Kerala’s Oldest Psychiatric Hospital Faces Neglect and Infrastructure Crisis

The 156-year-old Mental Health Centre (MHC) in Peroorkada faces critical operational failures, including severe staff shortages, aging infrastructure, and chronic overcrowding. Despite a master plan initiated in 2019 with a Rs 100 crore allocation, the project remains stalled, leaving the facility struggling to meet patient care standards as confirmed by recent High Court inspections.

Infrastructure Stagnation and the Master Plan Delay

Originally conceptualized in 2019, the master plan aimed to modernize the historic facility to address its deteriorating conditions. However, the project has seen minimal physical progress, remaining largely confined to government paperwork.

Administrative changes have further complicated the timeline. The state government removed KITCO as the project’s implementing agency in 2023, subsequently appointing HITES (HLL Infra Tech Services). While the previous administration granted financial sanction for Rs 87 crore, an MHC official noted that the actual implementation currently hinges on the policy decisions of the incoming government.

Did you know?

Founded in 1870, the Mental Health Centre at Peroorkada is one of the oldest psychiatric institutions in India, serving patients from across Kerala and neighboring states for over a century and a half.

High Court Oversight and Patient Rights

Judicial intervention has become the primary mechanism for monitoring the hospital’s status. On Friday, High Court judges conducted an on-site inspection of the institution, accompanied by senior government officials. This review scrutinized the facility’s current functioning and the living conditions of its patients.

The inspection follows years of persistent reports regarding the violation of patient rights and the inability of the aging infrastructure to support modern psychiatric care. The High Court’s involvement underscores the urgency of the situation, as the institution has historically struggled to balance its mandate as a state-run healthcare provider with the reality of its crumbling facilities.

Operational Challenges: Staffing and Overcrowding

Beyond the physical decay of the buildings, the MHC continues to grapple with chronic overcrowding. The influx of patients from across the region frequently outpaces the institution’s capacity, a problem exacerbated by a lack of adequate staffing. According to reports from the facility, these conditions have drawn repeated interventions from both the Human Rights Commission and the High Court.

Pro Tip: When evaluating the status of public healthcare infrastructure, focus on the gap between financial sanctions and actual ground-level completion. In cases like the MHC, legislative approval (such as the Rs 87 crore sanction) does not always correlate with immediate construction progress.

Frequently Asked Questions

Why has the master plan for the Peroorkada MHC been delayed?

The project has faced multiple administrative hurdles, including the change of the implementing agency from KITCO to HITES in 2023 and the need for policy alignment with the current government.

High Court inspects the pathetic state of Peroorkada Mental Health Centre

Who oversees the living conditions at the Mental Health Centre?

The Kerala High Court and the Human Rights Commission have both conducted interventions and inspections to monitor the facility’s adherence to patient rights and infrastructure standards.

Is the institution currently receiving funding?

While a financial sanction of Rs 87 crore was granted by the previous government, the actual deployment of these funds for redevelopment depends on the current government’s policy trajectory.


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