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human rights and legislation who resource book on mental health

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made up of a number of people <str<strong>on</strong>g>who</str<strong>on</strong>g> themselves are able to fulfil all the criteria <str<strong>on</strong>g>and</str<strong>on</strong>g> produce the<br />

draft. Other countries may appoint <strong>on</strong>ly <strong>on</strong>e or two people to draft the <str<strong>on</strong>g>legislati<strong>on</strong></str<strong>on</strong>g>, with a m<str<strong>on</strong>g>and</str<strong>on</strong>g>ate<br />

to draw <strong>on</strong> the skills of others with the relevant expertise <str<strong>on</strong>g>and</str<strong>on</strong>g> representing different interests to<br />

ensure that the above criteria are met. A mix of these models is also possible.<br />

Such decisi<strong>on</strong>s will depend <strong>on</strong> factors such as the availability of expertise, costs of different<br />

approaches relative to funds available, <str<strong>on</strong>g>and</str<strong>on</strong>g> an assessment of which approach is likely to be most<br />

effective in that country. The scope of the proposed <str<strong>on</strong>g>legislati<strong>on</strong></str<strong>on</strong>g> will also determine the<br />

compositi<strong>on</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> breadth of c<strong>on</strong>sultati<strong>on</strong>. For example, a country which chooses to have<br />

comprehensive <str<strong>on</strong>g>legislati<strong>on</strong></str<strong>on</strong>g> covering all issues of relevance to pers<strong>on</strong>s with <strong>mental</strong> disorders will<br />

require experts <str<strong>on</strong>g>who</str<strong>on</strong>g> can advise <strong>on</strong> aspects such as housing, employment, social benefits,<br />

welfare <str<strong>on</strong>g>and</str<strong>on</strong>g> justice.<br />

In most countries, the drafting body will need to draw <strong>on</strong> the expertise of the following:<br />

• a representative from the ministry of <strong>health</strong>, usually the professi<strong>on</strong>al in charge of <strong>mental</strong><br />

<strong>health</strong>, <str<strong>on</strong>g>who</str<strong>on</strong>g> can chair the committee, coordinate the process or act as executive secretary;<br />

• representatives from the other ministries involved (e.g. finance, educati<strong>on</strong>, employment,<br />

housing, social security <str<strong>on</strong>g>and</str<strong>on</strong>g> justice);<br />

• <strong>mental</strong> <strong>health</strong> professi<strong>on</strong>als;<br />

• lawyers with expertise in <strong>mental</strong> <strong>health</strong> <str<strong>on</strong>g>and</str<strong>on</strong>g> other sectors;<br />

• people (legal or other) with expertise in <str<strong>on</strong>g>human</str<strong>on</strong>g> <str<strong>on</strong>g>rights</str<strong>on</strong>g>;<br />

• representatives of users, family <str<strong>on</strong>g>and</str<strong>on</strong>g> carers;<br />

• n<strong>on</strong>govern<strong>mental</strong> organizati<strong>on</strong>s representing the interests of people with <strong>mental</strong> disorders;<br />

• experts with experience of working with minorities <str<strong>on</strong>g>and</str<strong>on</strong>g> other vulnerable groups (e.g. women,<br />

children <str<strong>on</strong>g>and</str<strong>on</strong>g> the elderly);<br />

• legislators with an interest in <strong>mental</strong> <strong>health</strong> issues.<br />

Despite the inclusiveness proposed for this stage of development of the <str<strong>on</strong>g>legislati<strong>on</strong></str<strong>on</strong>g>, the draft<br />

produced should still be subjected to a number of further processes through which additi<strong>on</strong>al<br />

(or the same) stakeholders will have the opportunity to provide input <str<strong>on</strong>g>and</str<strong>on</strong>g> influence the final<br />

<str<strong>on</strong>g>legislati<strong>on</strong></str<strong>on</strong>g> (see subsecti<strong>on</strong> 3.3 below).<br />

3.2 The need for c<strong>on</strong>sultati<strong>on</strong><br />

Once <str<strong>on</strong>g>legislati<strong>on</strong></str<strong>on</strong>g> is drafted, it should be put forward for c<strong>on</strong>sultati<strong>on</strong> to all the key stakeholders<br />

in the <strong>mental</strong> <strong>health</strong> field. Through the c<strong>on</strong>sultati<strong>on</strong> process, potential weaknesses of the<br />

proposed <str<strong>on</strong>g>legislati<strong>on</strong></str<strong>on</strong>g> can be ir<strong>on</strong>ed out, c<strong>on</strong>flicts with existing <str<strong>on</strong>g>legislati<strong>on</strong></str<strong>on</strong>g> <str<strong>on</strong>g>and</str<strong>on</strong>g> local customary<br />

practices rectified, issues that have been inadvertently left out can be added <str<strong>on</strong>g>and</str<strong>on</strong>g> soluti<strong>on</strong>s to<br />

practical difficulties in implementati<strong>on</strong> can be corrected.<br />

If well planned <str<strong>on</strong>g>and</str<strong>on</strong>g> executed systematically, c<strong>on</strong>sultati<strong>on</strong> also has the potential to influence<br />

positively the adopti<strong>on</strong> of the proposed <str<strong>on</strong>g>legislati<strong>on</strong></str<strong>on</strong>g> <str<strong>on</strong>g>and</str<strong>on</strong>g> its implementati<strong>on</strong>, <strong>on</strong>ce enacted.<br />

C<strong>on</strong>sultati<strong>on</strong> provides an opportunity to raise public awareness about the needs of people with<br />

<strong>mental</strong> disorders <str<strong>on</strong>g>and</str<strong>on</strong>g> the preventi<strong>on</strong> of such disorders. It also involves the community <str<strong>on</strong>g>and</str<strong>on</strong>g> thus<br />

enhances the visibility of the burden of <strong>mental</strong> disorders. All these factors increase the likelihood<br />

of effective implementati<strong>on</strong> of the <str<strong>on</strong>g>legislati<strong>on</strong></str<strong>on</strong>g> <strong>on</strong>ce it is enacted.<br />

3.3 Inviting c<strong>on</strong>sultati<strong>on</strong><br />

In many countries there will be a statutory as well as a slightly less formal c<strong>on</strong>sultati<strong>on</strong> process.<br />

Before <str<strong>on</strong>g>legislati<strong>on</strong></str<strong>on</strong>g> is submitted to the legislature, many countries publish a draft copy in a formal<br />

publicati<strong>on</strong> such as a government gazette. The public is then given a particular time frame (e.g.<br />

three m<strong>on</strong>ths) for comment. All comments received must be carefully c<strong>on</strong>sidered <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

appropriate changes made. However, at this point, extensive c<strong>on</strong>sultati<strong>on</strong> should already have<br />

taken place. The following paragraphs deal with this n<strong>on</strong>-statutory stage of the c<strong>on</strong>sultati<strong>on</strong><br />

process.<br />

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