The Institute of Mental Health, Hyderabad had total sanctioned bed strength of 600 with bed occupancy rate of 45 to 49%. It had different types of wards including family wards, open wards, closed wards, criminal ward, de-addiction ward and a separate acute admission ward. These wards were well lighted and ventilated and had adequate space between two beds. The toilet patient ratio was 1:6 in open wards and 1:8 in closed wards as against 1:5 recommended by Prof. Channabasavanna Committee. IMH needs to construct more toilets in both the wards to comply with recommended toilet patient ration of 1:5 by Prof. Channabasavanna Committee. All patients had been provided with cots, mattress, pillow and bed linens. The patients in the open/family wards were permitted to wear clothing of their choice. The Family members/attendants of the patients had been provided with low height steel cots with storage facility. These cots were donated by the organizing Committee of the IPS South Zone Annual Conference. All wards were cleaned every day. Cleaning of toilets in open wards had been outsourced to an Agency and the sanitation and personal hygiene in closed ward was maintained by the hospital staff. There was adequate number of sweepers to clean the wards. The bed linens were changed twice a week. The patients were getting discharged after recovery within a short span of time due to advancement in Psychotic and Neurotic drugs The average duration of stay for patients was 2 to 3 weeks. However, female patients were not welcomed back in the fold of the family even after they had recovered and fully fit for discharged. There were 21 female patients who were fit for discharge but nobody turned up to take them home. The absence of psychiatric social workers was a major handicap in organizing home visits, establishing contact with family members and effective follow up of rehabilitation and reintegration of female patients into the family setup. There were 22 deaths during a period between 2005 and 2010. Most of the deaths were natural except one which was a case of suicide by hanging. Government Hospital for Mental Care (GHMC), Vishakhapatnam (30th and 31st March, 2009) Majority of the admissions were voluntary and only 5 per cent were through court orders. The three levels involved in the process of admission were Junior and Senior Psychiatrist and the final decision was taken by Chief Psychiatrist. Patients were normally admitted directly to the wards whereas homicidal or violent patients were kept in single rooms with attached bathrooms and other facilities for 1 to 2 days till their aggression was controlled. The Nursing Superintendent had been taking morning rounds of all wards from 10.30 a.m. onwards to enquire about the overall status of health and wellbeing of all inmates. She thoroughly checked the case records and was paying special attention to the cleanliness and enquired about the quality of food. Care and Treatment in Mental Health Institutions– Some Glimpses in the Recent Period 57