Kerala's Oldest Psychiatric Hospital: A Troubling Reality (2026)

Kerala's oldest psychiatric hospital, a 156-year-old state-run institution, is in dire need of attention and a much-needed overhaul. Established in 1870, the Peroorkada Mental Health Centre has been struggling with neglect, staff shortages, and crumbling infrastructure, despite repeated interventions from the Human Rights Commission and High Court. This is a deeply concerning situation, as the hospital caters to patients from across Kerala and neighboring states, and its current state is a stark contrast to its historical significance.

One of the most pressing issues is the chronic overcrowding. With around six wards and an outpatient block shut down for renovation, the remaining wards are overburdened, forcing patients to sleep on the floor due to a lack of beds. This is a dire situation, as it directly impacts the quality of care and the well-being of the patients. The shortage of functional wards has led to a dire situation where patients are forced to endure congested conditions, highlighting the urgent need for a comprehensive solution.

The infrastructure gaps are also a major concern. From damaged toilets and temporary sheet roofing to inadequate dining facilities and a lack of privacy in bathing areas, the living conditions for patients are far from ideal. This is a stark reminder of the neglect and lack of investment in the hospital's infrastructure, which has been a persistent issue for years. The High Court's inspection revealed these issues, emphasizing the need for immediate action.

Patient rights violations are another major concern. Irregular drinking water supply, inadequate ventilation, and a persistent mosquito menace are just some of the problems faced by patients. The absence of a proper dormitory with basic amenities and sanitation facilities further exacerbates the situation, forcing bystanders accompanying patients to endure difficult conditions. This is a stark reminder of the human cost of neglect and the urgent need for a comprehensive solution.

The master plan, conceived in 2019 with an initial allocation of Rs 100 crore, has seen little progress. The removal of KITCO as the implementing agency and the entrustment of HITES (HLL Infra Tech Services) with the project have not resulted in any significant development. The prolonged delay in implementation has raised questions about the commitment of the new government to address the issues at the hospital.

The situation at the Peroorkada Mental Health Centre is a stark reminder of the challenges faced by the healthcare system in Kerala. It is a call to action for the government, healthcare authorities, and the public to come together and address the issues at the hospital. The neglect and lack of investment have had a profound impact on the patients and their families, and it is time for a comprehensive solution to be implemented.

In my opinion, the government must take immediate action to address the issues at the hospital. The master plan must be implemented without delay, and the necessary resources must be allocated to ensure the well-being of the patients. The neglect and lack of investment in the hospital's infrastructure and staff have had a devastating impact on the patients, and it is time for a comprehensive solution to be implemented. The High Court's inspection has highlighted the urgency of the situation, and it is time for the government to take responsibility and address the issues at the hospital.

Kerala's Oldest Psychiatric Hospital: A Troubling Reality (2026)
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