The Reality of Abuse and neglect

In November 2024, Human Rights Watch discovered a harrowing case in Kano, Nigeria: a 25-year-old deaf woman with a mental health condition was found shackled and near death in a state-run institution. she tragically died the following day. This case exemplifies the severe human rights abuses faced by individuals with mental health conditions globally.

Human Rights Watch has extensively documented the practice of shackling individuals with psychosocial disabilities worldwide, a cruel and inhumane practice that violates basic human rights.

The Need for Rights-Respecting Care

Everyone, including those with mental health conditions, deserves access to quality healthcare services that respect thier rights. This includes the right to make their own health decisions and to be treated with dignity. Current systems often fall short, failing to address the complex interplay of social factors that impact mental wellbeing.

Comprehensive models are needed to address the combined effects of exclusion and other social factors, such as discrimination, and social, physical, and emotional barriers that prevent people with mental health conditions from fully enjoying their rights.These models must account for basic needs, including housing, as a foundation for recovery and wellbeing.

Promising Practices and Models of Care

While challenges remain, some organizations are demonstrating effective approaches. Human Rights Watch has documented examples of good practices. The Gerstein Crisis Centre provides immediate support to individuals experiencing mental health conditions or acute distress. Their model emphasizes active listening, creating a safe space, and empowering individuals to regain control and make informed decisions about their care.

Addressing Social Determinants of Mental Health

Effective mental healthcare extends beyond clinical interventions. Addressing social determinants of health – factors like poverty, housing instability, and discrimination – is crucial for promoting wellbeing and preventing mental health conditions