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Under the auspices of/Sous l'égide de - International Academy of ...

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234. Advocacy I4.1. Mental Health Law, Information and Advocacy Services in Nor<strong>the</strong>rn IrelandJim Campbell, Queens University at Belfast (Jim.campbell@qub.ac.uk)This paper <strong>de</strong>scribes a triangulated study into legal and information services for people with mental healthproblems in Nor<strong>the</strong>rn Ireland. It explores both advice and information services for people living in <strong>the</strong>community as well as legal and o<strong>the</strong>r forms <strong>of</strong> advocacy for individuals <strong>de</strong>tained against <strong>the</strong>ir wishes inhospital, and appearing before mental review tribunals. The views <strong>of</strong> three constituents were sought using avariety <strong>of</strong> approaches - five focus groups with service users and carers (n=43), interviews with keyinformants who were experts in <strong>the</strong> field <strong>of</strong> legal and advocacy services (n=8) and a questionnaire survey <strong>of</strong>300 solicitors who claimed to be providing advocacy for clients who atten<strong>de</strong>d mental health reviewtribunals.The study revealed a growth in legal and information services available to people with mental healthproblems living in <strong>the</strong> community, but that this ten<strong>de</strong>d to be piecemeal and unstructured. Views on <strong>the</strong>operation <strong>of</strong> <strong>the</strong> mental health review tribunal ten<strong>de</strong>d to be mixed, ranging from an appreciation <strong>of</strong> <strong>the</strong>sensitive and principled management <strong>of</strong> <strong>the</strong> legal process to criticisms about advocates being un<strong>de</strong>rresourced and lacking in key knowledge and skills. The paper conclu<strong>de</strong>s by arguing for a more robustsystem <strong>of</strong> information and advocacy in such a key area <strong>of</strong> human rights and at a time when <strong>the</strong> currentmental health law is being reviewed.4.2. Lessons Learned: The First Year <strong>of</strong> Mental Health Services in a Stu<strong>de</strong>ntCommunity Legal ClinicLora M. Patton, York University (lpatton@osgoo<strong>de</strong>.yorku.ca)As Ontario’s mental health system transitions from a centralized, institutional-based structure to one morefocused on increasing in<strong>de</strong>pen<strong>de</strong>nce and home-care, persons <strong>de</strong>fined as being seriously mentally ill arebeing treated more <strong>of</strong>ten within <strong>the</strong>ir own communities. With <strong>the</strong> change, persons previously living inhospital gain new in<strong>de</strong>pen<strong>de</strong>nce but also must <strong>de</strong>al with new realities, <strong>of</strong>ten without <strong>the</strong> promisedcommunity support: a lack <strong>of</strong> safe and affordable housing, significant <strong>de</strong>ficiencies in <strong>the</strong> social assistanceprograms, criminalization <strong>of</strong> behaviours related to <strong>the</strong>ir illnesses and discrimination in every form. Assuch, <strong>the</strong>y are interacting with <strong>the</strong> law in an entirely new way, an interaction in which lawyers <strong>de</strong>aling withcommittal, capacity and treatment are unprepared to manage.Community lawyers could hold <strong>the</strong> key to redressing some <strong>of</strong> <strong>the</strong> inequities facing this client group but as apr<strong>of</strong>ession, we remain largely unprepared to meet this challenge. Typical legal training, clinical training inparticular, does not provi<strong>de</strong> <strong>the</strong> knowledge <strong>of</strong> mental health systems nor <strong>the</strong> skills necessary to work withclients with mental health needs. In or<strong>de</strong>r for <strong>the</strong> pr<strong>of</strong>ession to respond effectively, legal education, bothformal and clinical must adapt.

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