spending on an average 5 to 10 minutes on old cases and 30 minutes to 1 hour on new cases depending on the peculiarity and complexity of the cases. The record room of GMA was too small and congested. Even a small mental health hospital at Dharwad had a better record room in terms of space, number of racks and the meticulous manner in which records were maintained. Counselling at the time of registration, examination of patients by MOs and at the time of drug dispensing had not received the desired attention. The IEC material was conspicuous by its absence in the waiting hall, MOs rooms and drug dispensing room etc. GMA had been providing various investigation facilities absolutely free for BPL patients and rates of charges from others depended on their respective income slab. GMA had the facility of administering modified ECT but the size of ECT room and recovery room was very small and these rooms were not air conditioned. The hospital also had X-Ray and ECG facility. The EEG machine was lying out of order and there was no EEG technician. The tests undertaken in the pathological laboratory of GMA included routine blood and urine examination; serum lithium examination; blood urea, blood sugar, widal test; serum creatinine, uric acid and rheumatoid factor. A separate laboratory for conducting psychological tests was established in the OPD in 2010 and psychological tests conducted in the psychological laboratory were 34. GMA had been recommending the cases of BPL patients for free railway passes and their relatives for 50 per cent concessional rail fare tickets for five years. The State Government, however, had no such policy for providing concessional bus fare to patients and their relatives. Suggestions · The proposal for procurement and installation of a new EEG and creation and filling up of the post of EEG technician should be placed before the MC for its approval without any further delay. · The ECT room and recovery room needs to be made air conditioned as the temperature shoots up to 45 degree to 46 degree Celsius in summer months in Gwalior. Institute of Mental Health (IMH), Cuttack (4th and 5th July, 2011) The CPWD with an amount of Rs.1.51 crores provided as grant-in-aid by the Government of India had remodelled the old OPD and administration-cum Seminar block to a modern OPD complex. The renovated OPD complex had entrance veranda (open); OPD waiting hall with 176 chairs and a raised platform so that the same could be used for conference on non OPD dates; May I help you counter; 2 registration counters; Chamber for data entry operator; Drug dispensing unit (old registration counter of OPD has been converted to a drug dispensing unit) for the time being; Psychiatrist room, Consultant’s duty room, Care and Treatment in Mental Health Institutions– Some Glimpses in the Recent Period 49