scholarly journals A Third Wave, Not a Third Way? New Labour, Human Rights and Mental Health in Historical Context

2009 ◽  
Vol 8 (2) ◽  
pp. 215-230 ◽  
Author(s):  
Mick Carpenter

This historically situated, UK-based review of New Labour's human rights and mental health policy following the 1998 Human Rights Act (HRA) and 2007 Mental Health Act (MHA), draws on Klug's identification of three waves of human rights. These occurred around the American and French Revolutions, after World War II, and following the collapse of state communism in 1989, and the article assesses impacts on mental health policy up to and including the New Labour era. It critiques current equality and rights frameworks in mental health and indicates how they might be brought into closer alignment with third wave principles.

2017 ◽  
Vol 41 (S1) ◽  
pp. S568-S568
Author(s):  
C. Aroui ◽  
A. Khoubila ◽  
K. Mchichi Alami ◽  
M. Agoub ◽  
O. Battas ◽  
...  

IntroductionAll over the world, there is global emergency when it comes to respecting human rights in providing good mental health services. Morocco as an African and a developing country has always had a mental health policy defined by several glitches and failures, which had not helped him improve its mental health services quality. Nevertheless, huge improvements were achieved through time.ObjectivesThis report, aims to draw attention on how compulsory it is to think and act all together to promote mental health and provide patients with better health services in Morocco.MethodsThe National Human Rights Council conducted an information and investigation mission in Morocco's main mental health hospitals and facilities between March 27 and July 6, 2012.ResultsStructures are insufficient and inadequate in terms of geographical distribution, architecture and equipment. There is a big shortage of medical and paramedical staff and little interest is given to vulnerable groups. Nevertheless, huge improvements have also been achieved through time with mental health issues becoming a cornerstone of the ministerial program, the involvement of the NGOs, the construction of newer facilities, the implementation of an information gathering system and the presence of a substance use policy.ConclusionPsychiatry in Morocco has come a long way since it was firstly implemented in the country as a medical specialty. Undoubtedly, a lot has been done but much more remains to be achieved. The current situation requires relevant actions and that clearly includes the implementation of a new mental health policy and the update of the legal framework.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2009 ◽  
Vol 37 (2) ◽  
pp. 273-288 ◽  
Author(s):  
David Pilgrim ◽  
Shulamit Ramon

1979 ◽  
Vol 9 (4) ◽  
pp. 645-662 ◽  
Author(s):  
Phil Brown

Recent criticism of mental health policy has raised many questions about the so-called “mental health revolution.” Following World War II, the federal government and the growing mental health lobby planned the first nationally oriented system of psychiatric treatment, rehabilitation, and prevention. The rapidly expanding National Institute of Mental Health coordinated that policy, particularly through its Community Mental Health Centers program. Custodial state hospitals were depopulated and their patients “dumped” in nursing and boarding homes, which now constitute the largest arena for and most expensive form of psychiatric care. While there has been some progress in decreasing the hospital population and in improving conditions, as well as in providing services to certain people who otherwise would never receive them, failures have been more dominant. Admission and readmission rates have climbed precipitously. Unplanned hospital discharge has led to hundreds of thousands of ex-patients living in dangerous, nontherapeutic nursing homes where the main concern is profit. They, and many others, are maintained on psychiatric drugs, another source of profit as well as a dangerous technology. Community mental health programs have maintained psychiatry's traditional class, race, and sex biases, and have incurred widespread intrusion into communities. This article shows that such problems are part of an interconnected system in which the driving forces are fiscal crisis, ideological justifications for dumping patients, attempts to pass responsibility from state governments to federal and local bodies, restrictions on government and insurance reimbursements, the free enterprise economics of the nursing home and drug industries, and the professionalist practices of the mental health field.


2009 ◽  
Vol 8 (2) ◽  
pp. 245-256 ◽  
Author(s):  
Helen Spandler ◽  
Tim Calton

This paper examines conflicts in polices in England and Wales pertaining to the demand for alternative, non-medical crisis support for those experiencing ‘psychosis’. We examine the limitations of current treatment, policy and legislative frameworks in supporting these demands. In particular, we focus on the limitations of prevailing conceptualisations of ‘human rights’, ‘social inclusion’ and ‘recovery’. These concepts, we argue, are embedded within a broader treatment framework which renders medication as mandatory and all other treatment modalities as inherently subsidiary, and a broader policy framework which is complicit with bio-medical orthodoxies of ‘mental illness’ and prioritises treatment compliance and compulsion. Therefore, in order to advance a ‘human rights’ approach to mental health policy, we argue that reigning orthodoxies inherent within policy and practice must be explicitly challenged to open up spaces for the availability of alternatives.


Author(s):  
Valentina Iemmi ◽  
Nicole Votruba ◽  
Graham Thornicroft

This chapter describes evidence-based mental health policy with the help of illustrative examples. After briefly setting the use of research evidence to inform mental health policy within the broader historical context, the second section of the chapter provides a brief description of evidence-based mental health policy and its rationale. The third section illustrates how mental health research may help inform mental health policy, with a description of the research cycle, the policy cycle, their relationship, and the use of epidemiological studies for policymaking. The fourth section provides examples of the use of research evidence in mental health policy at different organizational levels, from the clinical level (micro-level), through the service provision/healthcare facility level (meso-level) and the whole health system level (macro-level), to the global level (mega-level). Finally, the chapter concludes by reflecting on some of the opportunities and challenges that influence evidence-based mental health policy.


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