This report describes how thousands of people with mental disabilities are forced to live in psychiatric institutions and spiritual healing centers, 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, popularly known as prayer camps, they are often chained to trees, frequently in the baking sun, and forced to fast for weeks as part of a “healing process,” while being denied access to medications.

The report 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.