Book contents
- Mental Health, Legal Capacity, and Human Rights
- Mental Health, Legal Capacity, and Human Rights
- Copyright page
- Contents
- Figures
- Tables
- Boxes
- Contributors
- Preface
- Foreword
- Introduction A “Paradigm Shift” in Mental Health Care
- 1 The Alchemy of Agency: Reflections on Supported Decision-Making, the Right to Health and Health Systems as Democratic Institutions
- 2 Redefining International Mental Health Care in the Wake of the COVID-19 Pandemic
- 3 Reparation for Psychiatric Violence: A Call to Justice
- 4 Divergent Human Rights Approaches to Capacity and Consent
- 5 From Pipe Dream to Reality: A Practical Legal Approach Towards the Global Abolition of Psychiatric Coercion
- 6 The ‘Fusion Law’ Proposals and the CRPD
- 7 Contextualising Legal Capacity and Supported Decision Making in the Global South Experiences: of Homeless Women with Mental Health Issues from Chennai, India
- 8 The Potential of the Legal Capacity Law Reform in Peru to Transform Mental Health Provision
- 9 Advancing Disability Equality Through Supported Decision-Making: The CRPD and the Canadian Constitution
- 10 Decisional Autonomy and India’s Mental Healthcare Act, 2017: A Comment on Emerging Jurisprudence
- 11 Towards Resolving Damaging Uncertainties: Progress in the United Kingdom and Elsewhere
- 12 ‘The Revolution Will Not Be Televised’: Recent Developments in Mental Health Law Reform in Zambia and Ghana
- 13 Supported Decision-Making and Legal Capacity in Kenya
- 14 Seher’s “Circle of Care” Model in Advancing Supported Decision Making in India
- 15 The Swedish Personal Ombudsman: Support in Decision-Making and Accessing Human Rights
- 16 Strategies to Achieve a Rights-Based Approach through WHO QualityRights
- 17 The Clubhouse Model: A Framework for Naturally Occurring Supported Decision Making
- 18 Mind the Gap: Researching ‘Alternatives to Coercion’ in Mental Health Care
- 19 Psychiatric Advance Directives and Supported Decision-Making: Preliminary Developments and Pilot Studies in California
- 20 Community-Based Mental Health Care Delivery with Partners In Health: A Framework for Putting the CRPD into Practice
- 21 Lived Experience Perspectives from Australia, Canada, Kenya, Cameroon and South Africa – Conceptualising the Realities
- 22 In the Pursuit of Justice: Advocacy by and for Hyper-marginalized People with Psychosocial Disabilities through the Law and Beyond
- 23 The Danish Experience of Transforming Decision-Making Models
- 24 The Use of Patient Advocates in Supporting People with Psychosocial Disabilities
- 25 Users’ Involvement in Decision-Making: Lessons from Primary Research in India and Japan
- 26 Involvement of People with Lived Experience of Mental Health Conditions in Decision-Making to Improve Care in Rural Ethiopia
- References
20 - Community-Based Mental Health Care Delivery with Partners In Health: A Framework for Putting the CRPD into Practice
Published online by Cambridge University Press: 20 August 2021
Book contents
- Mental Health, Legal Capacity, and Human Rights
- Mental Health, Legal Capacity, and Human Rights
- Copyright page
- Contents
- Figures
- Tables
- Boxes
- Contributors
- Preface
- Foreword
- Introduction A “Paradigm Shift” in Mental Health Care
- 1 The Alchemy of Agency: Reflections on Supported Decision-Making, the Right to Health and Health Systems as Democratic Institutions
- 2 Redefining International Mental Health Care in the Wake of the COVID-19 Pandemic
- 3 Reparation for Psychiatric Violence: A Call to Justice
- 4 Divergent Human Rights Approaches to Capacity and Consent
- 5 From Pipe Dream to Reality: A Practical Legal Approach Towards the Global Abolition of Psychiatric Coercion
- 6 The ‘Fusion Law’ Proposals and the CRPD
- 7 Contextualising Legal Capacity and Supported Decision Making in the Global South Experiences: of Homeless Women with Mental Health Issues from Chennai, India
- 8 The Potential of the Legal Capacity Law Reform in Peru to Transform Mental Health Provision
- 9 Advancing Disability Equality Through Supported Decision-Making: The CRPD and the Canadian Constitution
- 10 Decisional Autonomy and India’s Mental Healthcare Act, 2017: A Comment on Emerging Jurisprudence
- 11 Towards Resolving Damaging Uncertainties: Progress in the United Kingdom and Elsewhere
- 12 ‘The Revolution Will Not Be Televised’: Recent Developments in Mental Health Law Reform in Zambia and Ghana
- 13 Supported Decision-Making and Legal Capacity in Kenya
- 14 Seher’s “Circle of Care” Model in Advancing Supported Decision Making in India
- 15 The Swedish Personal Ombudsman: Support in Decision-Making and Accessing Human Rights
- 16 Strategies to Achieve a Rights-Based Approach through WHO QualityRights
- 17 The Clubhouse Model: A Framework for Naturally Occurring Supported Decision Making
- 18 Mind the Gap: Researching ‘Alternatives to Coercion’ in Mental Health Care
- 19 Psychiatric Advance Directives and Supported Decision-Making: Preliminary Developments and Pilot Studies in California
- 20 Community-Based Mental Health Care Delivery with Partners In Health: A Framework for Putting the CRPD into Practice
- 21 Lived Experience Perspectives from Australia, Canada, Kenya, Cameroon and South Africa – Conceptualising the Realities
- 22 In the Pursuit of Justice: Advocacy by and for Hyper-marginalized People with Psychosocial Disabilities through the Law and Beyond
- 23 The Danish Experience of Transforming Decision-Making Models
- 24 The Use of Patient Advocates in Supporting People with Psychosocial Disabilities
- 25 Users’ Involvement in Decision-Making: Lessons from Primary Research in India and Japan
- 26 Involvement of People with Lived Experience of Mental Health Conditions in Decision-Making to Improve Care in Rural Ethiopia
- References
Summary
For people with psychosocial disabilities living in poverty, the effective protection of human rights outlined in the CRPD requires attention to social and economic inequities, including the promotion of the right to health. The starting point for CRPD adherence in resource-limited settings should be the adequate provision of rights-based support which optimizes individuals’ functioning and helps them achieve effective recovery and rehabilitation, alongside full inclusion and participation in their communities. Strategies to build systems which can provide this support should be of interest to multiple stakeholders including service users, clinicians, health system planners, NGOs, and CRPD duty bearers such as states.
- Type
- Chapter
- Information
- Mental Health, Legal Capacity, and Human Rights , pp. 302 - 315Publisher: Cambridge University PressPrint publication year: 2021
References
Arstein-Kerslake, A., Flynn, E., 2016. The General Comment on Article 12 of the Convention on the Rights of Persons with Disabilities: A roadmap for equality before the law. Int. J. Hum. Rights 20, 471–490. https://doi.org/10.1080/13642987.2015.1107052Google Scholar
Ballard, M., Schwartz, R., Johnson, A., et al., 2017. Practitioner expertise to optimize community health systems: Harnessing operational insight.Google Scholar
Bartlett, P., Jenkins, R., Kiima, D., 2011. Mental health law in the community: Thinking about Africa. Int. J. Ment. Health Syst. 5(21). https://doi.org/10.1186/1752-4458-5-21Google Scholar
Chatterjee, S., Pillai, A., Jain, S., Cohen, A., Patel, V., 2009. Outcomes of people with psychotic disorders in a community-based rehabilitation programme in rural India. Br. J. Psychiatry 195, 433–439. https://doi.org/10.1192/bjp.bp.108.057596Google Scholar
Cyrus, G., Lusaka, J., Yansine, W. A., et al., 2020. Care and community reintegration of homeless people living with severe mental disorders: A community-based mental health programme in Maryland County, Liberia. Lancet Glob. Health, Consortium of Universities for Global Health Abstracts 4. https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(20)30145-5/fulltextGoogle Scholar
Davidson, L., Bellamy, C. B., Guy, K., Miller, R., 2012. Peer support among persons with severe mental illnesses: A review of evidence and experience. World Psychiatry 11, 123–128. https://doi.org/10.1016/j.wpsyc.2012.05.009Google Scholar
Dlamini-Simelane, T., Moyer, E., 2017. Task shifting or shifting care practices? The impact of task shifting on patients’ experiences and health care arrangements in Swaziland. BMC Health Serv. Res. 17. https://doi.org/10.1186/s12913-016-1960-yGoogle Scholar
Eaton, J., McCay, L., Semrau, M., et al., 2011. Scale up of services for mental health in low-income and middle-income countries. The Lancet 378, 1592–1603. https://doi.org/10.1016/S0140-6736(11)60891-XGoogle Scholar
Farmer, P., Léandre, F., Mukherjee, J., et al., 2001. Community-based treatment of advanced HIV disease: introducing DOT-HAART (directly observed therapy with highly active antiretroviral therapy). Bull. World Health Organ. 79, 1145–1151.Google Scholar
Farmer, P. E., Nizeye, B., Stulac, S., Keshavjee, S., 2006. Structural Violence and Clinical Medicine. PLoS Med. 3, e449. https://doi.org/10.1371/journal.pmed.0030449Google Scholar
Franke, M. F., Kaigamba, F., Socci, A. R., et al., 2013. Improved retention associated with community-based accompaniment for antiretroviral therapy delivery in rural Rwanda. Clin. Infect. Dis. 56, 1319–1326. https://doi.org/10.1093/cid/cis1193Google Scholar
Hoeft, T. J., Fortney, J. C., Patel, V., Unützer, J., 2018. Task-sharing approaches to improve mental health care in rural and other low-resource settings: A systematic review: Task-sharing rural mental health. J. Rural Health 34, 48–62. https://doi.org/10.1111/jrh.12229Google Scholar
Kim, J. Y., Farmer, P., Porter, M. E., 2013. Redefining global health-care delivery. The Lancet 382, 1060–1069. https://doi.org/10.1016/S0140-6736(13)61047-8Google Scholar
Leatherman, S., Ferris, T. G., Berwick, D., Omaswa, F., Crisp, N., 2010. The role of quality improvement in strengthening health systems in developing countries. Int. J. Qual. Health Care 22, 237–243. https://doi.org/10.1093/intqhc/mzq028Google Scholar
Legha, R., Eustache, E., Therosme, T., et al., 2015. Taskshifting: Translating theory into practice to build a community based mental health care system in rural Haiti. Intervention 13, 248–267. https://doi.org/10.1097/WTF.0000000000000099Google Scholar
Mittler, P., 2015. The UN Convention on the Rights of Persons with Disabilities: Implementing a paradigm shift: UN Disability Convention and Millennium Development Goals. J. Policy Pract. Intellect. Disabil. 12, 79–89. https://doi.org/10.1111/jppi.12118Google Scholar
Palazuelos, D., Farmer, P. E., Mukherjee, J., 2018. Community health and equity of outcomes: The Partners In Health experience. Lancet Glob. Health 6, e491–e493. https://doi.org/10.1016/S2214-109X(18)30073-1Google Scholar
Partners In Health, 2020. Story map: mental health at Partners In Health. https://storymaps.arcgis.com/stories/8dca051575aa4dd983e9fe1e21bcff6bGoogle Scholar
Partners In Health, 2014. ‘I’m not afraid anymore’: A young man recovers from a mental illness. www.pih.org/article/im-not-afraid-anymore-a-young-man-recovers-from-mental-illnessGoogle Scholar
Patel, V., Chisholm, D., Parikh, R., et al., 2016. Addressing the burden of mental, neurological, and substance use disorders: Key messages from Disease Control Priorities, 3rd edition. The Lancet 387, 1672–1685. https://doi.org/10.1016/S0140-6736(15)00390-6Google Scholar
Raviola, G., Naslund, J. A., Smith, S. L., Patel, V., 2019. Innovative models in mental health delivery systems: Task sharing care with non-specialist providers to close the mental health treatment gap. Curr. Psychiatry Rep. 21, 44. https://doi.org/10.1007/s11920-019-1028-xGoogle Scholar
Raviola, G., Rose, A., Fils-Aimé, J. R., et al., 2020. Development of a comprehensive, sustained community mental health system in post-earthquake Haiti, 2010–2019. Glob. Ment. Health 7, e6. https://doi.org/10.1017/gmh.2019.33Google Scholar
Raviola, G., Severe, J., Therosme, T., et al., 2013. The 2010 Haiti earthquake response. Psychiatr. Clin. North Am. 36, 431–450. https://doi.org/10.1016/j.psc.2013.05.006Google Scholar
Rhatigan, J., Jain, S., Mukherjee, J., Porter, M.l, 2009. Applying the Care Delivery Value Chain: HIV/AIDS Care in Resource Poor Settings (Working Paper No. 09–093). Harvard Business School.Google Scholar
Shogren, K. A., Wehmeyer, M. L., 2015. A framework for research and intervention design in supported decision-making. Inclusion 3, 17–23. https://doi.org/10.1352/2326-6988-3.1.17Google Scholar
Singla, D. R., Kohrt, B. A., Murray, L. K., et al., 2017. Psychological treatments for the world: Lessons from low- and middle-income countries. Annu. Rev. Clin. Psychol. 13, 149–181. https://doi.org/10.1146/annurev-clinpsy-032816-045217Google Scholar
Smith, S., Kayiteshonga, Y., Misago, C. N., et al., 2017. Integrating mental health care into primary care: The case of one rural district in Rwanda. Intervention 15, 136–150.Google Scholar
Smith, S. L., Franke, M. F., Rusangwa, C., et al., 2020. Outcomes of a primary care mental health implementation program in rural Rwanda: A quasi-experimental implementation-effectiveness study. PLOS ONE 15, e0228854. https://doi.org/10.1371/journal.pone.0228854Google Scholar
Smith, S. L., Grelotti, D. J., Fils-Aime, R., et al., 2015. Catatonia in resource-limited settings: A case series and treatment protocol. Gen. Hosp. Psychiatry 37, 89–93. https://doi.org/10.1016/j.genhosppsych.2014.10.009Google Scholar
Smith, S. L., Misago, C. N., Osrow, R. A., et al., 2017. Evaluating process and clinical outcomes of a primary care mental health integration project in rural Rwanda: A prospective mixed-methods protocol. BMJ Open 7, e014067. https://doi.org/10.1136/bmjopen-2016-014067Google Scholar
Stastny, P., Lovell, A., Hannah, J., et al., 2020. Crisis response as a human rights flashpoint: Critical elements of community support for individuals experiencing significant emotional distress. Health Hum. Rights J. 22, 105–120.Google Scholar
United Nations General Assembly, 2007. Convention on the Rights of Persons with Disabilities: Resolution/Adopted by the General Assembly (No. A/RES/61/106). United Nations General Assembly.Google Scholar
van Ginneken, N., Tharyan, P., Lewin, S., et al., 2013. Non-specialist Health Worker Interventions for the Care of Mental, Neurological and Substance-Abuse Disorders in Low- and Middle-Income Countries, in The Cochrane Collaboration (ed.), Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd, Chichester, UK.Google Scholar
Verdeli, H., Therosme, T., Eustache, E., et al., 2016. Community norms and human rights: supervising Haitian colleagues on Interpersonal Psychotherapy (IPT) with a depressed and abused pregnant woman. J. Clin. Psychol. 72, 847–855. https://doi.org/10.1002/jclp.22366Google Scholar
WHO, 2012. Who QualityRights tool kit: Assessing and Improving Quality and Human Rights in Mental Health and Social Care Facilities. WHO, Geneva.Google Scholar