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
Abstract Background Despite growing recognition of essential human rights, people with mental health conditions and psychosocial, intellectual, or cognitive disabilities’ rights are known to be frequently violated in mental healthcare worldwide, with common use of coercive practices and limited reco...
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | International Journal of Mental Health Systems |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13033-023-00609-3 |
| _version_ | 1797398143695847424 |
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| author | Emma Poynton-Smith Martin Orrell Akwasi Osei Sally-Ann Ohene Joana Ansong Leveana Gyimah Caitlin McKenzie Maria Francesca Moro Nathalie Drew-Bold Florence Baingana Mauro Giovanni Carta Priscilla Tawiah Kwaku Brobbey Michelle Funk |
| author_facet | Emma Poynton-Smith Martin Orrell Akwasi Osei Sally-Ann Ohene Joana Ansong Leveana Gyimah Caitlin McKenzie Maria Francesca Moro Nathalie Drew-Bold Florence Baingana Mauro Giovanni Carta Priscilla Tawiah Kwaku Brobbey Michelle Funk |
| author_sort | Emma Poynton-Smith |
| collection | DOAJ |
| description | Abstract Background Despite growing recognition of essential human rights, people with mental health conditions and psychosocial, intellectual, or cognitive disabilities’ rights are known to be frequently violated in mental healthcare worldwide, with common use of coercive practices and limited recognition of people’s right to exercise their legal capacity and make decisions for themselves on treatment and other issues affecting them. To tackle this issue, Ghana adopted the WHO QualityRights Initiative in 2019. This aims to introduce a right-based, person-centred recovery approach within the mental health care system, protecting and promoting the rights of people with mental health conditions, psychosocial, cognitive, and intellectual disabilities in the healthcare context and community. Methods E-training (capacity-building) was provided in Ghana across a broad array of stakeholder groups including healthcare professionals, carers, and people with lived experience. The training covered legal capacity, coercion, community inclusion, recovery approach, service environment, and the negative attitudes commonly held by stakeholder groups; it was completed by 17,000 people in Ghana as of December 2021. We assessed the impact of the e-training on attitudes through comparing trainees’ pre- and post-questionnaire responses on 17 items, each measured on a 5-point Likert scale (strongly disagree to strongly agree), such that higher scores indicated negative attitudes towards persons with mental health conditions and psychosocial disabilities as rights holders. Analyses were conducted on two main groups: matched pairs (417 pairs of baseline and follow-up questionnaire responses matched to a high degree of certainty), and the unmatched group (4299 individual completed questionnaire responses). Results We assessed the impact of the WHO QualityRights e-training on attitudes: training resulted in highly significant attitude changes towards alignment with human rights, with scores changing by approximately 40% between baseline and follow-up. In particular, attitude changes were seen in items representing treatment choice, legal capacity, and coercion. This change was not affected by age, gender, or background experience. Conclusions The QualityRights e-training programme is effective in changing people’s (especially healthcare professionals’) attitudes towards people with mental health conditions and psychosocial, intellectual, or cognitive disabilities: this is a step towards mental healthcare being more with human rights-based worldwide. |
| first_indexed | 2024-03-09T01:21:29Z |
| format | Article |
| id | doaj.art-6abd146f0dd4451ea229697c80d8d222 |
| institution | Directory Open Access Journal |
| issn | 1752-4458 |
| language | English |
| last_indexed | 2024-03-09T01:21:29Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Mental Health Systems |
| spelling | doaj.art-6abd146f0dd4451ea229697c80d8d2222023-12-10T12:07:52ZengBMCInternational Journal of Mental Health Systems1752-44582023-12-0117111010.1186/s13033-023-00609-3A 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 GhanaEmma Poynton-Smith0Martin Orrell1Akwasi Osei2Sally-Ann Ohene3Joana Ansong4Leveana Gyimah5Caitlin McKenzie6Maria Francesca Moro7Nathalie Drew-Bold8Florence Baingana9Mauro Giovanni Carta10Priscilla Tawiah11Kwaku Brobbey12Michelle Funk13Institute of Mental HealthInstitute of Mental HealthGhana Ministry of Health-Mental Health AuthorityCharité University Medicine BerlinWHO Country Office for GhanaNottinghamshire Healthcare NHS Foundation TrustNottinghamshire Healthcare NHS Foundation TrustColumbia University Irving Medical CenterWorld Health OrganizationWHO Regional Office for AfricaDepartment of Medical Sciences and Public Health, University of CagliariGhana Ministry of Health-Mental Health AuthorityGhana Ministry of Health-Mental Health AuthorityWorld Health OrganizationAbstract Background Despite growing recognition of essential human rights, people with mental health conditions and psychosocial, intellectual, or cognitive disabilities’ rights are known to be frequently violated in mental healthcare worldwide, with common use of coercive practices and limited recognition of people’s right to exercise their legal capacity and make decisions for themselves on treatment and other issues affecting them. To tackle this issue, Ghana adopted the WHO QualityRights Initiative in 2019. This aims to introduce a right-based, person-centred recovery approach within the mental health care system, protecting and promoting the rights of people with mental health conditions, psychosocial, cognitive, and intellectual disabilities in the healthcare context and community. Methods E-training (capacity-building) was provided in Ghana across a broad array of stakeholder groups including healthcare professionals, carers, and people with lived experience. The training covered legal capacity, coercion, community inclusion, recovery approach, service environment, and the negative attitudes commonly held by stakeholder groups; it was completed by 17,000 people in Ghana as of December 2021. We assessed the impact of the e-training on attitudes through comparing trainees’ pre- and post-questionnaire responses on 17 items, each measured on a 5-point Likert scale (strongly disagree to strongly agree), such that higher scores indicated negative attitudes towards persons with mental health conditions and psychosocial disabilities as rights holders. Analyses were conducted on two main groups: matched pairs (417 pairs of baseline and follow-up questionnaire responses matched to a high degree of certainty), and the unmatched group (4299 individual completed questionnaire responses). Results We assessed the impact of the WHO QualityRights e-training on attitudes: training resulted in highly significant attitude changes towards alignment with human rights, with scores changing by approximately 40% between baseline and follow-up. In particular, attitude changes were seen in items representing treatment choice, legal capacity, and coercion. This change was not affected by age, gender, or background experience. Conclusions The QualityRights e-training programme is effective in changing people’s (especially healthcare professionals’) attitudes towards people with mental health conditions and psychosocial, intellectual, or cognitive disabilities: this is a step towards mental healthcare being more with human rights-based worldwide.https://doi.org/10.1186/s13033-023-00609-3Human rightsPeople with disabilityWorld Health OrganizationTrainingGhana |
| spellingShingle | Emma Poynton-Smith Martin Orrell Akwasi Osei Sally-Ann Ohene Joana Ansong Leveana Gyimah Caitlin McKenzie Maria Francesca Moro Nathalie Drew-Bold Florence Baingana Mauro Giovanni Carta Priscilla Tawiah Kwaku Brobbey Michelle Funk 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 Human rights People with disability World Health Organization Training Ghana |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Human rights People with disability World Health Organization Training Ghana |
| url | https://doi.org/10.1186/s13033-023-00609-3 |
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