Mental health and development advocacy
non-governmental organization, BasicNeeds Ghana– has expressed concern over government’s
continuous delay towards implementation of the country’s new Mental Health Law
(ACT 846).
According to the
NGO, delays by the government to print out the ACT passed into law in March
last year could further worsen the mental health situation in the country, if
steps were not taken to speed up the process.
Per standard
practice, the mental health law like any other newly passed law should have been
in implementation six months after receiving presidential assent, but according
to BasicNeeds Ghana, the document was yet to be printed out at the Government’s
Assembly Press.
As a result, the
country’s only psychiatric hospitals including the Accra, Pantang and Ankaful–
that served about 25million of the population were saddled with a lot of
challenges. For instance, the infrastructures of the three institutions were currently
begging for expansion, more facilities and health personnel as well as
essential medicines for the treatment of persons with mental illness and epilepsy.
Besides, Northern
Ghana did not have a single psychiatric hospital, thus most patients in the
area had to travel to any of the three aforementioned hospitals located in the
country’s South for comprehensive treatment.
These came to
light at a day’s capacity building workshop organized by the NGO for members of
the Media for Good Governance (MeGG), a group made up of editors and senior
journalists, in the Northern Region.
The aim of the workshop
was to bring together MeGG members on a common platform to deliberate on the
way forward for mental health and development in Ghana, especially in the Northern
Region, in the wake of the new mental health law.
Under the new mental
health law, there would be an improvement towards the care of poor, vulnerable
people with mental illness or epilepsy, protection of their human rights and
promotion of their participation in restoration and recovery.
The law, which
has been hailed by the World Health Organization as one of the best
legislations worldwide, also sought to ensure that adequate provision of
resources has nine parts consisting of a Mental Health Board, a Service, a
Review Tribunal (to review mental cases), Visiting Committee, Voluntary
Treatment and Involuntary Treatment. The other parts of the law were the Rights
of a Person (human right abuses and discrimination associated with mental
health), Protection of the Vulnerable Group and Miscellaneous provisions, among
others.
mentally ill person |
The Community
Project Coordinator of BasicNeeds Adam Dokurugu Yahaya, said the law in the
next 5 to 10 years would ensure integrated services in general hospitals across
the country, all district hospitals to have 2 to 5 beds in general wards, all
regional hospitals to have psychiatric wards with 10 to 20 beds and community
volunteers in mental health to be a common place.
Also, he stated that a 40 to 50 bed
psychiatric hospital would be built in each region, 4 drug rehab centres
established nation-wide and the current 3 psychiatric hospitals in the country downsized
and refurbished to state-of-the-art.
The law,
according to him, further emphasises a vigorous pursuance of training and
recruitment of psychiatrists, psychologists, nurses and other staff to render
services across the country, provision of hot-line services, crisis
intervention and mobile teams, getting rid of mentally ill persons in the
streets and provide services without human rights abuse.
Mr. Dokurugu however,
said stakeholders in the mental health sector were foreseeing the possible
formation of a weak mental health board that would be non-performing, thus affecting
cash flow to ensure effective implementation of the components of the law.
Nonetheless, he advocated a strong technical working group
behind the scene as a pressure force, highly motivated mental health personnel,
vibrant and interested media, active civil society including NGOs as well as an
interested international community in order to guarantee success with regards
to the implementation of the law.
Meanwhile,
there are currently 700 psychiatric nurses and 210 community psychiatric nurses
in the country when in actual fact Ghana needed 5000 and 3000 personnel for
each of the two categories of health professionals, BasicNeeds-Ghana said. Additionally,
Ghana currently has only fourteen psychiatrists instead of 150. These,
according to Mr. Dokurugu were some of the requirements enshrined in the new
law and government and its stakeholders were expected to achieve in the next
ten years.
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