a Magistrate. If the convict or the UTP had come from another district the investigation was conducted by the Magistrate of that district. The investigating Magistrate did not come to Varanasi where the death had taken place but summoned the medical officer of the mental hospital who referred the case for specialized treatment or the treating physician of the hospital where the patient was treated or both and conducted the investigation at a place far away from the place of occurrence. It was causing severe dislocation in the functioning of the hospital when a MO was summoned and remained away for days together due to acute shortage of medical staff. There was no drug de-addiction ward attached to the hospital. There is only one drug de-addiction ward under the Department. of Psychiatry in Banaras Hindu University. The Director may depute one of the staff members preferably a Senior MO to go and study the set up in Banaras Hindu University and get the basic inputs on physical space, tools and equipment and manpower both medical and para medical, work out the administrative and financial implications and formulated a self-contained proposal. The said proposal may be sent to Government of India for funding through the State Government. Institute of Mental Health and Hospital (IMHH), Agra (28th to 30th March, 2011) The admissions in IMHH Agra had increased from 2589 in 2006 to 3103 in 2010. There was a homely environment of IMHH. The staff nurses had been taking daily rounds to enquire about wellbeing of inmates. The infirmary with 3 wards and 42 beds was mainly catering to the needs of those mentally ill patients who had associated physical illnesses like fever, vomiting, loose motion, dehydration, side effects of the medicine etc. The infirmary was functioning in a 150 old building without DPC. There was profuse seepage in the wall and the plaster of the ceiling was wearing off. There was no proper room for MO or for the sister in-charge and there wards had no intercom facility. A decision should be taken to demolish all the three wards in infirmary as this building being 150 years old is beyond repair. The Director IMHH should take this proposal to the Works Sub Committee of Management Committee, discuss all the pros and cons of the proposal and bring it before the MC for a final decision. In the meantime the damaged electric switches at many points should be repaired immediately and these rooms should be fitted with intercom for internal contact in case of emergency. The cases related to cardio vascular complications, respiratory diseases (asthma, pneumonia, bronchitis, bronco-pneumonia etc.), other associated complications related to ENT, orthopaedics, general surgery etc. were referred to S.N. Medical College or District Headquarters hospital. The overall attitude, approach and general response of S.N. Medical College was not very positive towards referred cases. Care and Treatment in Mental Health Institutions– Some Glimpses in the Recent Period 71