(London, October 10, 2018) – Hundreds of people with real or perceived mental health conditions remain chained or confined in prayer camps in Ghana, despite some progress, one year after the government pledged to enforce a ban on shackling, Human Rights Watch said today on World Mental Health Day. The government of Ghana should take immediate steps to end shackling establishing a monitoring system to ensure enforcement of the ban, and further developing community mental health services. As part of the Inaugural Global Summit on Mental Health, hosted by the United Kingdom on October 9-10, 2018, Ghana should reaffirm its commitment to a rights-based approach to mental health and meaningful consultation with people with psychosocial disabilities (mental health conditions).