Negotiating human rights narratives in Global Mental Health: Autism and ADHD controversies in Brazil

Ortega, Francisco; Müller, Manuela

doi:10.1080/17441692.2021.1957493

Cited by 4 publications

(2 citation statements)

References 60 publications

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“…Mental health legislation is crucial for promoting human rights and preventing the abuse of people living with mental illness. Moreover, access to mental health services is a basic human right [2]. The right to quality care of mental disorders includes comprehensive assessment, accurate diagnosis, an appropriately tailored combination of medications and a wide range of psychosocial interventions delivered within a framework that acknowledges the patient's individual dignity, autonomy and freedom [3].…”

Section: Mental Health Legislation and The Promotion Of Human Rightsmentioning

confidence: 99%

“…Global mental health (GMH) rests on several pillars, including recognition of the burden of mental illness and the treatment gap, the promotion of evidencebased interventions including task-shifting and tasksharing, the human rights of people living with mental illness, and the need for substantial advocacy and capacity building in mental health [1,2]. A key goal of GMH is to improve global health and achieve equity in health by providing affordable, quality mental health services to all people across the globe [3].…”

Section: Introductionmentioning

confidence: 99%

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Middle-income country perspectives on global mental health

Adams

Sibeko

Stein

2023

Current Opinion in Psychiatry

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Purpose of reviewDespite being a relatively new discipline, global mental health (GMH) has made substantial advances, paying particular attention to optimising the provision of mental health services in low-and middle-income countries (LMICs). Much of the work done in GMH has focused on low-income countries (LIC), but middle-income countries (MIC) such as Brazil, China, India, and South Africa, have particular characteristics that may impact the nature of this work. Here we examine key GMH issues, including mental health legislation, burden of disease, task-sharing, and mental health clinical and research capacity-building, in the MIC context. Recent findingsIn MICs there is particular concern about an increase in non-communicable diseases, including mental disorders. MICs have more resources than LICs, but the treatment gap in these settings remains significant. MICs are better equipped than LICs to mobilize task-sharing programs, and these can potentially include more highly educated community health workers. In MICs there have been important advances in mental health legislation, but more is needed regarding implementation and the promotion of human rights. Clinical and research capacity-building initiatives in MIC contexts are easier to establish and have potential to be more ambitious in scope. SummaryGMH has developed important universal principles that apply across low-, middle-, and high-income countries. Nevertheless, particular issues in MICs may require moulding of more general GMH frameworks.

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Section: Mental Health Legislation and The Promotion Of Human Rightsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Middle-income country perspectives on global mental health

Adams

Sibeko

Stein

2023

Current Opinion in Psychiatry

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Mental Health Collaborative Care in Brazil and the Economy of Attention: Disclosing Barriers and Therapeutic Negotiations

Müller,

Ortega

2024

Cult Med Psychiatry

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The introduction of mental health collaborative care (MHCC) is one of the strategies to scale up access to mental health care in primary health care in Brazil. This article investigates an experience of mental health collaborative care in the city of Rio de Janeiro, Brazil. It is a qualitative study involving interviews with physicians and mental health professionals working in primary health care units located in the northern part of the city of Rio de Janeiro, Brazil. The aim is to examine the various strategies and negotiations that primary health care professionals deploy to identify mental distress and plan health care interventions. We discuss the results within the economy of attention framework. We argue that divergences in diagnostic design and therapeutic planning carried out by professionals and users or observed in MHCC meetings illustrate the health-disease-care seeking phenomenon as a negotiated process, entangled in complex interactions. Our results evince that those interactions are not always evident and configure 'what is at stake' in mental suffering. The incorporation of cultural and structural determinants in collaborative care may enable the expansion of mental health initiatives sensitive to local needs and realities.

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Activismo y discapacidad en Latinoamérica: luchas por el reconocimiento

Rebolledo-Sanhueza,

Galaz-Valderrama

2024

Rev. Estud. Fem.

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Resumen: Esta revisión busca comprender las experiencias, demandas y los efectos político-sociales de los movimientos de la discapacidad en Latinoamérica desde una perspectiva crítica feminista. Se realizó una revisión de 39 artículos científicos. El reconocimiento y la incidencia política son las principales demandas del movimiento, y la Convención sobre Derechos de Personas con Discapacidad alentó la reivindicación de derechos, aun cuando presenta limitaciones en su implementación. En conclusión, se denota que pocos estudios incluyen un análisis interseccional, no obstante, identifican las complejidades de las inequidades sociales presentes en Latinoamérica. Considerar una perspectiva interseccional permitiría comprender la discapacidad como problemática amplia, evitando categorías identitarias y evidenciando las posibles alianzas entre los colectivos para las luchas comunes y la transformación social.

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Negotiating human rights narratives in Global Mental Health: Autism and ADHD controversies in Brazil

Cited by 4 publications

References 60 publications

Middle-income country perspectives on global mental health

Middle-income country perspectives on global mental health

Mental Health Collaborative Care in Brazil and the Economy of Attention: Disclosing Barriers and Therapeutic Negotiations

Activismo y discapacidad en Latinoamérica: luchas por el reconocimiento

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