THE PROJECT
Cosmopolitan Mental Health Centre (Champions of Purpose), under the umbrella of the Cosmopolitan Aid Foundation is established in Ghana as a charitable Trust Deed, duly registered on 21st February, 2014 at the Registrar-General's Department in Accra with the registration number CG089012014. On the 16th January, 2015, the foundation's name was changed from Mawuena Foundation to Cosmopolitan Aid Foundation.
This proposal seeks to bring out the people with mental and emotional disabilities, their God-given potentials which must be recovered by compensating them to their former sound state of mind and engaging them to gain a different worldview of their self-esteem and how to maintain their sound mind, empowering them to become indispensable assets to themselves, their families, the nation of Ghana and the rest of the world, elevating  them to the height of the finest citizens and leaders the world can produce, where they  are no more considered a laughing stock, social menaces and liabilities, facing stigma and discrimination and often lacking adequate shelter, food, and health care.
We strive to eliminate barriers to full social integration and increase employment, economic security, and health care for persons with mental disabilities. The Cosmopolitan Mental Health Centre will create innovative programs and tools; and conduct research, public education, training, and advocacy campaigns; and provide technical assistance.
The need to help those with mental and emotional disabilities is a social responsibility.
We will offer the pure conventional psychiatric and psychological treatment and also offer psychiatric and psychological treatment combined with a faith-based approach as psychiatry and religion/spirituality both aim to enhance human flourishing, understanding this to involve the development of adaptive capacities (for example to be reflective, and regulate emotion), a solid identity, realistic hopes, meaningful activities, authentic relationships, a mature moral life and a balance between autonomy and respect for authority. However, they differ in emphasis and role, with religion/spirituality placing greater emphasis on growth and transformation toward full functioning than on critical thinking about diagnosis and treatment of disorders, as well as greater emphasis on relationship to the Transcendent and one’s community than on individual mastery as means toward these ends.
Faith is rooted in the traditions, beliefs and values of most cultures. It shapes world views and provides an important way for people in the community to come together and receive information. When experiencing mental illness, people often return to their faith-based roots for support to understand their illness. Faith-based initiatives offer great opportunities for organizations to partner with institutions of faith to share information with parishioners on recovery and resiliency for overall wellness.
Consistent with a religious worldview, mental disability is seen  as physical, emotional, and spiritual illnesses and the path to recovery requiring an integration of these aspects of our lives.
Religious communities also engage in a wide variety of practices aimed at integrating emotional and spiritual approaches such as healing presence by chaplains, pastoral counseling and psychotherapy, spiritual direction, inner healing prayer and group programs such as Celebrate Recovery or Living Waters.
The Board of Trustees of the Cosmopolitan Aid Foundation, led by Dr. Emmanuel Yao Voado, MD., the Founder, will select the Management Committee that will see to the day to day administration of the Cosmopolitan Mental Health Centre. He is a Ghanaian neurosurgeon trained in Cuba. He was the medical doctor who first opened a neurosurgical service in the country of Belize. He practiced there for 5 years and worked in the United States for 6 years before relocating to Africa in September, 2013. He is working diligently on the cure of Spinal Cord Injuries.
The Cosmopolitan Mental Health Centre will be headquartered in Tsopoli in the Greater Accra Metropolitan Area of Ghana.
1. THE SUMMARY
Cosmopolitan Mental Health Centre (Champions of Purpose), under the umbrella of the Cosmopolitan Aid Foundation was established in Ghana as a charitable Trust Deed, duly registered on 21st February, 2014 at the Registrar-General's Department in Accra with the registration number CG089012014. On the 16th January, 2015, the foundation's name was changed from Mawuena Foundation to Cosmopolitan Aid Foundation.
We pursue breaking the backbone of generational poverty where the captives of destiny, the marginalised, shall become the frontliners. Our purpose is to reinstitute the God-given potential of the people with mental and emotional disabilities, which must be recovered by compensating them to their former sound state of mind and engaging them to gain a different worldview of their self-esteem and how to maintain their sound mind, empowering them to become indispensable assets to themselves, their families, the nation of Ghana and the rest of the world, elevating  them to the height of the finest citizens and leaders the world can produce, where they  are no more considered a laughing stock, social menaces and liabilities, facing stigma and discrimination and often lacking adequate shelter, food, and health care.
We strive to eliminate barriers to full social integration and increase employment, economic security, and health care for persons with mental disabilities. The Cosmopolitan Mental Health Centre will create innovative programmes and tools; and conduct research, public education, training, and advocacy campaigns; and provide technical assistance.
The Board of Trustees of the Cosmopolitan Aid Foundation, led by Dr. Emmanuel Yao Voado, MD., the Founder, will select the Management Committee that will see to the day to day administration of the Cosmopolitan Mental Health Centre. He is a Ghanaian neurosurgeon trained in Cuba. He was the medical doctor who first opened a neurosurgical service in the country of Belize. He practiced there for 5 years and worked in the United States of America for 6 years before relocating to Africa in September, 2013. He is working diligently on the cure of Spinal Cord Injuries.
The headquarters of the Cosmopolitan Aid Foundation will be located in Bundase in the Greater Accra Region.
2. ABOUT GHANA

Ghana is located in Western Africa and borders Burkina Faso, Cote d’Ivoire, and Togo. This country occupies a total area of 238,533 square kilometers and has a population of approximately 29,786,408 as of January 5, 2019. The population of West Africa is estimated at 387,246,061 people as of January 8, 2019.

Formed from the merger of the British colony of the Gold Coast and the Togoland trust territory, Ghana in 1957 became the first sub-Saharan country in colonial Africa to gain its independence. Ghana endured a series of coups before Lt. Jerry RAWLINGS took power in 1981 and banned political parties. After approving a new constitution and restoring multiparty politics in 1992, RAWLINGS won presidential elections in 1992 and 1996 but was constitutionally prevented from running for a third term in 2000. John KUFUOR of the opposition New Patriotic Party (NPP) succeeded him and was reelected in 2004. John Atta MILLS of the National Democratic Congress won the 2008 presidential election and took over as head of state, but he died in July 2012 and was constitutionally succeeded by his vice president, John Dramani MAHAMA, who subsequently won the December 2012 presidential election. In 2016, however, Nana Addo Dankwa AKUFO-ADDO of the NPP defeated MAHAMA, marking the third time that the Ghana’s presidency has changed parties since the return to democracy.

Economy:

Ghana has a market-based economy with relatively few policy barriers to trade and investment in comparison with other countries in the region, and Ghana is endowed with natural resources. Ghana's economy was strengthened by a quarter century of relatively sound management, a competitive business environment, and sustained reductions in poverty levels, but in recent years has suffered the consequences of loose fiscal policy, high budget and current account deficits, and a depreciating currency.
Agriculture accounts for about 20% of GDP and employs more than half of the workforce, mainly small landholders. Gold, oil, and cocoa exports, and individual remittances, are major sources of foreign exchange. Expansion of Ghana’s nascent oil industry has boosted economic growth, but the fall in oil prices since 2015 reduced by half Ghana’s oil revenue. Production at Jubilee, Ghana's first commercial offshore oilfield, began in mid-December 2010. Production from two more fields, TEN and Sankofa, started in 2016 and 2017 respectively. The country’s first gas processing plant at Atuabo is also producing natural gas from the Jubilee field, providing power to several of Ghana’s thermal power plants.
As of 2018, key economic concerns facing the government include the lack of affordable electricity, lack of a solid domestic revenue base, and the high debt burden. The AKUFO-ADDO administration has made some progress by committing to fiscal consolidation, but much work is still to be done. Ghana signed a $920 million extended credit facility with the IMF in April 2015 to help it address its growing economic crisis. The IMF fiscal targets require Ghana to reduce the deficit by cutting subsidies, decreasing the bloated public sector wage bill, strengthening revenue administration, boosting tax revenues, and improving the health of Ghana’s banking sector. Priorities for the new administration include rescheduling some of Ghana’s $31 billion debt, stimulating economic growth, reducing inflation, and stabilizing the currency. Prospects for new oil and gas production and follow through on tighter fiscal management are likely to help Ghana’s economy in 2018.
GDP (purchasing power parity): $134 billion (2017 est.)
GDP (official exchange rate): $47.02 billion (2017 est.) (2017 est.)
GDP - real growth rate: 8.4% (2017 est.)
GDP - per capita (PPP): $4,700 (2017 est.)

GDP - composition, by end use:

household consumption: 80.1% (2017 est.)

government consumption: 8.6% (2017 est.)

investment in fixed capital: 13.7% (2017 est.)

investment in inventories: 1.1% (2017 est.)

exports of goods and services: 43% (2017 est.)

imports of goods and services: -46.5% (2017 est.)

GDP - composition, by sector of origin:
agriculture: 18.3% (2017 est.)
industry: 24.5% (2017 est.)
services: 57.2% (2017 est.)

Agriculture - products: cocoa, rice, cassava (manioc, tapioca), peanuts, corn, shea nuts, bananas; timber
Industries: mining, lumbering, light manufacturing, aluminum smelting, food processing, cement, small commercial ship building, petroleum
Industrial production growth rate: 16.7% (2017 est.)

Labor force: 12.49 million (2017 est.)

Labor force - by occupation:
agriculture: 44.7%
industry: 14.4%
services: 40.9% (2013 est.)

Inflation rate (consumer prices): 9.6 % ( July,2018.)

3. ABOUT AFRICA
Africa is the second-largest continent about 30.2 million km2 (11.7 million sq. mi), after Asia, in size and population. The continent is surrounded by the Mediterranean Sea to the north, both the Suez Canal and the Red Sea along the Sinai Peninsula to the northeast, the Indian Ocean to the southeast, the Atlantic Ocean to the west and Europe to the north. The continent includes Madagascar and various archipelagos.
The population of Africa is estimated at 1.30 billion people as of 2018 accounting for about 16.64% of the world's human population. Africa's population is the youngest among all the continents; 50% of Africans are 19 years old or younger. The median age is 19.4 years. 41% of the population is urban. Algeria is Africa's largest country by area and Nigeria is the largest by population.
Africa, particularly central Eastern Africa, is widely accepted as the place of origin of humans and the Hominidae clade (great apes), as evidenced by the discovery of the earliest hominids and their ancestors, as well as later ones that have been dated to around seven million years ago.History:
At about 3300 BC, the historical record opens in Northern Africa with the rise of literacy in the Pharaonic civilization of Ancient Egypt. One of the world's earliest and longest-lasting civilizations, the Egyptian state continued, with varying levels of influence over other areas, until 343 BC.Climate:
Africa straddles the equator and encompasses numerous climate areas; it is the only continent to stretch from the northern temperate to southern temperate zones.
The climate of Africa ranges from tropical to subarctic on its highest peaks. Its northern half is primarily desert, or arid, while its central and southern areas contain both savanna plains and very dense jungle (rainforest) regions. In between, there is a convergence, where vegetation patterns such as Sahel and steppe dominate. Africa is the hottest continent on earth and 60% of the entire land surface consists of dry lands and deserts.Politics:
Today, Africa contains 54 sovereign countries, nine territories and two de facto independent states with limited or no recognition. Connected with the Indian Ocean, the islands of Africa are the Union of the Comoros, Republic of Madagascar, Republic of Seychelles, and Republic of Mauritius. In the Atlantic Ocean we have Republic of Cape Verde, Democratic Republic of São Tomé and Príncipe. Others are Djibouti, Equatorial Guinea, and Eritrea.
The vast majority of African states are republics that operate under some form of the presidential system of rule. The improved stability and economic reforms have led to a great increase in foreign investment into many African nations, mainly from China, which has spurred quick economic growth in many countries, seemingly ending decades of stagnation and decline.
Some seven African countries are in the top 10 fastest growing economies in the world. If you look at countries like Mozambique, Angola, Ethiopia, Zambia, and Togo – all of those markets have shown exceptional growth and real stability and with that you almost get a new investment climate for these countries. This allows you to have a new emerging middle class and with that comes a very vibrant entrepreneurship culture, businessmen or women who want access to technology and to innovate.Natural Resources:
The continent is believed to hold 90% of the world's cobalt, 90% of its platinum, 50% of its gold, 98% of its chromium, 70% of its tantalite, 64% of its manganese and one-third of its uranium. The Democratic Republic of the Congo (DRC) has 70% of the world's coltan, a mineral used in the production of tantalum capacitors for electronic devices such as cell phones. The DRC also has more than 30% of the world's diamond reserves. Guinea is the world's largest exporter of bauxite.Economy:
From 1995 to 2005, Africa's rate of economic growth increased, averaging 5% in 2005. Some countries experienced still higher growth rates, notably Angola, Sudan and Equatorial Guinea, all of which had recently begun extracting their petroleum reserves or had expanded their oil extraction capacity.
Several African economies are among the world’s fastest growing as of 2011. As of 2013, these are some of the Africa countries growing by more than 5.0% in real Gross Domestic Product (GDP). These are South Sudan, Sierra Leone, Liberia, Cote d’Ivoire, Ghana, Rwanda, Mozambique, Eritrea, Tanzania, Ethiopia, Gabon, Burkina Faso, The Gambia, Mauritania, Niger, Congo, Zambia, Angola, Uganda, Togo, Nigeria, Morocco and Kenya.
Africa really has the ideal conditions for steady economic growth. A skyrocketing population made up of predominantly younger people is the perfect recipe for a booming economy.
In 2018 we continue to see the same trend for population growth. Compared to 2017, African’s overall population has increased by more than 30 million – 1,256,268,025 in 2017 versus 1,287,920,518 in 2018.
The World Bank’s projections for the sub-Saharan Africa area. According to their 2018 projections for the continent: regional GDP growth of 3.2% (compared to 2.4% last year) is expected this year and an even greater increase of 3.5% is forecasted for 2019.
That’s why keeping an eye out for the top African countries with the fastest economic growth in 2018 is a total must for every potential investor. The abundance of natural resources and a young workforce is what has driven the economic surge on the continent in recent years.
A significant number of 2018’s top performers are non-commodity intensive economies. The list is led by Ghana, followed by Ethiopia and Côte d’Ivoire, with Senegal, Tanzania and Djibouti occupying the fourth, fifth and sixth spots respectively. Africa has six of the world’s ten fastest growing economies this year, according to the World Bank.
The latest forecast places East African country, Ethiopia at 8.2 percent with the West African nation, Ghana leading the continent at 8.3 percent. Topping the list from the first to the tenth position are: Ghana, Ethiopia, Côte d’Ivoire, Senegal, Tanzania, Sierra Leone, Burkina Faso, Benin, Rwanda and Niger.
As the growth in Africa has been driven mainly by services and not manufacturing or agriculture, it has been growth without jobs and without reduction in poverty levels.
4. PERSONAL PROFILE
Born in 1971 to a Christian family of scarce resources in Tefle, Volta Region, Ghana, he always dreamed of breaking the back bone of poverty through education. At the age of 12, he received a prophecy that he would be going abroad to further his education. In 1985, at age 14, the prophecy was accomplished but not without difficulties. After taking the exams to send students to Cuba, he placed first in his district but was unlawfully replaced by the son of the most powerful politician of the district. A concerned citizen sent him to the office of President Jerry John Rawlings, when he was allowed to participate in the national test in which he became first. This event was indeed a shock to many.
He was in Cuba for 17 years, right from the junior high school to the medical school and subsequently to the postgraduate specialist course of Neurosurgery. While in Cuba as a student, he continued the brilliant academic work; he won many awards including best student in Chemistry at the Cuban National Level Quizzes for 3 consecutive years where students from 35 countries then studied. He wrote an Organic Chemistry book which was meant for the preparation of the high performance students who aspired to participate in the World Olympiad of Chemistry. He was summa cum laude (first) in all the levels of education including the medical school and the Specialty of Neurosurgery. At the end of the neurosurgical training, he wrote another book in the field of Spinal Surgery called Lumbosacral Discopathies.
When he completed the Neurosurgical course in 2001, the people of Belize found him and took him to that country as they needed Neurosurgical Services which they had never had the privilege of enjoying locally. He performed simple and complex surgeries on many people including the elite of Belize with no surgical mortality in his 5 consecutive years of practice. In the USA, under Dr. Robert Grossman, a well-known neurosurgeon, he worked as a Clinical Research Specialist where he was invited by the Congress of Neurological Surgeons of America to present six papers in their international conferences.
He is Belizean and American citizen by naturalization. After 28 years, he has decided to come back to Africa to help his people as he has come to the convincing realization that he is more needed here than in the United States of America.
5. TRACK RECORD
Dr. Emmanuel Voado, MD., is a Ghanaian neurosurgeon trained in Cuba. He was the medical doctor who first opened a neurosurgical service in the country of Belize. He practiced there for 5 years before going to the United States where he resided with his family for 6 years before relocating to Africa in September, 2013.
In Cuba, he was directly involved in the educational system for 17 years and impacted by their health care delivery for 11 years which can all be emulated by third world countries like Ghana who have more natural resources and foreign exchange earners than Cuba. He saw the Cuban government training thousands of students of foreign nations in different courses at the polytechnic and university levels, who then went to their home countries to contribute to their development.
He lived in Belize where he contributed to the healthcare delivery in that nation. Once in the USA, he was personally impacted by all the good things of the American system. One area is the safety network to cater for the destitute.
He saw the compassionate character of the Americans in the hospitals and churches which were the two environments he worked and worshiped and he saw how the two organisations will selflessly use their vacation days to go about doing good to the impoverished nations giving out their substance and technical knowhow.
He was deeply touched by this spirit of selflessness and all this helped to shape his world view in the subconscious level till he came to the conscious realization that a meaningful life is not being rich, being popular, being highly educated or being prefect...It is about being real, being humble, being able to share ourselves and touch the lives of others. It is only then that we could have a full, happy and contented life. That is the motive why, by divine grace, he had been able to abandon the lucrative and most rewarding jobs in the Diaspora and now back home to give back to his people.
6. THE PROBLEM

THE PROBLEM
 BACKGROUND OF THE PROBLEM
A mental disorder or mental illness is a psychological or behavioural pattern generally associated with subjective distress or disability that occurs in an individual, and perceived by the majority of society as being outside of normal development or cultural expectations. The recognition and understanding of mental health conditions has changed over time and across cultures, and there are still variations in the definition, assessment, and classification of mental disorders, although standard guideline criteria are widely accepted.
According to the World Health Organisation, mental health disorders accounted for 12% of the global disease burden in 2000. This figure is estimated to rise to 15% in 2020, when unipolar depression is predicted to rise from being the fourth to the second most disabling health condition in the world.
The United Nations (UN) Principles for the Protection of Persons with Mental Illness and the Improvement of Mental Health Care was adopted by the UN General Assembly in 1991. The principles stress the inherent humanity of people with mental illness. In addition, the 1996 World Psychiatric Association Declaration of Madrid sought to reverse the process of segregation and discrimination of people with mental illness.
The announcement by the United Nations Office of Legal Affairs on August 21, 2012, of Ghana’s ratification of the United Nations Convention on the Rights of Persons with Disabilities affirmed Ghana’s commitment to respect the human rights of all its citizens, including those with disabilities.
6.1 The Current Context of the Mentally Disabled in Ghana
People with mental illness in Ghana have for a long time been excluded and abused. Evidence suggests that they do not enjoy the same rights, in terms of self-determination and protection from exploitation and discrimination, as do people who do not suffer from mental illness.
In Ghana the lack of access to appropriate treatment facilities coupled with a high rate of social stigmatisation makes families of people with mental illness and epilepsy hide their patients away from the public. As a result, the families have to become the primary carers offering basic care and protection.
It is such ‘internal displacement’ that affects the capacity and confidence of people suffering from mental illness and epilepsy and limits how they can meaningfully contribute to their families and communities.
Mental health services in Ghana are available at most levels of care. However, the majority of care is provided through specialised psychiatric hospitals (close to the capital and servicing only small proportion of the population), with relatively less government provision and funding for general hospital and primary health care based services. The few community based services being provided are private.
There are thousands of people with mental disabilities whom are forced to live in psychiatric institutions and spiritual healing centres, 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 centres, 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.
There are also people with mental disabilities who live in the community, who face stigma and discrimination and often lack adequate shelter, food, and healthcare.
6.2 Situational Analysis
Policy and Plans: Ghana became the 119th country in the world to ratify the Disability Rights Convention, a landmark international treaty that mandates the protection and promotion of human rights for the more than 1 billion people with disabilities worldwide. More than 5 million people with disabilities live in Ghana, one-fifth of the total population, including 2.8 million people with mental disabilities.
Under the Disability Rights Convention, people with mental disabilities have the right to make decisions about their own lives, including where and how they live. A new Mental Health Act, Act 846, was passed in 2012 and was awaiting Government to establish the Mental Health Board which was eventually accomplished. Mental health had a ring-fenced budget of 1.4% of total governmental health expenditure. Everyone had free access to essential psychotropic medicines from hospitals/pharmacies when they were available.
Organisation of the mental health service: There was no national or regional mental health body to provide advice to the government on mental health policies and legislation. There was also a local person for mental health located in the Institutional Care Division of the Ghana Health Service, to coordinate mental health care in the Ghana Health Service institutions. The Chief Psychiatrist coordinates all planning and organisation of mental health activities at the national level. At the regional and district levels the Regional and District Coordinators of Community Psychiatric Nursing served as the coordinators. There were 123 outpatient units and one day treatment unit. In terms of number of services (not size of service), Upper West Region had the most outpatient services per 100,000 of its population and Ashanti Region had the fewest. The total number of outpatients treated in 2011 was 57,404.The following table is a summary:

Distribution of Health Institutions

No. of beds % of all beds Beds/100,000 population
3 mental hospitals 1,322 85.1% 5.42
7 inpatient units (in general hospitals and clinics) 120 7.7% 0.49
4 community residential units 112 7.2% 0.45

TOTAL

1,554 100% 6.36
Women and children

Women comprised 32-54% of those treated and children around 1-10%. Mental hospitals had wards segregated by sex. There were 15 beds reserved solely for children. This revelation raises grave concerns, especially, within the context of statistics by the Ghana Health Service, which suggest that 93% of all suicide cases emanate from mental illness.

Ghana records about 1,500 suicide cases annually. Suicide cases contributed to about seven per cent loss of the Gross Domestic Product (GDP) but little attention has been paid to suicide cases in the country.

7. THE SOCIETAL NEED
The hard truth is that the Ghana’s mental healthcare is totally broken down. This conclusion is based not on any scientific research but rather physical observation of the number of unrestricted frail and helpless mental health patients who roam in the major cities/towns or streets of Ghana. We need to conduct effective disability advocacy, community awareness and public education campaigns; develop programmes and national policies; and create networks and national coalitions to promote the full inclusion of people with disabilities into all aspects of society. By doing this, the mentally disabled will cease to be liabilities and become indispensable assets to our society.
Therefore, there is the need for a service that will serve to:
• bring out the people with mental and emotional disabilities, their God-given potentials which must be recovered by compensating them to their former sound state of mind and engaging them to gain a different worldview of their self-esteem and how to maintain their sound mind, empowering them to become indispensable assets to themselves, their families, the nation of Ghana and the rest of the world, elevating them to the height of the finest citizens and leaders the world can produce, where they are no more considered a laughing stock, social menaces and liabilities, facing stigma and discrimination and often lacking adequate shelter, food, and healthcare.
• improved mental health care, sustainable livelihoods and renewed confidence of people with mental illness and epilepsy through capacity building and evidence-based action research and policy influencing.
• advocate for the integration of people with mental illness or epilepsy and that the development of all services should be centered on the needs and interests of people with mental illness or epilepsy and their cares.
• educating and raising awareness regarding the spiritual and cultural dynamics of mental health issues and substance abuse disorders.
• build a better world for people with mental illness and epilepsy.
8. TECHNICAL PROPOSAL

8.1 DESCRIPTION OF THE PROJECT

The need to help those with mental and emotional disabilities is a social responsibility. We want to be an organisation at the forefront of fighting the cause of the mentally disabled in Ghana and from Ghana to the international stage. We strive for a world with cultures where: disability is a natural part of the human condition, people with disabilities have equal rights to their own self- determination, people with disabilities drive public policy issues and priorities, disability is a global issue, people with disabilities have the right to make informed choices, information and education, promote employment for all, people with disabilities have the right to earn a living and live independently, accessible, affordable health care and community supports are essential rights that support employment and well-being, the disability experience is in the arts, media and wider culture, and information technologies are accessible to all people with disabilities.
We will offer the pure conventional psychiatric and psychological treatment combined with a faith-based approach as psychiatry and religion/spirituality both aim to enhance human flourishing. Understanding this to involve the development of adaptive-capacities (for example to be reflective, and regulate emotion), a solid identity, realistic hopes, meaningful activities, authentic relationships, a mature moral life and a balance between autonomy and respect for authority.
Faith is rooted in the traditions, beliefs and values of most cultures. It shapes world views and provides an important way for people in the community to come together and receive information. When experiencing mental illness, people often return to their faith-based roots for support to understand their illness. Faith-based initiatives offer great opportunities for organisations to partner with institutions of faith to share information with parishioners on recovery and resiliency for overall wellness.

Treatment Programmes
Mental Health Partial Hospitalisation Programme: Mental health counselling and treatment in a partial hospitalisation programme (PHP) focuses on improving the overall wellness and treatment of an individual. Our mental health centre’s partial hospitalisation programme will provide clients with access to a safe, structured treatment environment without total disruption of their daily routines.
Our partial hospitalisation programme includes mental health counselling treatment opportunities for group, individual, and family therapy, as well as cognitive behavioural therapy, life skills enhancement, comprehensive case management, treatment evaluations and reviews. Our specialised family therapy is the cornerstone of the success of mental health counselling programmes at our mental health centre, allowing families and loved ones access to opportunities for learning about their loved one’s disorder, healthy family coping mechanism, and ways to improve the quality of life for the entire family.
Like other mental health treatment opportunities, our mental health centre’s partial hospitalisation programme is not appropriate for all individuals or all disorders. Our admissions counsellors will determine the best mental health counselling treatment plan for each individual.
Outpatient Mental Health Therapy: Our mental health centre will have a specialised Intensive Outpatient Programme (IOP) designed to provide short term stabilisation and resolution of immediate mental health problem areas. It is meant for people who are able to continue their daily lives, but need a degree of supportive treatment.
Our IOP is ideal for treating certain mental health conditions and may be suitable for people experiencing mild to moderate symptoms or who need an intermediate step before they leave treatment.
We will ask our clients to commit to at least six weeks of outpatient mental health therapy if it is determined that the intensive outpatient programme is right for them. Six weeks allows sufficient time to identify, diagnose, address and correct the underlying concerns that may be causing the mental health disorder in the first place. Our outpatient mental health programme may be appropriate for you if:
• you have completed full-time mental health therapy and still benefit from structure and supportive therapy.
• you have a non-supportive living situation and need more time to strengthen your behavioural changes and coping skills.
• you will benefit from the structure and community that IOP provide.
• you are not a risk to yourself or others.
Our Intensive Outpatient Programme is not appropriate for everyone. Many clients are not eligible for this form of mental health therapy immediately. An admissions counsellor or therapist will be able to advise you of when you are ready to move in or out of intermediate care based on your progress during treatment. Intensive Outpatient Programmes require a high level of dedication, self-policing and awareness by the client in order to prevent a slide back into the disorder. A supportive environment can make a world of difference to clients who are struggling to regain their life and live a healthier life.
Thought Disorders
Thought disorders are conditions that affect the way a person thinks, creating a disturbance in the way a person puts together a logical sequence of ideas. At our mental health centre, we will treat thought disorders such as schizophrenia, schizo affective disorder, Post-Traumatic Stress Disorder (PTSD) and trauma disorders.
Normal thinking involves three aspects: content, or what is being thought about; form, the manner in which thoughts are being linked together; and finally stream or flow, the amount and speed of the thought pattern. People who suffer from thought disorders often have difficulty with at least one of these aspects. They may be unable to express thoughts in a logical fashion, or they may speak quickly or incoherently. Many individuals also suffer from a disturbance in the way they produce content- this can be seen in individuals having delusions or hallucinations, such as people suffering from PTSD.
Thought Disorder Treatment Programme: Thought disorders can be treated and managed with great effectiveness to improve individual’s quality of life. Our mental health centre will offer clients the support and opportunities they need to manage their disorders and live healthy, productive lives through our thought disorder treatment programme.
We recognise that individuals suffering from mood disorders and thought disorders have specialised needs; therefore we will offer separate treatment programmes to address those unique concerns. No single treatment approach is appropriate for individuals suffering from thought disorders. We shall create personalised treatment plans that address an individual’s situation, needs, and symptoms to give them the best opportunity for independence and success.
Individuals who suffer from a thought disorder have difficulty with mental and emotional functions. They may experience problems with their behaviour and emotions, and are very likely to also suffer from depression or anxiety disorders.
Our thought disorder treatment will try to address co-occurring disorders, underlying emotional and mental health issues, providing clients with stronger foundations for improving their quality of life and reducing the risk for relapse.
Our mental health centre will offer a multi-disciplinary approach to thought disorder treatment. Our thought disorder treatment track will include a holistic approach to overall quality of life and disorder management. This includes medication therapy and psychosocial therapies, like psychotherapy (talk therapy), family therapy, and social skills training. We base our individual treatment programmes on providing clients with the best possible opportunity for optimal support and success after treatment.
Treatment for thought disorders is effective, and many people live healthier lives after treatment. Effective recovery for thought disorders requires personalised attention and care. At our mental health centre, we will provide each of our clients with a foundation of treatment to give them the best chance for a successful healthy living.
Dual Diagnosis Treatment: Dual diagnosis treatment is geared towards people who are suffering from a mental health disorder as well as substance abuse issues. The Journal of the American Medical Association (JAMA) reports that 29% of people diagnosed with mental illness are also suffering from drug or alcohol abuse. Studies have shown that people suffering from both types of behavioural health problems achieve the highest success rates when both disorders are treated simultaneously.
Dual diagnosis treatment includes therapy for addiction and substance abuse as well as the co-occurring psychological issue. At our mental health centre, healthcare professionals and therapists from both our substance abuse and mental health programmes will provide integrated dual diagnosis treatment; working together to prepare a unified and coordinated treatment plan. With no division between the substance abuse and mental health treatment plans, care can be coordinated and complimentary. Our specialised programme will allow for protocols and treatments that address the underlying cause and effect of the substance abuse and mental health disorder.
The most common dual diagnoses we see are substance abuse coupled with depression, anxiety, eating disorders, post-traumatic stress disorder and abuse.
Dual diagnosis treatment does not always fall into 30, 60 or 90 day substance abuse and mental health treatment plans. Given that an individual is suffering from more than one behavioural health condition, it is important that the individual learns the right skills to handle daily life, to prevent relapse and has enough time in treatment to feel comfortable using those skills in the real world. Dual diagnosis treatment may include a variety of outreach and life-assistance programmes including: job and housing assistance, relationship management assistance and assertive outreach. Integrated treatment can be very effective at helping an individual overcome both substance abuse and mental illness in the long-term. Our mental health centre will have an experienced and qualified team to help clients suffering from dual diagnosis learns to live a healthier life.
Self-help groups for mental health are voluntary associations of people who share a common desire to overcome mental illness or otherwise increase their level of cognitive or emotional well-being. Mutual support is a process by which people voluntarily come together to help each other address common problems. Peer support is social, emotional or instrumental support that is mutually offered or provided by persons with similar mental health conditions where there is some mutual agreement on what is helpful.
Advocacy
The Foundation will be calling on governments to fill the gaps in data collection on numbers, ages, lifestyles, needs and roles of mentally disabled, a specific category in national action plans, as well as criminalise all actions by state or non-state actors that deprive mentally disabled of their rights. This is done through awareness programmes, radio/TV projects, training/capacity building, advocacy, research, publication, media, networking and consulting services.
8.2 LOCATION
Accra, the capital of Ghana, is furthermore the anchor of a larger metropolitan area, the Greater Accra Metropolitan Area (GAMA), which is home to about 4 million people, making it the largest metropolitan conglomeration in Ghana by population, and the eleventh-largest metropolitan area in Africa.
The headquarters of the Cosmopolitan Aid Foundation will be located in Bundase in the Greater Accra Region of Ghana. This is going to be the site for the new international airport which will become the center of West Africa to the world in the travel and pleasure industry. Apart from this huge international airport, there will be an Airport City with skyscrapers of the Dubai style, the seat of the government and all the ministries, an Olympic Stadium among other infrastructures.
We are acquiring 25, 000 acres of land extending from the Volta River to an area behind the new International Airport in Bundase, to build The Kingdom City which will englobe all the structures of the Cosmopolitan Aid Foundation. As coalition builders, in the effort of making our projects become auto-sustainable in the future, we will work co-operatively with all individuals and groups, for profit and not for profit corporations and organisations, with government agencies and international bodies committed to the fight to extend help to the needy, subject only to the policies and priorities set by our governing bodies.
8.3 TARGET GROUPS

People with mental and emotional disabilities who are suffering from:
1) Depression
2) Bipolar disorder
3) Anxiety disorder
4) Obsessive-compulsive disorder
5) Post-traumatic stress disorder
6) Schizophrenia and psychotic disorder
7) Personality disorder
8) Addiction
9) Substance abuse
10) Above mentioned conditions compounded with addiction
11) Prescription drug abuse and addiction
12) Eating disorders: anorexia, bulimia, compulsive overeating
13) Epilepsy
14) Patients with the history of previous suicide attempts or intent to do so.

9. SYNERGY
We are grounded on the values of Integrity, Compassion, Accountability, Respect and Excellence (I CARE) principle. We welcome and respect ongoing international initiatives and national policies to take care and give support to mentally disabled, vulnerable children and disadvantaged people, fight poverty, ignorance and diseases such as Diabetes, Hypertension, Cancer, Malaria, Immunisable diseases and AIDS. Our activities will be in union and collaboration with other stakeholders.
With your collaboration, we both seek to achieve the following:
• that their God-given potentials will be recovered by compensating them to their former sound state of mind
• they would gain a different worldview of their self-esteem and how to maintain their sound mind
• they will be elevated to the height of the finest citizens and leaders the world can produce.
• they would fully be engaged in their own development, in an authentic way, having real ownership and power to change their lives and the lives of the people around them.
• with this project both will compliment government’s efforts. Ghana’s current mental health service delivery has a 97 percent treatment gap- explaining that 97, out of a 100 mental patients, who require health care, do not get it. The end goal is to help these mentally disabled move from emotional frailty to becoming successful passionate citizens and to help them create a better future for themselves and their families.
• they would be empowered to become indispensable assets to themselves, their families, the nation of Ghana and the rest of the world, where they are no more social menaces and liabilities. Both will be advocates of the United Nations (UN) Principles for the Protection of Persons with Mental Illness and the Improvement of Mental Health Care which was adopted by the UN General Assembly in 1991. The principles stress the inherent humanity of people with mental illness. In addition, the 1996 World Psychiatric Association Declaration of Madrid sought to reverse the process of segregation and discrimination of people with mental illness.
We are both grounded in the various United Nations human right declarations and commitments to promote the effective and full implementation of the UN Convention on the Rights of Persons with Disabilities worldwide, as well as compliance with the CRPD within the UN system, through the active and coordinated involvement of representative organisations of persons with disabilities at national, regional and international levels.
10. FINANCIAL PROPOSAL
Our own contribution has been in this project but we acknowledge that we cannot do this alone, so we are calling on donors of every nation to help build this project to affect millions of lives inside and outside Ghana.