Michaela Amering.
Michaela Amering is a Professor of Psychiatry at the Medical University of Vienna, Department of Psychiatry and Psychotherapy.
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| Michela Amering, Chair WAPR Human Rights Committee. |
The
shared knowledge will allow comprehensive discussions so that we can leave with
tools for real change towards a human rights-based psychiatry. The title of the XIII.WAPR World Congress – ‘Recovery,
Citizenship, Human Rights; Reviewing Consensus” – is well chosen and poses a formidable challenge for this important congress.
With
new legislation through the UN-CRPD the 2017 report of the UN Special Rapporteur on the right of everyone
to the enjoyment of the highest attainable standard of physical and mental
health defines the task ahead as
- a shift in
paradigm
- …towards right-compliant mental health systems’
UN Special Rapporteur and psychiatrist colleague Danius
Puras calls our attention to the fact that ‘we
are all potential users of metal health services’ and thus
-
‘everyone is a rights holder’.
-
Correspondingly,
mental health workers and policy makers are duty-bearers.
How
do we go about meeting our duties? The
WAPR Task Force on Human Rights has defined the specific task of formulating
the main consequences of entitlements rights according to the UN-CRPD articles
pertinent to the core tasks of psychosocial rehabilitation:
- - Article 19 -
Living Independently and Being Included in the Community
- - Article 24 –
Education
- - Article 26 -
Habilitation and Rehabilitation
- - Article 27 -
Work and employment
- - Article 28 -
Adequate standard of living and social protection
- - Article 29 -
Participation in political and public life
- - Article 30 -
Participation in cultural life, recreation, leisure and sport -
As well as those articles that focus on research,
evaluation and international collaboration:
- - Article 31 -
Statistics and data collection
- - Article 32 -
International cooperation
In
order to increase the effects of entitlement rights on an individual as well as
on the health care system level (including effects of these rights on
implementation of recovery-orientation of services and strengthening the
awareness of the significance of social determinants of mental health).
WAPR
wants to further a process of understanding and participating in shaping the
effects of the CRPD in different countries and internationally with regards to
accessibility and assistance needs and rights. Such a process concerns
especially also, the questions of:
- Definition of psychosocial disability
- Definition of reasonable accommodation
- Assessment of assistance needs to replace current deficit assessment.
Ideally,
we want to come up with a consensus on the main consequences of the rule of law
of the CRPD for the field of psychosocial rehabilitation.
These
tasks can only be addressed through working in partnership between Users,
Carers, different mental health professionals, lawyers, human rights activists,
WHO, and the general public and supporting this multi stakeholder approach to
all developments, discussions and decisions in the mental health field.
In order to advance towards
the goal of mental health services compliant with human rights we want to
invite to Madrid contributions pertaining to the topics of the most burning current chances and challenges for the human rights-based approach in
psychiatry:
-
Inclusive
Housing, Supported Housing and Housing First
-
Supported
Education.
-
Supported
Employment.
-
Supported
Parenting.
- Supported Decision Making.
-
Experiences with WHO-Quality Rights.
-
Medical and Dental Care for Persons with
Psychosocial Disabilities.
- Alternatives to acute hospital care, like
acute Day Clinic, Home Treatment and Assertive Outreach.
- Open Dialogue and
local examples such as Trieste Services.
- Non-violence in acute psychiatric care and
reform of guardianship laws in accordance with CRPD
R - Reforms of Forensic Services. R
- User and Carers’ involvement.
- The rights of women and girls with
psychosocial disabilities.
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