Bringing together the World Health Organization's QualityRights initiative and the World Psychiatric Association's programme on implementing alternatives to coercion in mental healthcare: a common goal for action

Background Stakeholders worldwide increasingly acknowledge the need to address coercive practices in mental healthcare. Options have been described and evaluated in several countries, as noted recently in major policy documents from the World Health Organization (WHO) and World Psychiatric Associat...

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Main Authors: Neeraj Gill, Natalie Drew, Maria Rodrigues, Hassan Muhsen, Guadalupe Morales Cano, Martha Savage, Soumitra Pathare, John Allan, Silvana Galderisi, Afzal Javed, Helen Herrman, Michelle Funk
Format: Article
Language:English
Published: Cambridge University Press 2024-01-01
Series:BJPsych Open
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2056472423006221/type/journal_article
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author Neeraj Gill
Natalie Drew
Maria Rodrigues
Hassan Muhsen
Guadalupe Morales Cano
Martha Savage
Soumitra Pathare
John Allan
Silvana Galderisi
Afzal Javed
Helen Herrman
Michelle Funk
author_facet Neeraj Gill
Natalie Drew
Maria Rodrigues
Hassan Muhsen
Guadalupe Morales Cano
Martha Savage
Soumitra Pathare
John Allan
Silvana Galderisi
Afzal Javed
Helen Herrman
Michelle Funk
author_sort Neeraj Gill
collection DOAJ
description Background Stakeholders worldwide increasingly acknowledge the need to address coercive practices in mental healthcare. Options have been described and evaluated in several countries, as noted recently in major policy documents from the World Health Organization (WHO) and World Psychiatric Association (WPA). The WHO's QualityRights initiative promotes human rights and quality of care for persons with mental health conditions and psychosocial disabilities. A position statement from the WPA calls for implementation of alternatives to coercion in mental healthcare. Aims We describe the engagement of both the WHO and WPA in this work. We discuss their mutual aim to support countries in improving human rights and quality of care, as well as the differences between these two organisations in their stated goals related to coercion in mental healthcare: the WHO's approach to eliminate coercion and the WPA's goal to implement alternatives to coercion. Method We outline and critically analyse the common ground between the two organisations, which endorse a similar range of rights-based approaches to promoting non-coercive practices in service provision, including early intervention in prevention and care and other policy and practice changes. Results Advocacy and action based on an agreed need to find practical solutions and advances in this area have the power to build consensus and unify key actors. Conclusions We conclude that persons with lived experience, families, mental health professionals and policy makers are now coming together in several parts of the world to work toward the common goals of improving quality, promoting human rights and addressing coercion in mental health services.
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spelling doaj.art-47461c9903df4fd593250b21c5706fe92024-01-05T08:48:28ZengCambridge University PressBJPsych Open2056-47242024-01-011010.1192/bjo.2023.622Bringing together the World Health Organization's QualityRights initiative and the World Psychiatric Association's programme on implementing alternatives to coercion in mental healthcare: a common goal for actionNeeraj Gill0https://orcid.org/0000-0003-2106-9843Natalie Drew1Maria Rodrigues2Hassan Muhsen3Guadalupe Morales Cano4Martha Savage5https://orcid.org/0000-0002-2080-0676Soumitra Pathare6https://orcid.org/0000-0001-9311-9024John Allan7Silvana Galderisi8https://orcid.org/0000-0002-1592-7656Afzal Javed9https://orcid.org/0000-0003-2518-0688Helen Herrman10Michelle Funk11School of Medicine and Dentistry, Griffith University, Australia; Mental Health Policy Unit, Health Research Institute, University of Canberra, Australia; and Mental Health and Specialist Services, Gold Coast Health, AustraliaDepartment of Mental Health and Substance Use, World Health Organization, Geneva, SwitzerlandCommunity Works, Docklands, Australia; and Kindred Collaborative, Brisbane, AustraliaSchool of Medicine and Dentistry, Griffith University, Australia; and Mental Health and Specialist Services, Gold Coast Health, AustraliaFundación Mundo Bipolar, Madrid, SpainSchool of Geography, Environment and Earth Science, Victoria University of Wellington, New ZealandCentre for Mental Health Law and Policy, Indian Law Society, Pune, IndiaMayne Academy of Psychiatry, School of Medicine, University of Queensland, AustraliaDepartment of Mental and Physical Health and Preventive Medicine, University of Campania Luigi Vanvitelli, ItalyPakistan Psychiatric Research Centre, Fountain House Institute, Lahore, PakistanOrygen, Parkville, Australia; and Centre for Youth Mental Health, The University of Melbourne, AustraliaDepartment of Mental Health and Substance Use, World Health Organization, Geneva, Switzerland Background Stakeholders worldwide increasingly acknowledge the need to address coercive practices in mental healthcare. Options have been described and evaluated in several countries, as noted recently in major policy documents from the World Health Organization (WHO) and World Psychiatric Association (WPA). The WHO's QualityRights initiative promotes human rights and quality of care for persons with mental health conditions and psychosocial disabilities. A position statement from the WPA calls for implementation of alternatives to coercion in mental healthcare. Aims We describe the engagement of both the WHO and WPA in this work. We discuss their mutual aim to support countries in improving human rights and quality of care, as well as the differences between these two organisations in their stated goals related to coercion in mental healthcare: the WHO's approach to eliminate coercion and the WPA's goal to implement alternatives to coercion. Method We outline and critically analyse the common ground between the two organisations, which endorse a similar range of rights-based approaches to promoting non-coercive practices in service provision, including early intervention in prevention and care and other policy and practice changes. Results Advocacy and action based on an agreed need to find practical solutions and advances in this area have the power to build consensus and unify key actors. Conclusions We conclude that persons with lived experience, families, mental health professionals and policy makers are now coming together in several parts of the world to work toward the common goals of improving quality, promoting human rights and addressing coercion in mental health services. https://www.cambridge.org/core/product/identifier/S2056472423006221/type/journal_articleCoercionmental healthcarehuman rightsinvoluntary treatmentmental health conditions
spellingShingle Neeraj Gill
Natalie Drew
Maria Rodrigues
Hassan Muhsen
Guadalupe Morales Cano
Martha Savage
Soumitra Pathare
John Allan
Silvana Galderisi
Afzal Javed
Helen Herrman
Michelle Funk
Bringing together the World Health Organization's QualityRights initiative and the World Psychiatric Association's programme on implementing alternatives to coercion in mental healthcare: a common goal for action
BJPsych Open
Coercion
mental healthcare
human rights
involuntary treatment
mental health conditions
title Bringing together the World Health Organization's QualityRights initiative and the World Psychiatric Association's programme on implementing alternatives to coercion in mental healthcare: a common goal for action
title_full Bringing together the World Health Organization's QualityRights initiative and the World Psychiatric Association's programme on implementing alternatives to coercion in mental healthcare: a common goal for action
title_fullStr Bringing together the World Health Organization's QualityRights initiative and the World Psychiatric Association's programme on implementing alternatives to coercion in mental healthcare: a common goal for action
title_full_unstemmed Bringing together the World Health Organization's QualityRights initiative and the World Psychiatric Association's programme on implementing alternatives to coercion in mental healthcare: a common goal for action
title_short Bringing together the World Health Organization's QualityRights initiative and the World Psychiatric Association's programme on implementing alternatives to coercion in mental healthcare: a common goal for action
title_sort bringing together the world health organization s qualityrights initiative and the world psychiatric association s programme on implementing alternatives to coercion in mental healthcare a common goal for action
topic Coercion
mental healthcare
human rights
involuntary treatment
mental health conditions
url https://www.cambridge.org/core/product/identifier/S2056472423006221/type/journal_article
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