Table 1.
Indicators | Description of profession | Facility 1 | Facility 2 |
---|---|---|---|
Facility | Location | Kumasi Metropolis | Ejisu-Juaben District |
The minimum duration of rehabilitation | 9–18 months | – | |
MHPs | Total FTE staff | 13 | 6 |
Total FTE clinical staff | 2 | 3 | |
Non-Clinical staff | 11 | 3 | |
Rotational (Casual nurses) | Min 10 max 30 | Min 10 max 30 | |
Total peer-support staff | 5 | 3 | |
Consumer: FTE staff ratio | 3:1 | 9:1 | |
Consumers | Maximum occupancy (consumers) | 40 | 55 |
Physical Environment | Number of self-contained independent living units | None | None |
Number of shared halls and rooms for living | 22 | 6 | |
Total number of beds for consumers | 55 | – | |
Philosophy of care | Recovery-oriented | Yesa | Yesb |
Strengths-based | Yes | Yes | |
Designated rehabilitation focus | Yes | Yes | |
Voluntary engagement in rehabilitation | Yesc | Yesc | |
Individualized care planning | Yes | Yes | |
Transitional support | Yesd | Yesd | |
Role of peer support | Minimal support | Minimal support | |
Treatment and support | Cognitive Behavior Therapy (CBT) | Yes | Yes |
Living skills support and development | Yes | Yes | |
Structured leisure and physical activities | Yes | Yes | |
Social integration and economic empowerment | Yesf | Yesf | |
Evidence-based therapeutic group programs | Limited | Limited |
aRecovery oriented approach (psychological rehabilitation, social integration and economic empowerment, eg cottage industry)
bRecovery oriented (assessment, detoxification, rehab treatment, addiction therapy, extended care)
cConsumers have voluntary engagement with rehabilitation activities but sometimes accepted through an involuntary approach
dTransitional support programmes at the residential facilities are limited
fStructured social integration and economic empowerment programmes are limited due to financial challenges