tendency to dump the patient in the wards primarily due to stigma and
discrimination.
Hospital for Mental Health (HMH), Ahmedabad (20th August, 2010)
The admissions in HMH Ahmedabad were governed by the Mental Health Act,
1987 and around 80 per cent of admissions were voluntary. HMH Ahmedabad
had not been collecting any charges from any patient except when somebody
wanted to pay voluntarily.
The hospital had a well-equipped nursing station with examination room equipped
with oxygen cylinder, suction machine, medical trays and trolley, medicines
(psychotic, neurotic and general). A thorough medical check-up of patients was
done soon after their admission. They were subjected to laboratory tests at an
interval of every four months. The results of the initial and subsequent check-ups/
tests were recorded in the patient’s file opened soon after his/her admission. A
weekly general health check-up was done for all the patients and physically sick
patients were examined on daily basis. The administration of medicines to the
patients was closely monitored.
The Superintendent and RMO were taking daily as well as surprise rounds and
mental health professionals were taking daily rounds. The MOs were taking a
complete round in their respective wards according to a predetermined schedule
every morning to evaluate the condition of patients, prescribe special diet if
needed and ensure proper maintenance of personal hygiene. They were also
attending their wards in the evening for 2 hours to examine newly admitted
patients and write case notes; prescribe medicines; fill the diet sheet for the day.
They also made sure that the entire patient related data was written in indoor
case paper in readable medical terminology. They also attended to the assigned
work in emergency ward. The staff nurses looked after the patients since their
admission through medication and care, rounds, maintaining patients register upto-date etc. Nurses and Matron/Overseer were taking round after every four
hours. There were male and female attendants to take care of the patients and
the attendant patient ratio is 1:10.
The mentally ill patients having other health related complications such as
appendicitis, cardio-vascular complications, respiratory complications, illness
associated with ear, nose, throat, eye etc. were transferred to Civil Hospital,
Ahmedabad. The patient requiring such transfers was given first aid by the MO/
duty doctor, ambulance was arranged and the patient was transferred with the
help of a ward attendant. The mental health hospital monitored the health status
of these patients.
The hospital with total sanctioned bed strength of 317 had 217 beds for male and
100 for female patients and bed occupancy of 70% with 222 beds occupied in
2010. The hospital had acute patients ward (separate male and female); chronic
patients’ ward (separate male and female); isolation psychiatric care unit (separate
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National Human Rights Commission