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 60 National Human Rights Commission

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