along with a detailed project report to the Department of medical Education, Government of M.P. for allocation of funds for construction of a new modular kitchen but Government’s decision was awaited. The cooks had not been provided with the aprons and the status medical examination of cooks was unclear. Patients were served food in dining halls. There were no food trolleys for transportation of food from kitchen to different wards. The menu was changed every day and there was no restriction on the quantity of food served to the patients. The timings of food served to patients were: breakfast - 8.30 AM, lunch - 1 PM and dinner - 6.30 PM. There was no sanctioned post of dietician in GMA and in the absence of a dietician it was difficult to certify the nutritive value of food served to the inmates. Food trolleys should be procured without any further delay for transportation of food from the kitchen to the wards. GMA continued to buy all its primary food articles from the open market at much higher prices than PDS rates. Food grains (rice, wheat, atta, flour, suji, besan, sugar, jagri, condiments as also vegetables) were kept on the floor. The Government needs to make suitable arrangements for allowing GMA to procure all essential commodities (rice, wheat, atta, sugar, pulses, condiments etc.) from PDS at much lower prices than the prevailing market prices; Food grains (rice, wheat, atta, flour, suji, sugar, besan, jagri, condiment etc., as also vegetables) should be stored in separate compartments and kept on platforms under controlled temperature. The room where these items are stored should be adequately lighted and ventilated; Anti-termite and pest control measures should be taken to protect the food grains from pest/insect attack. Institute of Mental Health (IMH), Cuttack (4th and 5th July, 2011) The Government had revised diet charges from Rs. 20 to Rs. 50. IMH Cuttack was dependent on the kitchen of SCB Medical College for provision of food to its patients. The arrangement of food coming from the kitchen of SCB Medical College was not a very satisfactory arrangement. IMH had patients with different dietary needs due to different ailments but could not meet the requirements of special food for its patients as food supplied from kitchen of SCB Medical College was of uniform pattern. The food used to get cold in the process of transportation. The IMH had no control over the quality of food served to its inmates in the absence of its involvement and supervision in the kitchen of SCB Medical College. With the revised diet charges IMH Superintendent could have planned a better menu to meet the varying dietary needs its patients. The IMH should plan its own modular kitchen independent of SCB Medical College on the same pattern of IMHH, Agra under the Centre of Excellence. The food should be transported in steel pipe trolleys from kitchen to the wards. This should simultaneously be followed by construction of the required number of dining rooms furnished with tables with benches/chairs as may be considered appropriate to suite the local situation. Care and Treatment in Mental Health Institutions– Some Glimpses in the Recent Period 81

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