The World Psychiatric Association’s “Bill of Rights”: A curious contribution to human rights

Lewis, Oliver; Callard, Felicity

doi:10.1080/00207411.2017.1278963

Cited by 33 publications

(2 citation statements)

References 26 publications

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“…The development of community-based alternatives to hospital care has been a longstanding global policy objective 15 , including in Brazil. This was the result of a long struggle involving mental health movements 18 , who represented a range of ideological viewpoints 31 . These movements had been involved in combating discrimination and inequality experienced by those with mental health problems, including resisting the medicalisation of distress 9 , increased oppression 12 and demanding wider community services 29 .…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Healthcare Centres (CAPS) in Brazilian Mental Health Policy, 2008-2017

Barbosa

Garcia

Spolander

et al. 2020

Preprint

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Psychosocial Healthcare Centres have been promoted by Brazilian mental health policy along with a guaranteed financing from the Ministry of Health. This paper used Strata 2014 data to analyse the extent of Psychosocial Healthcare Centres care capacity available for user as the central driver of mental health care in Brazil. Retrospective, descriptive study with secondary data analysis of services was undertaken using data from Brazilian federal government databases. Brazil does not have 100% mental health care coverage and our analysis, using the Brazilian Health Ministry criteria, identified only 36% (842) municipalities have been adequately resourced. Our analysis identified that while the number of CAPS units increased around 100%, due to increased extra-hospital and community services in the period, effective cover reduced due to budget cuts and increases as a result of rights to access. The Ministry of Health identified coverage in the ratio of 1 CAPS / 100 thousand inhabitants, although CAPS availability is not the only parameter for assessing mental health coverage. Within municipalities, the mental health network is not synonymous with CAPS nor its quality. We believe that the priority given to investing in CAPS, without guaranteeing resources for other mental health intervention, may negate the efforts of building of a network of new de-institutionalising services which replaced traditional models.

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Section: Introductionmentioning

confidence: 99%

Psychosocial Healthcare Centres (CAPS) in Brazilian Mental Health Policy, 2008-2017

Barbosa

Garcia

Spolander

et al. 2020

Preprint

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“…Increased attention to rights is also reflected in the World Psychiatric Association's Bill of Rights (WPA, 2016), the endorsement of a position statement on human rights by the American Psychiatric Association (Sorel, 2017) and the establishment of a review of legislation in the UK. However, it is clear that these different initiatives are not entirely compliant with international rights instruments, especially the CRPD (Lewis & Callard, 2017).…”

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confidence: 99%

Human rights-based approaches to mental health legislation and global mental health

Eaton¹

2018

BJPsych Int.

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Globally, established practice in mental health services has tended to be codified into law in ways that are paternalistic, seeking to make decisions for patients that presume ‘best interest’ and which ultimately place power in the hands of medical authority. The United Nations Convention on the Rights of Persons with Disabilities (CRPD) – which has been widely ratified globally – challenges these assumptions, instead placing the expressed will and preference of patients as the most important factor in decision-making, including treatment and consent to admission. The contradictions between these approaches cause profound challenges in legislation reform, but a human rights framework offers the potential for a paradigm shift in the way that people are treated in services, and in exploration of alternative practices that promise a more humane and dignified future for mental health care.

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Mental Health, Legal Capacity, and Human Rights

2021

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The World Psychiatric Association’s “Bill of Rights”: A curious contribution to human rights

Cited by 33 publications

References 26 publications

Psychosocial Healthcare Centres (CAPS) in Brazilian Mental Health Policy, 2008-2017

Psychosocial Healthcare Centres (CAPS) in Brazilian Mental Health Policy, 2008-2017

Human rights-based approaches to mental health legislation and global mental health

Mental Health, Legal Capacity, and Human Rights

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