Recovery services and expectation of consumers and mental health professionals in community-based residential facilities of Ghana

Table 1 Total staff, consumers and type of interventions provided at the residential facilities, adopted from Parker, Dark [17]

Indicators	Description of profession	Facility 1	Facility 2
Facility	Location	Kumasi Metropolis	Ejisu-Juaben District
Facility	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	Yes^a	Yes^b
	Strengths-based	Yes	Yes
	Designated rehabilitation focus	Yes	Yes
	Voluntary engagement in rehabilitation	Yes^c	Yes^c
	Individualized care planning	Yes	Yes
	Transitional support	Yes^d	Yes^d
	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	Yes^f	Yes^f
	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

ISSN: 1471-244X