human rights and legislation who resource book on mental health

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Technical contribution <strong>and</strong> critiques Beatrice Abrahams Adel Hamid Afana Thérèse A. Agossou Bassam Al Ashhab Ignacio Alvarez Ella Amir Paul S. Appelbaum Julio Arboleda-Florez Begone Ariño Joseph Bediako Asare Larry Ash Jeannine Auger Florence Baingana Korine Balian Neville Barber James Beck Sylvia Bell Jerome Bickenbach Louise Blanchette Susan Blyth Richard J. Bonnie Nancy Breitenbach Celia Brown Martin Brown Anh Thu Bui Angela Caba Alex<strong>and</strong>er M. Capron Sylvia Caras Amnon Carmi Claudina Cayetano CHEN Yan Fang National Progressive Primary Health Care Network, Kensington, South Africa Training <strong>and</strong> Education Department, Gaza Community Mental Health Programme, Gaza Regional Office for Africa, World Health Organization, Brazzaville, Congo Community Mental Health, Ministry of Health, Palestinian Authority, West Bank Inter-American Commission on Human Rights Washington DC, USA Alliance for the Mentally Ill Inc., Montreal, Quebec, Canada Department or Psychiatry, University of Massachusetts Medical School, Worcester, MA, USA Department of Psychiatry, Queen's University, Kingston, Ontario, Canada European Federation of Associations of Families of Mentally Ill Persons, Bilbao, Spain Ministry of Health, Accra, Ghana Geneva, Switzerl<strong>and</strong> Ministry of Health <strong>and</strong> Social Services, Quebec, Canada Health, Nutrition, Population, The World Bank, Washington DC, USA Médecins Sans Frontières, Amsterdam, Netherl<strong>and</strong>s Mental Health Review Board, West Perth, Australia Department of Psychiatry, Cambridge Hospital, Cambridge, MA, USA New Zeal<strong>and</strong> Human Rights Commission, Auckl<strong>and</strong>, New Zeal<strong>and</strong> Faculty of Law, Queen's University, Kingston, Ontario, Canada University of Montreal Certificate Programme in Mental Health, Montreal, Canada Valkenberg Hospital, Department of Psychiatry <strong>and</strong> Mental Health, University of Cape Town, South Africa Schools of Law <strong>and</strong> Medicine, University of Virginia, VA, USA Inclusion International, Ferney-Voltaire, France MindFreedom Support Coalition International, USA Northern Centre for Mental Health, Durham, United Kingdom Ministry of Health, Koror, Palau Ministry of Health, Santo Domingo, Dominican Republic Ethics, Trade, Human Rights <strong>and</strong> Health Law, World Health Organization, Geneva, Switzerl<strong>and</strong> People Who, Santa Cruz, CA, USA World Association for Medical Law, Haifa, Israel Mental Health Program, Ministry of Health, Belmopan, Belize Sh<strong>and</strong>ong Provincial Center of Mental Health, Jinan, China iv
CHUEH Chan College of Public Health, Taipei, China (Province of Taiwan) Dixon Chib<strong>and</strong>a University of Zimbabwe, Medical School, Harare, Zimbabwe Chantharavdy Choulamany Mahosot General Hospital, Vientiane, Lao People’s Democratic Republic Hugo Cohen World Health Organization, Mexico Josephine Cooper New South Wales, Australia Ellen Corin Douglas Hospital Research Centre, Quebec, Canada Christian Courtis Instituto Tecnológico Autónomo de México, Departamento de Derecho, Mexico DF, Mexico Jim Crowe World Federation for Schizophrenia <strong>and</strong> Allied Disorders, Dunedin, New Zeal<strong>and</strong> Jan Czeslaw Czabala Institute of Psychiatry <strong>and</strong> Neurology, Warsaw, Pol<strong>and</strong> Araba Sefa Dedeh Clinical Psychology Unit, Department of Psychiatry, University of Ghana Medical School, Accra, Ghana Paolo Delvecchio United States Department of Health <strong>and</strong> Human Services, Washington DC, USA Nimesh Desai Department of Psychiatry, Institute of Human Behaviour <strong>and</strong> Allied Sciences, Delhi, India M. Parameshvara Deva Department of Psychiatry, SSB Hospital, Brunei Darussalam Amita Dh<strong>and</strong>a University of Hyderabad, Andhra Pradesh, India Aaron Dhir Faculty of Law, University of Windsor, Ontario, Canada Kate Diesfeld Auckl<strong>and</strong> University of Technology, New Zeal<strong>and</strong> Robert Dinerstein American University, Washington College of Law, Washington DC, USA Saida Douki Société Tunisienne de Psychiatrie, Tunis, Tunisia Moera Douthett Pasifika Healthcare, Henderson Waitakere City, Auckl<strong>and</strong>, New Zeal<strong>and</strong> Claire Dubois-Hamdi Secrétariat de la Charte Sociale Européenne, Strasbourg, France Peter Edwards Peter Edwards & Co., Hoylake, United Kingdom Ahmed Abou El-Azayem World Federation for Mental Health, Cairo, Egypt Félicien N'tone Enyime Ministry of Health, Yaoundé, Cameroon Sev S. Fluss Council for International Organizations of Medical Sciences, Geneva, Switzerl<strong>and</strong> Maurizio Focchi Associazione Cittadinanza, Rimini, Italy Abra Fransch World Organization of National Colleges, Academies <strong>and</strong> Academic Associations of General Practitioners/Family Physicians, Bulawayo, Zimbabwe Gregory Fricchione Carter Center, Atlanta, GA, USA Michael Friedman Nathan S. Kline Institute for Psychiatric Research, Orangeburg, New York, USA Diane Froggatt World Fellowship for Schizophrenia <strong>and</strong> Allied Disorders, Ontario, Canada Gary Furlong CLSC Métro, Montreal, Quebec Canada Elaine Gadd Bioethics Department, Council of Europe, Strasbourg, France Vijay Ganju National Association of State Mental Health Program, Directors Research Institute, Alex<strong>and</strong>ria, Virginia, USA Reine Gobeil Douglas Hospital, Quebec, Canada Howard Goldman National Association of State Mental Health Program, Directors Research Institute <strong>and</strong> University of Maryl<strong>and</strong> School of Medecine, MD, USA v
Page 1: WHO RESOURCE BOOK ON MENTAL HEALTH,
Page 4 and 5: All rights reserve
Page 8 and 9: Nacanieli Goneyali Maria Grazia Gia
Page 10 and 11: Leen Meulenbergs Harry I. Minas Alb
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
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• The presence of a major mental
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The concept of “voluntary” prec
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The key issue for mental health <st
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“separate” process from admissi
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In some cases, certain families bel
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as an inpatient or outpatient. This
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Example: Successful appeal of an ad
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8.3.7 Involuntary treatment in comm
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Figure 1. Procedure for combined in
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Emergency situations: Key issues
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10.1 Major medical and</str
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MI Principles: Seclusion an
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The MI Principles and</stro
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Authorize or prohibit intrusive <st
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• confidentiality • independent
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14.2 Responding to calls for assist
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15. Legislative provisions relating
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For minor offences, the court could
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15.4 The post-sentencing (serving s
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16. Additional substantive provisio
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• Right to work and</stro
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In countries where women are detain
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Kenya The Mental Health Act (Act No
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Figure 2. Process of mental health
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) Qualitative information from focu
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When examining another country’s
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• The process of building a conse
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Consultation should be undertaken w
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Written submissions have the advant
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The group, body or individual(s) m<
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4.1.2 Debate of draft legis
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mental health facts and</st
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Example: The National Commission ta
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5.2.4 Developing information <stron
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Human resource iss
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Rosenthal E, Sundram C (2002). Inte
Page 134 and 135:
Declaration of Hawaii (1983). Appro
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Bibliography Araya R et al. (2001).
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Introduction and h
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2) Does the legislation</st
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C. Access to mental health care 1)
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3) Does the legislation</st
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E. Rights of families or other care
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G. Voluntary admission and<
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) there is serious likelihood of ha
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• Patient lacks the capacity to m
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2) Are all the criteria and
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O. Special treatments 1) Does the l
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3) Does the law specify a restricte
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R. Oversight and r
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3) (iv) Maintain registers of accre
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• the right of patients a
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3) Does the law allow for people <s
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2) Does the law provide for “reas
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3) Does the law ensure that all min
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AZ. Offences and p
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• Inter-American Convention on th
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Civil and Politica
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5. A patient shall never be invited
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Principle 15 Admission principles 1
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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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