absence of a data entry operator a staff nurse was entering demographic data relating to name, age, sex, income, occupation, address, gist of the illness etc. as well as case history, personal history and family history of the patients in the computer. GMHC Thrissur had a spacious well arranged pharmacy and pharmacist on an average had been taking 5 to 10 minutes for dispensing drugs. The drugs were supplied for one to two months. If any drug was to be used continuously and beyond this period the same was prescribed by the MO after an assessment of the status of health of the patient. The drug compliance was 100 per cent. The investigations carried out free of cost for all categories of OPD and in patients included complete haemogram; blood sugar, blood urea, serum creatinine, serum protein, serum billirubin, SGOT, SGPT, ALP, S.cholesterol, serum lithium, serum sodium, serum potassium; Urine (routine examination). Intelligence tests, psychopathology tests, and personality tests were conducted in the psychological laboratory and on an average 14 such tests were conducted on Wednesday and Thursday. The problems faced in carrying out these test were a very small sized room of the clinical psychologist and non availability of computer and latest software. Thrissur was one of the 125 districts covered under the District Mental Health Programme since 2000. The programme was conducted in outreach clinics at various Govt. hospitals, PHCs, CHCs, Taluk hospitals and also 3 clinics run by NGOs. Under DMHP Programme 27 Centres were covered on monthly basis. The team visiting these centres comprised of psychiatrist, clinical psychologist, psychiatric social worker, staff nurse, driver and attender. Drugs were dispensed free of cost at each centre and pathological/biochemical investigations were conducted in the laboratory of the Centre or in the laboratory of the hospital. There were around 12000 registered users of the DMHP facilities in the district. Suggestions · Keeping in view the increase in the out turn of 200 to 300 patients in OPD, needs to expand the waiting hall for patients . The CPWD may be requested to provide the entrance of the new OPD block with a proper enclosure to be used as a waiting space for patients and the attenders accompanying them. · A full fledged Psychological Laboratory needs to be in place. Hospital needs to provide a much larger space to clinical psychologist to carry out psychological tests. Government Mental Health Centre (GMHC), Kozhikode (12th to 15th April, 2009) The duty doctor (Psychiatrist/Medical Officer) was available round the clock in the casualty to attend emergency cases. Most of the seriously ill patients were sent to open wards along with their bystander/relative; patients admitted through 46 National Human Rights Commission

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