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People with mental disabilities suffer severe abuses in psychiatric institutions and spiritual healing centers in Ghana. Human Rights Watch describes how thousands of people with mental disabilities are forced to live in these institutions, often against their will and with little possibility of challenging their confinement. In psychiatric hospitals, people with mental disabilities face overcrowding and unsanitary conditions. In some of the spiritual healing centers, known as prayer camps, they are often chained outdoors and forced to fast for weeks, while being denied access to medication. Human Rights Watch also highlights the challenges of people with mental disabilities who live in the community, who face stigma and discrimination and often lack adequate shelter, food and healthcare.