sitting for food. The RINPAS had mechanized laundry of 200 kg capacity for cleaning, drying and pressing of clothings of inmates. Government Mental Health Centre (GMHC), Thrissur (14th April, 2009) Patients were given bath daily and their dresses were changed every day. Antilice treatment was give once in 2 months and at short intervals, if necessary. Anti-bug disinfectants were applied once in 3 months. There was a mechanized laundry. The clothing were collected in the morning and delivered next day morning. Hospital provided a soap of 75 gram and 40 gram oil per week to every inmate. All the wards were cleaned in the morning and evening with disinfectants and kept neat and tidy. The toilets were cleaned and kept dry, neat and tidy. There were Indian commodes in the wards and adequate quantity of water was available to flush the toilets. Government Mental Health Centre (GMHC), Kozhikode (12th to 15th April, 2009) Patients were given bath daily and their clothes were also changed every day. There was regular arrangement for their hair cut and shavings. Anti-lice measures were taken once in three months. Most of the inmates of the wards preferred to remain semi-clad on account of hot and humid climate. GMHC had a mechanized laundry with washer, squeezer and drier. Clothing of the inmates were collected from all the wards in the morning and returned to the wards after washing and drying in the morning of next day morning. Gwalior Mansik Arogyashala (GMA), Gwalior (2nd to 4th February, 2009, 21st to 24th February, 2010 and 29th January to 1st February, 2011) The wards were cleaned four times a day. Patients dress and linens were changed every day. Two male and 1 female barbers were employed for regular hair cutting, nail cutting and shaving of inmates. GMA did not have its own mechanized laundry and the laundry services had been outsourced. The management of laundry service was not satisfactory in GMA. The outsourced agent would be more concerned with maximizing his profit than rendering quality service at the cost of his personal profit. The GMA had been taking anti lice, anti bug and anti-malaria measures. Gwalior Nagar Nigam had taken up fogging for mosquitoes four times a day. The toilets and bathrooms must be kept neat, tidy and dry to avoid any occasion for fall of an elderly man or woman. The steps leading to toilets and bathrooms should not be too steep to pre-empt the possibility of fall. Institute of Mental Health (IMH), Cuttack (4th and 5th July, 2011) IMH did not have its mechanized laundry to collect, clean, press clothing of inmates. The clothing of patients were collected for washing and pressing by SCB Care and Treatment in Mental Health Institutions– Some Glimpses in the Recent Period 91

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