All cells had been abolished and the number of open wards increased from 2 to 4. The total sanctioned bed strength of GHMC was 300, of these 220 beds were in the closed wards and 80 beds in the open wards. The bed occupancy rate was 84% with 266 beds occupied in 2008. There was no congestion or overcrowding in the wards as there were 20 patients in each ward and the gap of one metre was kept between two beds. The toilet patient ratio of 1:1.6 was excellent in terms of recommended ratio of 1:5 and fan patient ratio of 1:1 was also extremely good. All wards were well lighted and ventilated. Each patient was provided with a cot, mattress and adequate number of bed linen. The sanitation work had been entrusted to an out sourcing agency. The sanitary workers swept and squab hospital premises and also cleaned the toilets and kept them dry. The discharge slip of patients admitted under court orders was issued u/s 40 of Mental Health Act, 1987 on the recommendation of the Discharge Committee which reviewed these cases every month. Intimation of decision taken to discharge the patient was sent to the family and simultaneously to the Government. In case family members did not turn up the court was approached for arranging escort. Recently Government. of AP has issued orders to take the help of the Collector for providing escort to send back the discharged patients after treatment to their respective homes. The hospital had sent many long stay patients to their homes or to State managed NGO homes. However, 10 fully recovered patients were languishing in the hospital for more than one year due to lack of willingness on the part of family members to take them home; no response to the letters sent at the given address and difficulties in tracing the family due to furnishing wrong address. Majority of such patients wished to stay in the hospital for good for shelter and safety reasons. There were 34 deaths between 2002 and 2009 and every death was had been audited. The concerned unit chief, duty medical officer, duty PG doctor, duty nursing staff, duty working staff etc. were summoned and the process of resuscitation and emergency care to save life were audited. The cause of death and preventive measures taken were recorded. Three NGOs were members of the Hospital Development Society headed by the District Collector. These organizations contributed significantly in the sphere of education and entertainment of the inmates and can also help in establishing a Halfway Home for the patients. However, no serious efforts had been made to establish a Halfway Home with the involvement of NGOs. Institute of Human Behaviour and Allied Sciences (IHBAS), Shahdara (13th August, 2010) The total number of Inpatients increased from 2227 in 2005 to 3113 in 2009. Once a decision was taken to admit a patient a good deal of pre-admission 58 National Human Rights Commission