The facility serves the area as a special hospital for patients with mentally-related clinical needs. It was designed to cater for 440 patients, but at the time of the visit, it had 380 patients. It is serviced by a multi-disciplinary team of health professionals. The hospital has an overall vacancy rate of 52 percent. It operates on a budget of R88 million; of which 86 percent (R76 million) is spent on the compensation of staff. The facility shares the premises with offices of other departments and units; namely education, housing, environment, traffic, emergency medical services and forensic services. This has led to administrative challenges when it comes to billing of electricity and water. 1. Findings