orthopaedically and visually handicapped persons and seriously disturbed patients. In the Care and Treatment in Mental Health Institutions– Some Glimpses in the Recent Period 45