Mental Health Law

Author(s):  
Kay Wilson

The debate about whether mental health law should be abolished or reformed emerged during the negotiations of the Convention on the Right of Persons with Disabilities (‘CRPD’) and has raged fiercely for over a decade. It has resulted in an impasse between abolitionists, States Parties, and other reformers and a literature which has devolved into ‘camps’. Mental Health Law: Abolish or Reform? aims to cut through the confusion using the tools of human rights treaty interpretation backed by a deep jurisprudential analysis of core CRPD concepts—dignity (including autonomy), equality, and participation—to gain a clearer understanding of the meaning of the CRPD and what it requires States Parties to do. In doing so, it sets out the development of both mental health law and the abolitionist movement including its goals and how and why it has emerged now. By digging deeper into the conceptual basis of the CRPD and developing the ‘interpretive compass’, the book aims to flesh out a broader vision of disability rights and move the debate forward by evaluating the three main current abolition and reform options: Abolition with Support, Mental Capacity with Support, and Support Except Where There is Harm. Drawing on jurisprudential and multi-disciplinary research from philosophy, medicine, sociology, disability studies, and history, it argues that mental health law should not be abolished, but should instead be significantly reformed to minimize coercion and maximize the support and choices given to persons with mental impairments to realize of all of their CRPD rights.

2021 ◽  
pp. 53-90
Author(s):  
Kay Wilson

Chapter 3 traces the history of opposition to mental health law including anti-psychiatry and the emergence of the disability rights movement explaining where the call for the abolition of mental health law has come from and why it has emerged in international human rights law now. It argues that the call for abolition is more than just a reaction to historically poor treatment, but is a qualitatively different basis for understanding mental impairment. It explains the Abolition with Support model and sets out the key arguments for the abolition of mental health law being that mental health law is a form of social control of non-conformists, that it is discriminatory and a denial of legal capacity, that free and informed consent is integral to the right to health, that it is an unjustified interference with liberty, that it is an unjustified interference with the integrity of the person, that it is a form of torture and cruel, inhuman, and degrading treatment and punishment, that it is inconsistent with the right to independent living, that it is ineffective and un-therapeutic, that there are better non-coercive alternatives, that it undermines the ‘dignity of risk’ of persons with mental impairment, and that mental health law is too ‘easy’ and creates a culture of coercion throughout the entire mental health system. While I ultimately argue against the abolition of mental health law in favour of substantial reform, I argue that it is important to listen to and properly understand abolitionists’ concerns in order to improve mental health law and include persons with mental impairment in the policy-making and health-care decision-making process.


Author(s):  
Eilionóir Flynn

Ireland’s constitution adopts a dualist approach to international law. It is in a unique position as a state which has not ratified the Convention on the Rights of Persons with Disabilities (CRPD), but one which is obliged to adhere to the provisions of the CRPD in EU law, by virtue of the EU’s conclusion of the CRPD in 2010. To date, the CRPD has been referenced in a number of cases before the Irish courts in the context of employment equality law and mental health law. This chapter examines the extent of the impact that the CRPD can have on the judgments of domestic courts on disability rights in advance of the state’s ratification of the Convention.


2021 ◽  
pp. 167-202
Author(s):  
Kay Wilson

Having rejected the abolition of mental health law in Chapters 4 to 7, Chapter 8 explores the possibility of the reform of mental health law. It explains the Mental Capacity with Support and Support Except Where There is Harm models. It applies the interpretive compass of inherent dignity (including autonomy), equality, and participation to both models and compares them to the Abolition with Support model. It argues in favour of the Mental Capacity with Support model as being compatible with the CRPD (despite the contrary arguments from abolitionists) and more transparent than Abolition with Support. It proposes improvements to the Mental Capacity with Support model. It discusses wider reforms to the mental health system, social reforms, and how reform is possible without abolishing mental health law first.


Medical Law ◽  
2019 ◽  
pp. 351-419
Author(s):  
Emily Jackson

All books in this flagship series contain carefully selected substantial extracts from key cases, legislation, and academic debate, providing able students with a stand-alone resource. This chapter discusses mental health law in the UK. It begins with a brief history of mental health law and policy. This is followed by discussions of: admission to the mental health system; treatment of the mentally ill under the Mental Health Act 1983; Deprivation of Liberty Safeguards (DoLS) and Cheshire West, and Community Treatment Orders. It also looks at the implications of the Human Rights Act and the UN Convention on the Rights of Persons with Disabilities (UNCRPD) for mental health law. It also considers the conclusions of the Independent Review of the Mental Health Act 1983.


2015 ◽  
Vol 49 (9) ◽  
pp. 848-848 ◽  
Author(s):  
Christopher Ryan ◽  
Sascha Callaghan ◽  
Carmelle Peisah

This chapter gives an overview of mental health law. Whilst focusing on the legal specifics in England and Wales, the underlying ethical issues extend to all jurisdictions. It explains the duties that law places on health systems and clinicians to support patients to make decisions about their own health. However, it also explains the legal frameworks in place for children and people with mental illness, brain injuries, learning disabilities, dementia, or personality disorder who may require clinicians to decide their health care. Basic concepts of the Mental Health Act 1983, the Mental Capacity Act 2005, and the Children Act 1989 are described, and parts of the law that psychiatrists need to know are presented concisely and in psychiatric context. The chapter includes a practical approach to mental capacity assessment.


Sign in / Sign up

Export Citation Format

Share Document