human rights and legislation who resource book on mental health

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Nacanieli Goneyali Maria Grazia Giannicheda Stephanie Grant John Gray Margaret Grigg Jose Guimon Oye Gureje Karin Gutierrez-Lobos Timothy Harding Gaston Harnois Gary Haugl<strong>and</strong> Robert Hayes HE Yanling Ahmed Mohamed Heshmat Karen Hetherington Frederick Hickling Kim Hopper Paul Hunt HWANG Tae-Yeon Lars Jacobsson Aleks<strong>and</strong>ar Janca Heidi Jimenez Dale L. Johnson Kristine Jones Nancy Jones Emmanuel Mpinga Kabengele Nadia Kadri Lilian Kanaiya Hospital Services, Ministry of Health, Suva, Fiji Dipartimento di Economia Istituzioni Società, University of Sassari, Sassari, Italy Office of the United Nations High Commissioner for Human Rights, Geneva, Switzerl<strong>and</strong> Policy <strong>and</strong> Systems Development, Branch, International Association of Gerontology, Ministry Responsible for Seniors, Victoria BC, Canada Mental Health Branch, Department of Human Services, Melbourne, Australia Department of Psychiatry, University Hospitals of Geneva, Switzerl<strong>and</strong> Department of Psychiatry, University College Hospital, Ibadan, Nigeria Medical University of Vienna, Department of Psychiatry, Vienna, Austria Institut universitaire de médecine légale, Centre médical universitaire, Geneva, Switzerl<strong>and</strong> WHO Collaborating Centre, Douglas Hospital Research Centre, Verdun, Quebec, Canada Nathan S. Kline Institute for Psychiatric Research, Orangeburg, New York, USA Mental Health Review Tribunal of New South Wales, Australia Shanghai Mental Health Center, Shanghai, China Ministry of Health <strong>and</strong> Population, Mental Health Programme, Cairo, Egypt Régie Régionale de la Santé et des Services Sociaux de Montréal-Centre, Montréal, Quebec, Canada Section of Psychiatry, Department of Community Health, University of West Indies, Kingston, Jamaica Nathan S. Kline Institute for Psychiatric Research, Orangeburg, New York, USA Office of the United Nations High Commissioner for Human Rights <strong>and</strong> Department of Law <strong>and</strong> Human Rights Centre, University of Essex, United Kingdom Department of Psychiatric Rehabilitation <strong>and</strong> Community Mental Health, Yongin Mental Hospital, Republic of Korea Department of Psychiatry, Faculty of Medicine, University of Umea, Umea, Sweden Department of Psychiatry & Behavioural Science, University of Western Australia, Perth, Australia Regional Office for the Americas, World Health Organization, Washington, USA World Fellowship for Schizophrenia <strong>and</strong> Allied Disorders (WFSAD), Taos, New Mexico, USA Nathan S. Kline Institute for Psychiatric Research, Orangeburg, New York, USA Seattle, WA, USA Institut de Médecine Sociale et Préventive de l'Université de Genève, Faculté de Médecine, Geneva, Switzerl<strong>and</strong> Université Psychiatrique Ibn Rushd, Casablanca, Morocco Schizophrenia Foundation of Kenya, Nairobi, Kenya vi
Eddie Kane Zurab I. Kekelidze David Musau Kiima Susan Kirkwood Todd Krieble John P. Kummer Lourdes Ladrido-Ignacio Pirkko Lahti Eero Lahtinen Eugene M. Laska Eric Latimer Louis Letellier de St-Just Richard Light Bengt Lindqvist Linda Logan Marcelino López Juan José López Ibor Crick Lund Annabel Lyman MA Hong George Mahy Rohit Malpani Douma Djibo Maïga Mohamed M<strong>and</strong>our Joseph Mbatia Nalaka Mendis Céline Mercier Thierry Mertens Judith Mesquita Jeffrey Metzner Mental Health <strong>and</strong> Secure Services, Department of Health, Manchester, United Kingdom Serbsky National Research Centre for Social <strong>and</strong> Forensic Psychiatry, Moscow, Russian Federation Department of Mental Health, Ministry of Health, Nairobi, Kenya European Federation of Associations of Families of Mentally Ill persons, Aberdeen, United Kingdom Mental Health Policy <strong>and</strong> Service Development, Mental Health Directorate, Ministry of Health, Wellington, New Zeal<strong>and</strong> Equilibrium, Unteraegeri, Switzerl<strong>and</strong> Department of Psychiatry <strong>and</strong> Behavioural Medicine, College of Medicine <strong>and</strong> Philippines General Hospital, Manila, Philippines Finnish Association for Mental Health, Maistraatinportti, Finl<strong>and</strong> Department of Health, Ministry of Social Affairs <strong>and</strong> Health, Helsinki, Finl<strong>and</strong> Nathan S. Kline Institute for Psychiatric Research, Orangeburg, New York, USA Douglas Hospital Research Centre, Quebec, Canada Montreal, Quebec, Canada Disability Awareness in Action, London, United Kingdom Office of the United Nations High Commissioner for Human Rights, Geneva, Switzerl<strong>and</strong> Policy Development, Texas Department of Mental Health <strong>and</strong> Mental Retardation, Austin, TX, USA Research <strong>and</strong> Evaluation, Andalusian Foundation for Social Integration of the Mentally Ill, Seville, Spain World Psychiatric Association, López-Ibor Clinic, Madrid, Spain Department of Psychiatry <strong>and</strong> Mental Health, University of Cape Town, South Africa Behavioural Health Division, Ministry of Health, Koror, Palau National Center for Mental Health, China-CDC, Beijing, China University of the West Indies, Queen Elizabeth Hospital, Barbados Regional Office for South-East Asia, World Health Organization, New Delhi, India Ministry of Public Health, Niamey, Niger Italian Cooperation, Consulate General of Italy, Jerusalem Mental Health Unit, Ministry of Health, Dar es Salaam, United Republic of Tanzania University of Colombo, Sri Lanka Douglas Hospital Research Centre, Quebec, Canada Department of Strategic Planning <strong>and</strong> Innovation, World Health Organization, Geneva, Switzerl<strong>and</strong> Human Rights Centre, University of Essex, Colchester, United Kingdom Department of Psychiatry, University of Colorado, School of Medicine, Denver, CO, USA vii
Page 1: WHO RESOURCE BOOK ON MENTAL HEALTH,
Page 4 and 5: All rights reserve
Page 6 and 7: Technical contribution and<
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
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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