Hospital for Mental Health (HMH), Ahmedabad (20th August, 2010) The hospital had started the facility of vocational and occupational therapy for male and female patients. Vocational skill training was also made available to economically poor relatives/family members of patients. The occupational therapy had 3 components namely, therapeutic; recreational; and vocational. There are 2 separate OT units with a total capacity of 50 male and 30 female patients. The skills were imparted in groups by technically qualified and trained instructors in their respective fields. The vocational skills comprised of tailoring, embroidery, weaving and spinning (including door mat weaving); carpentry; making and binding files; making liquid soap, bathing soap, phenyl, tooth powder, rakhis, greeting cards, agarbattis, candles, chalk sticks, paper dish and cups; polishing and coloring wood and iron and screen printing. The raw materials were procured from the open market according to the Purchase Policy of Government of Gujarat and the rates of the end products to be sold in the market were fixed by a committee set up by the hospital. The products were also displayed in exhibitions, melas and other prominent stalls put up in the city from time to time. There was a substantial turnover of incense stick (sandalwood), black phenyl, liquid soap, detergents, rakhis, and products of printing, binding, tailoring and embroidery units. The items like file making and file binding besides meeting the requirements of hospital were also sold to other Govt departments of the Gujarat. The NGOs had been providing collaborative support and help by providing sewing machines and other equipment required for translating a particular skill to action. In 2009-2010 the hospital in collaboration with HR department of Gujarat university imparted vocational and occupational therapy in 10 trades to 227 male and 142 female patients as also to 46 relatives/family members of the patients. Among the trained patients, 119 patients were earning good income at home by harnessing the skills learnt and 50 fully recovered patients managed to find placement in various institutions. The sale proceeds of Rakhis were estimated at Rs.25000 and Diwali dias at Rs. 1.5 lakh in 2009-2010. Bank accounts of the patients involved in producing these items for sale in the market were opened in their respective names and fifty per cent of the sale proceeds were deposited in the name of patients and remaining fifty per cent was used for various welfare activities of the inmates of the hospital wards. The training imparted at the OT had enabled patients to earn an amount of Rs. 1000 per month and thereby rehabilitate them. Institute of Psychiatry and Human Behaviour (IPHB), Goa (6th to 9th December, 2010) There was no exclusive occupational therapy unit for male patients. The limited space of 130 sq. metres of male OT unit appeared to be cluttered up with too many activities and items as the same was used as a recreation hall as well as Care and Treatment in Mental Health Institutions– Some Glimpses in the Recent Period 95