Description

23°26'4"N 85°19'42"E

Central Institute of Psychiatry, Kanke, Jharkhand[67B38S]

The Director/Medical Superintendent
Central Institute of Psychiatry
Kanke P.O. Ranchi
Bihar
Pin Code: 834 006
JHARKHAND

~
Jharkhand

Central Institute of Psychiatry, Ranchi

(Established 1918. Bed strength 643)

NHRC/NIMHANS report 1999

“The hospital is enclosed by huge walls with large entrance and exit
gates resembling that of a jail…The entire grounds of the hospital are
full of lush green trees, some of rare variety. The family wards function
in four cottages (outside the hospital boundary walls). There is one
ward for children by the side of the family unit. An alcohol and drug
unit is under construction. Seclusion and single wards are present
but not used…Casualty and emergency services are present and are
easily accessible…Daily outpatient services are available…The basic
facilities in the wards for the patients are inadequate. The hospital has
a well-equipped pantry and dietary section. The laboratories are very
well equipped…Direct electroconvulsive therapy is given in the
institution...Direct ECT needs to be replaced by modified ECT. Non-
biological methods of treatment like psychotherapy, group therapy,
behaviour therapy, guidance and counseling are inadequate for lack of
faculty in clinical psychology and psychiatric social work departments.
There is a need for a medical record officer….Not all the staff are
aware of the rights of the mentally ill. Water, electricity and drainage
facilities are inadequate…Mental Health Act is not complied due to
the non-implementation of the statutory requirement by the Bihar
government…There is a separate rehabilitation ward...Once a month a
team of doctors provides psychiatric services to the West Bokkaro
Colliery”.

Earlier rating: Good

Interim observations: DGHS (2004): “The buildings are old barracks
type, unsatisfactory and dilapidated: all wards were constructed in
1918 except two. Hostel facility for students and residents is inadequate.
All the posts in clinical psychology and psychiatric social work are
vacant and lapsed. Vocational rehabilitation facilities are available”.

NHRC/SHRC visits during the last decade: 1

Specific Recommendations and Action taken

Domains Suggestions of Interim Reported status
the NHRC/ observations as in 2008
NIMHANS DGHS 2004
Report 1999

Infrastructure Needs to be Renovation of Recommendations
improved the old build- reported as met
ings and
construction
of new,
modern hos-
pital buildings
is required

Amenities Improvement of All
and facilities OP services with recommendations
adequate staff reported as met

Rs 522.9 lakh
Financial/ Total Rs 1515 lakh
The Mental
Administra- (plan revenue and
Health Act
tive capital 1200 L,
should be
non-plan revenue
complied with
1315L)
immediately
Recommendation
reported as met
Rs 31 (veg) -Rs
Diet/Kitchen 36 (non-veg) Satisfactory Food adequate. No
ceiling on cost/
patient/day. 2500
calories
Routine
Investiga- investigation Satisfactory All
tions/Treat- facilities and recommendations
ment biochemical reported as met
investigations
However, no
should be made
anesthetist is
available at
available and direct
casualty and OP ECTs continue to
departments be given

ECTs should be
modified

Director or
Staff and medical superin- Many posts All
training tendent should lying vacant recommendations
be a psychiatrist reported as met

Recommendations
of the work study
committee in
terms of creation
and abolition of
posts should be
implemented

The staff should
be sensitised
about the rights
of the mentally ill
through
workshops and
seminars

There is need for
Supportive a medical All
Services records officer, recommendations
increase in the reported as met
number of MRD
technicians,
MRD attendants.
Computerisation
of MRD could
reduce missing
and duplication
of files

The
Recreation/ Occupational All
Occupational Therapy unit recommendations

Therapy/ should be reported as met.
Rehabilitation strengthened
with greater
emphasis on
placement of
improved
patients in the
community

There is a need
to extend mental
health care
services to the
community.

A vehicle for
mobility for
community
service is
necessary

Others
Board of visitors
functioning

Board for disability
certification present

Hospital report update: The hospital reports that all the requirements to
meet the NHRC recommendations have been met. The medical
superintendent is presently a psychiatrist. Facilities like waiting hall, drinking
water, toilets are adequate, as are OPD laboratory and rehabilitation
services. There are specialised services for child, geriatric, forensic and
de-addiction services. There are no cells. Patient toilet ratio is 1:4. Bed
occupancy as on 1 April 2008 was 392 (61%). During the previous year,
3930 ECTs were given. Direct ECTs continue to be given. A majority of
patients (98%) continue to be admitted to closed facilities (9383/9547).
Patients do not need to wear uniforms. Human rights are displayed in the
hospital

The institute has an active post graduate programme (6 MD, 12 DPM, 4
PhD and 12 MPhil Psychology, 8 MPhil Psychiatric Social Work and 12
Diploma in Psychiatric Nursing.