There should be better understanding, coordination and cooperation between IMHH and S.N. Medical College. The Director, IMHH may address a letter to Director General, Health Services (DGHS) requesting for his intervention in general and for sorting out issues of different norms of medical ethics adopted by S.N. Medical College for all referral cases by asking for provision of drugs and services of attendants etc as a precondition for entertaining and attending to all referral cases and discharging a patient in the middle of the treatment on some alibi or pretext. IMHH had sanctioned bed strength of 838 patients and average bed occupancy varied from 427 to 632 between 2006 and 2010. There were 30 wards and each ward complex consisted of a ward, toilet, bathroom and dining hall. All wards were neat, well lighted and ventilated and well netted windows. The toilet patient ratio was 1:8. The new 50 bedded male ward had a courtyard with ten stone benches for use of patients and their family members. The recommendation made by Prof. Channabasavanna Committee relating to toilet patient ratio of 1:5 in 1998-99 is yet to be implemented. The toilet patient ratio of 1:8 needs to be improved to the recommended norm. There were separate open wards for male and female patients and children below 18 years were also admitted in the open (family) ward. The proposal for the geriatric ward sent to Ministry of Health and Family Welfare, Government of U.P. had been sanctioned but funds were yet to be released. Meanwhile, geriatric patients were admitted in the open ward along with family members. The rooms were commodious, well lighted and ventilated. There was no congestion as distance between two beds was of one metre. Each patient was provided with a bed side locker. Each ward had sufficient number of cots, beds with mattresses and blankets, fans and desert coolers. The beds as well as mattresses and bed covers were of good quality and had been maintained neat and clean. The relatives of the patients were provided with a separate bench to sleep. The general health status of the inmates was very good. The average stay of patients was 10 to 13 days in the open wards and 54 to 101 days in closed wards. The number of escapes had come down from 16 in 2006 to 8 in 2010. The number of long stay (2 or more than 2 years) patients was 88 in 2010. The steps taken by IMHH to reduce long stay included to record and document correct postal addresses; address letters to family members/guardians at the address so collected and also encourage literate patients to address letters to their guardians/family members and PWS to assist illiterate patients in this effort. To facilitate the transition of effectively treated and substantially recovered patients from IPD to home and community a Half Way Home was established in 2000 and had been managed departmentally. 72 National Human Rights Commission