human rights and legislation who resource book on mental health

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Leen Meulenbergs Harry I. Minas Alberto Minoletti Paula Mogne Fern<strong>and</strong>o Mora Paul Morgan Driss Moussaoui Srinivasa Murthy Rebecca Muhlethaler Matt Muijen Carmine Munizza Shisram Narayan Sheila Ndyanabangi Jay Neugeboren Frank Njenga Grayson Norquist Tanya Norton David Oaks Olabisi Odejide Angela Ofori-Atta Richard O'Reilly Mehdi Paes Arrazi Rampersad Parasram Vikram Patel Dixianne Penney Avanti Perera Michael L. Perlin Yogan Pillay Svetlana Polubinskaya Laura L. Post Prema Ramach<strong>and</strong>ran Bas Vam Ray Darrel A. Regier Brian Robertson Julieta Rodriguez Rojas Service fédéral public de la Santé, Brussels, Belgium Centre for International Mental Health <strong>and</strong> Victorian Transcultural Psychiatry, University of Melbourne, Australia Mental Health Unit, Ministry of Health, Santiago, Chile Ministry of Health, Maputo, Mozambique Cabinet of the Commissioner for Human Rights, Council of Europe, Strasbourg, France SANE, South Melbourne, Australia Université psychiatrique, Centre Ibn Rushd, Casablanca, Morocco Regional Office for the Eastern Mediterranean, World Health Organization, Cairo, Egypt Special Committee of NGOs on Human Rights, Geneva, Switzerl<strong>and</strong> Regional Office for Europe, World Health Organization, Copenhagen, Denmark Centro Studi e Ricerche in Psichiatria, Turin, Italy St Giles Hospital, Suva, Fiji Ministry of Health, Kampala, Ug<strong>and</strong>a New York, NY, USA Psychiatrists’ Association of Kenya, Nairobi, Kenya National Institute of Mental Health, Bethesda, MD, USA Ethics, Trade, Human Rights <strong>and</strong> Health Law, World Health Organization, Geneva MindFreedom Support Coalition International, OR, USA College of Medicine, University of Ibadan, Nigeria Clinical Psychology Unit, University of Ghana, Medical School, Accra, Ghana Department of Psychiatry, University Campus, University of Western Ontario, Canada Arrazi University Psychiatric Hospital, Sale, Morocco Ministry of Health, Port of Spain, Trinidad <strong>and</strong> Tobago London School of Hygiene & Tropical Medicine, <strong>and</strong> Sangath Centre, Goa, India Nathan S. Kline Institute for Psychiatric Research, Orangeburg, New York, USA Nawala, Sri Lanka New York Law School, New York, USA Strategic Planning, National Department of Health, Pretoria, South Africa Institute of State <strong>and</strong> Law, Russian Academy of Sciences, Moscow, Russian Federation Mariana Psychiatric Services, Saipan, Northern Mariana Isl<strong>and</strong>s, USA Planning Commission, New Delhi, India European Federation of Associations of Families of Mentally Ill persons, Heverlee, Belgium American Psychiatric Institute for Research <strong>and</strong> Education, Arlington, VA, USA Department of Psychiatry, University of Cape Town, South Africa Caja Constarricense de Seguro Social, San José, Costa Rica viii
Eric Rosenthal Mental Disability Rights International, Washington DC, USA Leonard Rubenstein Physicians for Human Rights, Boston, MA, USA Khalid Saeed Institute of Psychiatry, Rawalpindi, Pakistan Ayesh M. Sammour Community Mental Health, Ministry of Health, Palestinian Authority, Gaza Aive Sarjas Department of Social Welfare, Ministry of Health, Tallinn, Estonia John Saunders Schizophrenia Irel<strong>and</strong>, Dublin, Irel<strong>and</strong> Ingeborg Schwarz Inter-Parliamentary Union, Geneva, Switzerl<strong>and</strong> Stefano Sensi Office of the United Nations High Commissioner for Human Rights, Geneva, Switzerl<strong>and</strong> Radha Shankar AASHA (Hope), Indira Nagar, Chennai, India SHEN Yucun Institute of Mental Health, Beijing University, China Naotaka Shinfuku International Center for Medical Research, Kobe University Medical School, Japan Carole Siegel Nathan S. Kline Institute for Psychiatric Research, Orangeburg, New York, USA Helena Silfverhielm National Board of Health <strong>and</strong> Welfare, Stockholm, Sweden Joel Slack Respect International, Montgomery, AL, USA Alan Stone Faculty of Law <strong>and</strong> Faculty of Medicine, Harvard University, Cambridge, MA, USA Zebulon Taintor World Association for Psychosocial Rehabilitation, Department of Psychiatry, New York University Medical Center, New York, USA Michele Tansella Department of Medicine <strong>and</strong> Public Health, University of Verona, Italy Daniel Tarantola World Health Organization, Geneva, Switzerl<strong>and</strong> Jacob Taylor Maryl<strong>and</strong>, USA Myriam Tebourbi Office of the United Nations High Commissioner for Human Rights, Geneva, Switzerl<strong>and</strong> Mrinali Thalgodapitiya NEST, Gampaha District, Sri Lanka Graham Thornicroft PRISM, The Maudsley Institute of Psychiatry, London, United Kingdom Giuseppe Tibaldi Centro Studi e Ricerche in Psichiatria, Turin, Italy E. Fuller Torrey Stanley Medical Research Centre, Bethesda, MD, USA Gombodorjiin Tsetsegdary NCD & MNH Programme, Ministry of Health <strong>and</strong> Social Welfare, Ulaanbaatar, Mongolia Bogdana Tudorache Romanian League for Mental Health, Bucharest, Romania Judith Turner-Crowson NIMH Community Support Programme, Kent, United Kingdom Samuel Tyano World Psychiatry Association, Tel Aviv, Israel Liliana Urbina Regional Office for Europe, World Health Organization, Copenhagen, Denmark Pascale Van den Heede Mental Health Europe, Brussels, Belgium Marianna Várfalvi-Bognarne Ministry of Health, Budapest, Hungary Uldis Veits Riga Municipal Health Commission, Riga, Latvia Luc Vigneault Association des Groupes de Défense des Droits en Santé mentale du Quebec, Canada WANG Liwei Ministry of Health, Beijing, China WANG Xiangdong Regional Office for the Western Pacific, World Health Organization, Manila, Philippines Helen Watchirs Regulatory Institution Network, Research School of Social Sciences, Canberra, Australia ix
Page 1: WHO RESOURCE BOOK ON MENTAL HEALTH,
Page 4 and 5: All rights reserve
Page 6 and 7: Technical contribution and<
Page 8 and 9: Nacanieli Goneyali Maria Grazia Gia
Page 12 and 13: Harvey Whiteford Ray G. Xerri XIE B
Page 14 and 15: 5. Rights of users of mental health
Page 16 and 17: 4.1.3 Sanction, promulgation <stron
Page 18 and 19: For whom is this R
Page 20 and 21: This chapter covers five main areas
Page 22 and 23: 3.2 Violations of human</st
Page 24 and 25: 3.5 Promoting access to mental heal
Page 26 and 27: health legislation
Page 28 and 29: The right to health, as embodied in
Page 30 and 31: trade, torture and
Page 32 and 33: The MI Principles have also served
Page 34 and 35: 8.4 The Salamanca Statement <strong
Page 37 and 38: Chapter 2 Content of mental health
Page 39 and 40: persons with mental disorders. The
Page 41 and 42: Mental disability is not synonymous
Page 43 and 44: Mental Disability Mental Incapacity
Page 45 and 46: Definition of “mental ill health
Page 47 and 48: Example: Mental health in primary c
Page 49 and 50: Another means of promoting communit
Page 51 and 52: MI Principles: Access to informatio
Page 53 and 54: Legislation (or accompanying regula
Page 55 and 56: Rights of users of mental health se
Page 57 and 58: mentally ill offender. Countries ma
Page 59 and 60: 7.3 Determining incapacity
Page 61 and 62:
• The presence of a major mental
Page 63 and 64:
The concept of “voluntary” prec
Page 65 and 66:
The key issue for mental health <st
Page 67 and 68:
“separate” process from admissi
Page 69 and 70:
In some cases, certain families bel
Page 71 and 72:
as an inpatient or outpatient. This
Page 73 and 74:
Example: Successful appeal of an ad
Page 75 and 76:
8.3.7 Involuntary treatment in comm
Page 77 and 78:
Figure 1. Procedure for combined in
Page 79 and 80:
Emergency situations: Key issues
Page 81 and 82:
10.1 Major medical and</str
Page 83 and 84:
MI Principles: Seclusion an
Page 85 and 86:
The MI Principles and</stro
Page 87 and 88:
Authorize or prohibit intrusive <st
Page 89 and 90:
• confidentiality • independent
Page 91 and 92:
14.2 Responding to calls for assist
Page 93 and 94:
15. Legislative provisions relating
Page 95 and 96:
For minor offences, the court could
Page 97 and 98:
15.4 The post-sentencing (serving s
Page 99 and 100:
16. Additional substantive provisio
Page 101 and 102:
• Right to work and</stro
Page 103 and 104:
In countries where women are detain
Page 105:
Kenya The Mental Health Act (Act No
Page 108 and 109:
Figure 2. Process of mental health
Page 110 and 111:
) Qualitative information from focu
Page 112 and 113:
When examining another country’s
Page 114 and 115:
• The process of building a conse
Page 116 and 117:
Consultation should be undertaken w
Page 118 and 119:
Written submissions have the advant
Page 120 and 121:
The group, body or individual(s) m<
Page 122 and 123:
4.1.2 Debate of draft legis
Page 124 and 125:
mental health facts and</st
Page 126 and 127:
Example: The National Commission ta
Page 128 and 129:
5.2.4 Developing information <stron
Page 130 and 131:
Human resource iss
Page 132 and 133:
Rosenthal E, Sundram C (2002). Inte
Page 134 and 135:
Declaration of Hawaii (1983). Appro
Page 136 and 137:
Bibliography Araya R et al. (2001).
Page 138 and 139:
Introduction and h
Page 140 and 141:
2) Does the legislation</st
Page 142 and 143:
C. Access to mental health care 1)
Page 144 and 145:
3) Does the legislation</st
Page 146 and 147:
E. Rights of families or other care
Page 148 and 149:
G. Voluntary admission and<
Page 150 and 151:
) there is serious likelihood of ha
Page 152 and 153:
• Patient lacks the capacity to m
Page 154 and 155:
2) Are all the criteria and
Page 156 and 157:
O. Special treatments 1) Does the l
Page 158 and 159:
3) Does the law specify a restricte
Page 160 and 161:
R. Oversight and r
Page 162 and 163:
3) (iv) Maintain registers of accre
Page 164 and 165:
• the right of patients a
Page 166 and 167:
3) Does the law allow for people <s
Page 168 and 169:
2) Does the law provide for “reas
Page 170 and 171:
3) Does the law ensure that all min
Page 172 and 173:
AZ. Offences and p
Page 174 and 175:
• Inter-American Convention on th
Page 176 and 177:
Civil and Politica
Page 178 and 179:
5. A patient shall never be invited
Page 180 and 181:
Principle 15 Admission principles 1
Page 182 and 183:
Principle 20 Criminal offenders 1.
Page 184 and 185:
Annex 5. Extract from the Declarati
Page 186 and 187:
5. Organ Transplantation: The role
Page 188 and 189:
Restraint & Seclusion: If condition
Page 190 and 191:
Rights of Recipients Summary in Eng
Page 192 and 193:
PART C TAKING PERSON TO APPROVED ME
Page 194 and 195:
I base my opinion on the following
Page 196 and 197:
Annex 9. Example: New Zeala
Page 198 and 199:
Who can make an advance directive?
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