ArticleBJPsych open2022
Quality of care and respect of human rights in mental health services in four West African countries: collaboration between the mental health leadership and advocacy programme and the World Health Organization QualityRights initiative.
Article in BJPsych open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Evaluating the efficacy of the WHO QualityRights e-training in promoting the rights of persons with mental health conditions and psychosocial disabilities: a cluster randomised controlled trial in Ghana.BMJ global health · 2025Trial
- Human rights-based mental healthcare: new developments, introducing a themed series of papers.BJPsych open · 2026Article
- The World Psychiatric Association calls for action on supporting alternatives to coercion in mental health care.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2026Article
- Trauma descriptions and lived experiences: a phenomenological exploratory study among patients with severe mental illness in Botswana.BMC psychiatry · 2026Article
- Perceptions of mental health services among informal caregivers in Sardinia, Italy, during the post-pandemic crisis of the national health system: a comparative study between 2024 and 2025.Frontiers in psychiatry · 2026Article
- Commentary: Perceptions of care quality and human rights in Italian outpatient facilities during and after the pandemic.Frontiers in public health · 2026Article
- Perceptions of care quality and human rights in Italian outpatient facilities during and after the pandemic.Frontiers in public health · 2026Article
- Article
- Stakeholder Perspectives on Community Participation and Ownership in Community Mental Health Policy and Services: Mixed Methods Study in Ghana.Health services insights · 2025Article
- Results of quality rights on human rights engagement, stigma and attitudes towards mental health among Colombian medical students.PloS one · 2025Article
- Article
- A quantitative analysis of human rights-related attitude changes towards people with mental health conditions and psychosocial, intellectual, or cognitive disabilities following completion of the WHO QualityRights e-training in Ghana.International journal of mental health systems · 2023Article
- Global Mental Health: Where We Are and Where We Are Going.Current psychiatry reports · 2023Review
- Experiences and perceptions of coercive practices in mental health care among service users in Nigeria: a qualitative study.International journal of mental health systems · 2022Article
- Article
- A nationwide evaluation study of the quality of care and respect of human rights in mental health facilities in Ghana: results from the World Health Organization QualityRights initiative.BMC public health · 2022Article
- Why Was the Perception of Human Rights Respect and Care Satisfaction So High in Users of Italian Mental Health Services during the COVID-19 Pandemic?Journal of clinical medicine · 2022Article
- Interventions for adolescents and adults with psychosis in Africa: a systematic review and narrative synthesis.Global mental health (Cambridge, England) · 2022Review
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Authors and funding
13 authors.
Funding
Abstract
backgroundAlthough recent reports suggest that service users in West African psychiatric facilities are exposed to poor quality of care and human rights violations, evidence is lacking on the extent and profile of specific deficits in the services provided to persons with mental health conditions.
aimsTo evaluate the quality of care and respect of human rights in psychiatric facilities in four West African countries, The Gambia, Ghana, Liberia and Sierra Leone, using the World Health Organization QualityRights Toolkit.
methodTrained research workers collected information through observation, review of records and interviews with service users, caregivers and staff. Independent panels of assessors used the information to assign scores to the criteria, standards and themes of the QualityRights Toolkit.
resultsThe study revealed significant gaps in these facilities. The rights to an adequate standard of living and to enjoyment of the highest attainable standard of health were poorly promoted. Adherence to the right to exercise legal capacity and the right to personal liberty and security was almost absent. Severe shortcomings in the promotion of the right to live independently and be included in the community were reported.
conclusionsInadequate appreciation of service users' rights, lack of basic approaches to protect them and the non-promotion of rights-based services in these facilities are major problems that need to be addressed. Although it recognises the resource constraints and need for more human and financial resources, the study also identifies critical areas and challenges that require significant changes at the facility level.
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