Global mental health should engage with the ethics of involuntary admission

Abstract Global mental health, as a field, has focused on both increasing access to mental health services and promoting human rights. Amidst many successes in engaging with and addressing various human rights violations affecting individuals living with psychosocial disabilities, one human rights c...

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Main Author: Marisha N. Wickremsinhe
Format: Article
Language:English
Published: BMC 2021-03-01
Series:International Journal of Mental Health Systems
Subjects:
Online Access:https://doi.org/10.1186/s13033-021-00448-0
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author Marisha N. Wickremsinhe
author_facet Marisha N. Wickremsinhe
author_sort Marisha N. Wickremsinhe
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description Abstract Global mental health, as a field, has focused on both increasing access to mental health services and promoting human rights. Amidst many successes in engaging with and addressing various human rights violations affecting individuals living with psychosocial disabilities, one human rights challenge remains under-discussed: involuntary inpatient admission for psychiatric care. Global mental health ought to engage proactively with the debate on the ethics of involuntary admission and work to develop a clear position, for three reasons. Firstly, the field promotes models of mental healthcare that are likely to include involuntary admission. Secondly, the field aligns much of its human rights framework with the UN Convention on the Rights of Persons with Disabilities, which opposes the discriminatory use of involuntary admission on the basis of psychosocial disability or impairment. Finally, global mental health, as a field, is uniquely positioned to offer novel contributions to this long-standing debate in clinical ethics by collecting data and conducting analyses across settings. Global mental health should take up involuntary admission as a priority area of engagement, applying its own orientation toward research and advocacy in order to explore the dimensions of when, if ever, involuntary admission may be permissible. Such work stands to offer meaningful contributions to the challenge of involuntary admission.
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spelling doaj.art-913d8cc38cb24956a09b3f125f02e7402022-12-21T23:26:01ZengBMCInternational Journal of Mental Health Systems1752-44582021-03-011511410.1186/s13033-021-00448-0Global mental health should engage with the ethics of involuntary admissionMarisha N. Wickremsinhe0Ethox Centre and Wellcome Centre for Ethics and Humanities, Nuffield Department of Population Health, University of OxfordAbstract Global mental health, as a field, has focused on both increasing access to mental health services and promoting human rights. Amidst many successes in engaging with and addressing various human rights violations affecting individuals living with psychosocial disabilities, one human rights challenge remains under-discussed: involuntary inpatient admission for psychiatric care. Global mental health ought to engage proactively with the debate on the ethics of involuntary admission and work to develop a clear position, for three reasons. Firstly, the field promotes models of mental healthcare that are likely to include involuntary admission. Secondly, the field aligns much of its human rights framework with the UN Convention on the Rights of Persons with Disabilities, which opposes the discriminatory use of involuntary admission on the basis of psychosocial disability or impairment. Finally, global mental health, as a field, is uniquely positioned to offer novel contributions to this long-standing debate in clinical ethics by collecting data and conducting analyses across settings. Global mental health should take up involuntary admission as a priority area of engagement, applying its own orientation toward research and advocacy in order to explore the dimensions of when, if ever, involuntary admission may be permissible. Such work stands to offer meaningful contributions to the challenge of involuntary admission.https://doi.org/10.1186/s13033-021-00448-0Involuntary admissionGlobal mental healthCRPD
spellingShingle Marisha N. Wickremsinhe
Global mental health should engage with the ethics of involuntary admission
International Journal of Mental Health Systems
Involuntary admission
Global mental health
CRPD
title Global mental health should engage with the ethics of involuntary admission
title_full Global mental health should engage with the ethics of involuntary admission
title_fullStr Global mental health should engage with the ethics of involuntary admission
title_full_unstemmed Global mental health should engage with the ethics of involuntary admission
title_short Global mental health should engage with the ethics of involuntary admission
title_sort global mental health should engage with the ethics of involuntary admission
topic Involuntary admission
Global mental health
CRPD
url https://doi.org/10.1186/s13033-021-00448-0
work_keys_str_mv AT marishanwickremsinhe globalmentalhealthshouldengagewiththeethicsofinvoluntaryadmission