scholarly journals ‘Rabone’ and four unresolved problems in mental health law

2013 ◽  
Vol 37 (9) ◽  
pp. 297-301 ◽  
Author(s):  
George Szmukler ◽  
Genevra Richardson ◽  
Gareth Owen

SummaryIn a landmark decision, the Supreme Court of the UK ruled that the state has a special operational duty to protect the right to life in informal psychiatric in-patients (‘Rabone case'), in sharp distinction to general medical or surgical patients. We will argue that the significance of this case is general, not just local, and that it exposes four important unresolved problems in mental health law: the place of decision-making capacity; the meaning of ‘informal’ admission; parity between mental and physical health; and the accuracy of risk assessment.

1997 ◽  
Vol 21 (10) ◽  
pp. 631-635 ◽  
Author(s):  
Martin S. Humphreys

There is growing concern with psychiatrists' knowledge of mental health law, in particular with the introduction of new legislation and more complex statutory arrangements for after care. Despite this, little systematic research has been undertaken in the UK. This study was designed to determine the knowledge of a sample of doctors in psychiatry in Scotland, of part of the Mental Health (Scotland) Act 1984 which provides for urgent involuntary admission to hospital. A one in three sample of all non-consultant grade psychiatrists throughout Scotland was interviewed on the aspects of the Act considered essential to lawful detention. Knowledge of even this restricted part of the Act was poor regardless of experience. Evidence emerged which suggested that at times civil liberties might be compromised or the right to treatment denied. The findings clearly point to the need for increased emphasis on training in 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.


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

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.


2020 ◽  
pp. 233-272
Author(s):  
Jonathan Herring

This chapter first considers statistics on mental health in the UK. It then discusses the Mental Health Act (MHA) 1983; the MHA 1983 Code of Practice; reforms to the law under the 2007 Act; problems in mental health practice; critics of mental health; and paternalism as the ground for detention. It highlights the difficulty in striking the correct balance between protecting the public from the perceived threat of mentally disordered people and protecting the rights of those who suffer mental illness. The chapter also illustrates how the principle of autonomy, which plays such an important role in medical law and ethics, is given much less prominence in the area of mental health law.


2014 ◽  
Vol 11 (1) ◽  
pp. 11-12
Author(s):  
A. Douzenis ◽  
C. Tsopelas ◽  
L. Lykouras

Like all European countries, Greece has developed its national legislation based on the principles of equality and the right of representation, but there is no separate, specific mental health law in Greece. This paper describes the law for involuntary psychiatric admission. The law concerning criminal and civil responsibility and the law relating to individuals with addictions committing drug-related crimes are also outlined.


Author(s):  
Brenda Hale

<p align="LEFT">This article focusses on two questions in relation to the interplay of the Human Rights Act and the Mental Health Law: the right to choose, and the process of compulsion.</p>


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