A male patient sleeps on a mattress in the open yard of the men’s section of the mental health ward at the Hargeisa Group Hospital in the Somaliland capital, exposed to the sweltering sun and other elements, on July 30 2015.
© 2015 Zoe Flood for Human Rights Watch
35-year-old Abdi, who was held for two years at the Macruuf Relief Organization, where he says he was taken against his will by his family and shackled for 14 months, puts away clothes in the small hut he now lives in next to his family home, Hargeisa, on July 27 2015.
© 2015 Zoe Flood for Human Rights Watch
Relatives and friends seek to gain entry to the Hargeisa Group Hospital mental health ward, which at the time held around 40 male and 25 female patients, in Hargeisa, on July 29, 2015.
© 2015 Zoe Flood for Human Rights Watch
A patient sleeps with his feet chained together at the Raywan private center in the Somaliland capital Hargeisa, on July 29 2015. As at other privately-run residential facilities for residents with actual or perceived psychosocial disabilities, patients are often chained for long periods of time.
© 2015 Zoe Flood for Human Rights Watch
A female patient stands at the entrance of the women’s section of the mental health ward at the Hargeisa Group Hospital in the Somaliland capital, on July 29, 2015.
© 2015 Zoe Flood for Human Rights Watch
Dr. Mustafa Hassan Dahir and nurse Maryam Hassan Dahir attend to outpatients at the mental health ward, said to serve approximately 150 regular outpatients, at the Hargeisa Group Hospital in the Somaliland capital, on July 29 2015.
Maryam Hassan Dahir, nurse at the Hargeisa Group Hospital mental health ward hands out medication to patients, on July 29 2015.
© 2015 Zoe Flood for Human Rights Watch
35-year-old Qasim, who had been in shackles for four at the time of the photo and spent one week in an isolation room, sits with his feet chained together at the Horizon Social Assistance Development Organization, Hargeisa, on July 29 2015.
© 2015 Zoe Flood for Human Rights Watch