Michaela Amering is a Professor of Psychiatry at the Medical University of Vienna, Department of Psychiatry and Psychotherapy.
|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.