scholarly journals Promotion of Human Rights in Mental Health – Youth’s Perspective

2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Yamini Gowda P.C ◽  
Sandra Sunitha Lobo

There exists a global human rights emergency in mental health. The stigma, myths and misconceptions associated with mental disorders negatively affect the lives of people with mental disorders leading to denial of even the most basic human rights. Worldwide, people with mental disabilities experience an ambit of human rights violations. They are denied access to basic mental health care and treatment. They are not only discriminated against and stigmatized but are also subjected to abuse in both mental health facilities and the community. Several violations in community-based mental health care go unreported. Victims of discrimination are particularly vulnerable to restrictions in economic, social and cultural rights that make it difficult to be integrated into mainstream society. A sense of alienation can affect a person’s dignity and self-esteem, which is detrimental to one’s well-being. A qualitative approach was employed to understand the role of youth in promoting and protecting human rights in mental health. A Focus Group Discussion was done on a sample of 10 respondents who willing first BA students of Psychology – 2 males and 8 females aged 18–20 years. Results were analyzed using narratives. The objectives were to understand the threats to dignity in mental health care and ways to promote it. It was expressed that mental health inequalities lie even outside the health sector and thus inter-sectoral action is required to redress the issue. It was advocated to raise mental health issues on the agenda of political, religious and community arenas. Health facilities ought to be person-centred, privacy maintained, equitable and equal. The study has implications for mental health professionals to be more humane and ethical in practice and improve quality health care. Besides, mental health literacy should be imparted at various levels of education.

2016 ◽  
Vol 26 (4) ◽  
pp. 348-354 ◽  
Author(s):  
C. Hanlon

The explicit inclusion of mental health within the Sustainable Development Goals is a welcome development, borne out of powerful advocacy using public health, economic and human rights arguments. As funding comes on line for scale-up of evidence-based mental health care by task-sharing with primary care, it is time to take stock about care for people affected by severe mental illness (SMI). The existing evidence base for task shared care for SMI provides an imperative to get started, but is skewed towards relatively more affluent and urban populations in middle-income countries where specialist mental health professionals provide most of the care. Randomised, controlled trials and rigorous implementation research on task shared service models are underway which will go some way to improving understanding of the quality, safety, effectiveness and acceptability of more widely generalisable care for people with SMI. A sub-group of people with SMI have more complex and long-term needs for care, with a high risk of homelessness, imprisonment and human rights violations as family and social supports become overwhelmed. Case studies from non-governmental organisations provide examples of holistic approaches to rehabilitation, recovery and empowerment of people with SMI, but rigorous comparative studies are needed to identify the most efficient, effective and scalable approaches to care. Health system constraints are emerging as the over-riding barriers to successful task-sharing, highlighting a need to develop and evaluate chronic care models for people with SMI that succeed in reducing premature mortality, improving wellbeing and achieving better social outcomes. Addressing these evidence gaps is essential if task-sharing mental health care is going to deliver on its promise of promoting recovery for the full range of people affected by SMI.


2019 ◽  
Vol 44 (3) ◽  
pp. 149-155 ◽  
Author(s):  
Annie Snow ◽  
Julie Cerel ◽  
Diane N Loeffler ◽  
Chris Flaherty

AbstractContemporary research suggests that transgender and gender-nonconforming (TGNC) adults encounter formidable barriers to health care, including access to quality therapeutic interventions. This systematic review is one of the first to specifically explore obstacles to TGNC mental health care. A rigorous literature review identified eight relevant studies: six qualitative designs and two quantitative designs. Thematic synthesis revealed three major barriers to care and five corresponding subthemes: (1) personal concerns, involving fear of being pathologized or stereotyped and an objection to common therapeutic practices; (2) incompetent mental health professionals, including those who are unknowledgeable, unnuanced, and unsupportive; and (3) affordability factors. Results indicate an acute need for practitioner training to ensure the psychological well-being of TGNC clients.


2012 ◽  
Vol 9 (3) ◽  
pp. 213-217
Author(s):  
A Risal

Common mental disorders are a group of distress states manifesting with anxiety, depressive and unexplained somatic symptoms typically encountered in community and primary care settings. Risk factors for these disorders are mainly lower socio-economic status, psychological illnesses, poor reproductive health, gender disadvantage and physical ill-health. WHO has recommended that treatment of all these disorders should be based in primary care to be more effective and accessible to all the community people. The structure of mental health care in primary care is generally understood in terms of the “pathways to care” model and it plays a major role in countries like ours where community-based mental health services do not exist. Both the psychological and pharmacological therapies are found to be equally effective for treating these disorders. Integration of mental health into primary care can be considered as the stepping stone in the way forward to tackle the barriers and problems in effective management of common mental disorders in the community. The acute shortage of mental health professionals and the relatively low levels of awareness about mental disorders make it mandatory that primary health care should remain the single largest sector for mental health care in low and middle income countries like ours.DOI: http://dx.doi.org/10.3126/kumj.v9i3.6308 Kathmandu Univ Med J 2011;9(3):213-7  


Author(s):  
OGHIAGBEPAN A. DANIEL

This paper clinically analysizes the cases of mental disorder in Warri and its ‘environs as recorded in the central hospital Warri and its environs. A population of 159 recorded cases including adult males, females and children were used for the study. Two research hypothesis and three research question were formulated and the instruments of data collection were interview and observation. The result shows that there is an increase in the prevalence of mental disorders in Warri and its environs with women experiencing more mental disorders than men. Similarly, same types of mental disorder are more prevalent than others in Warri and its environs. Strategies such as a holistic approach by mental health professionals, government adequate intervention in mental health care are recommended as improvement strategies in the mental health care delivery system in Nigeria.


2018 ◽  
Vol 26 (2) ◽  
pp. 101-108
Author(s):  
Barbara Murphy ◽  
Kate Hoppe ◽  
Chris Gibbs ◽  
Deepika Ratnaike ◽  
Harry Lovelock

Purpose The Mental Health Professionals’ Network (MHPN) was established to enhance collaborative care among health professionals working in mental health care in Australia. The MHPN has two primary arms: face-to-face network meetings and online webinars. The purpose of this paper is to investigate practice changes in health professionals who participated in one of MHPN’s live webinars. Design/methodology/approach Practice change was assessed by online survey with attendees from three MHPN webinars held in 2016. The survey link was e-mailed to webinar attendees three months after each webinar. Findings In total, 585 health professionals participated in the surveys. Four out of five respondents had made at least one practice change, particularly increased confidence in providing mental health care and increased discussions about other disciplines. General practitioners and psychologists were more likely than others to have made practice changes. Nine out of ten respondents rated the webinars as “very good” or “excellent.” Research limitations/implications MHPN’s webinar program positively impacts health professionals’ practice and represents an easily accessible and effective professional development opportunity for Australia’s mental health workforce. Originality/value The MHPN webinar program is unique in Australia. The MHPN provides opportunities for interdisciplinary professional development in the primary mental health sector. The model is highly cost effective and transferable to other settings and countries.


2020 ◽  
Vol 6 (5) ◽  
pp. 184-194
Author(s):  
N. Akpysharov

Mental disorders are an acute public health problem in the WHO European region, affecting 25% the entire population every year. WHO activities in the area of mental health promotion at the level of individuals and society as a whole are aimed at improving human mental well-being, preventing mental disorders, protecting human rights and caring for people with mental disorders. The WHO European Conference on Mental Health (2005), 66th Session of the World Health Assembly (2013), 63rd Session of the WHO European Regional Committee (2013) have focused on mental health. In the Kyrgyz Republic, the State policy to change the system of assistance to persons with mental disabilities, to establish a unified mental health service and to change the attitude of society towards mental health and the mentally ill is reflected in the National Program Mental health of the population of the Kyrgyz Republic for 2001–2010, the National Health Reform Program of the Kyrgyz Republic Den Sooluk for 2012–2018, for the Sustainable Development Goals up to 2030, adopted at the Summit by UN members, the Program for Mental Health Protection of the Population of the Kyrgyz Republic for 2018-2030. Given the negative trends in the mental health care system, an important element in addressing the shortcomings is the increased use of new institutional forms of mental health care, such as the Medical Rehabilitation Unit, Intensive Mental Health Care Unit, Psychiatric Dispensaries and Outpatient Psychiatric Rooms, in dispensary monitoring. Priority in the further development of psychiatric care should be given to the most effective and less costly forms of its provision, ahead of the development of outpatient level, inter-agency interaction and integration of psychiatric service with other levels of regional health and social protection.


2017 ◽  
Vol 25 (4) ◽  
pp. 237-246 ◽  
Author(s):  
Chris Gibbs ◽  
Barbara Murphy ◽  
Deepika Ratnaike ◽  
Kate Hoppe ◽  
Harry Lovelock

Purpose The purpose of this paper is to describe the development and experience of the Mental Health Professionals’ Network (MHPN) in building and supporting a national interdisciplinary professional development platform in community mental health to enhance practitioner response to the needs of consumers. Design/methodology/approach The key components of the MHPN model are described highlighting effective ways of engaging practitioners and supporting interdisciplinary practice. The MHPN has two key programs – Face-to-Face Interdisciplinary Practitioner Networks and an Online Professional Development Program. Findings The MHPN model has had significant uptake in communities across Australia and continues to grow. Practitioners report positive outcomes in engaging with other practitioners, improving their professional knowledge and having gained increased confidence in the provision of mental health care to patients. Practical implications The progress and learnings to date offer some useful insights that can be applied to other settings to support integrated care for patients with mental health problems through enhancing collaborative care among practitioners at the primary care level. Originality/value MHPN is a unique, national, successful platform delivering opportunities for interdisciplinary professional development in the primary mental health sector. The model is cost effective, practitioner driven, and transferable to other settings.


2009 ◽  
Vol 45 (10) ◽  
pp. 989-998 ◽  
Author(s):  
Viviane Kovess-Masfety ◽  
◽  
Anne Dezetter ◽  
Ron de Graaf ◽  
Joseph Maria Haro ◽  
...  

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Stimac Grbic ◽  
I Pavic Simetin ◽  
A Istvanovic

Abstract Issue Care for people with severe mental disorders requires approach that is focused on a person's strengths, not his weaknesses, and is a shift from a deficit model that is often associated with mental illness. Care users and their family members play an important role in this approach. Description of the Problem Mental disorders are the leading group of diseases in Croatia, according to the number of days of hospital treatment. The number of hospitalizations is high, and the rate of hospitalization for depression has tripled in the last twenty years. Such indicators highlight the need for reorientation of mental health care, from hospital-based to community-based, by organizing mobile community intervention teams. Results In Croatia, psychosocial peer teams were established by the NGO Ludruga, financed by local government, to provide peer support to persons with mental disorders. The main activities are: development of a personal recovery plan, home visits and providing psychological support to persons with mental disorders, organizing support groups and education of peer workers. The teams consist of a peer worker, social worker, psychologist, and operate under the supervision of a psychiatrist. The teams have been operating for five years, have had over a hundred users so far and are a significant help to the healthcare system in preventing rehospitalizations. Lessons The goal of therapeutic interventions in mental health care should be recovery. Recovery involves empowering a person to take responsibility for themselves and their health. Peer workers play an important role in the recovery process, providing hope for recovery. Their role must also be recognized by the health system. Key messages People with mental disorders and their families should be co-creators of care and recovery-oriented interventions. Only by comprehensive interventions, tackling all determinants of health, therapeutic goal can be achieved.


Author(s):  
Debanjan Banerjee ◽  
Kiran Rabheru ◽  
Carlos Augusto de Mendonca Lima ◽  
Gabriel Ivbijaro

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