News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 

The World Must Change The Way Mental Health Challenges Are Addressed, UN Expert Says

A UN human rights expert has urged States, the civil society, psychiatric organisations, and the World Health Organisation to change the way we understand and respond to mental health challenges.

“I welcome the international recognition of mental health, but much more is still needed,” the UN Special Rapporteur on the right to physical and mental health, Dainius Pūras, said during the presentation of a new report to the Human Rights Council.

“The global mental health status quo should move away from the outdated ‘mad or bad’ approach which seeks to prevent behaviours deemed as ‘dangerous’ or provide treatment considered ‘medically necessary’ without consent,” he said.

Pūras said that the dominance of the biomedical model has resulted in an overuse of medicalisation and institutionalisation. He warned against the exaggerated benefits of psychotropic medications and highlighted that their effectiveness is not comparable to other medicines that are essential for certain physical conditions, such as for example, antibiotics for bacterial infections.

“I appreciate the progress made to understand the role of psychotropic medications, but also recognise that there are no biological markers for mental health conditions,” he said. Hence the specific mechanisms by which psychotropic drugs might be effective, are simply unknown,” the Special Rapporteur said.

Pūras said that the status quo in mental health care has ignored the social, political or existential context that contributes to the high prevalence of feelings of sadness, anxiety, fear and other manifestations of mental distress.

“There is no simplified mechanistic solution to mental distress,” he said. “For the majority of mental health conditions, psychosocial and other social interventions are the essential option for treatment.”

He highlighted that systemic obstacles, such as power asymmetries in mental health care, the dominance of the biomedical model and the biased use of knowledge, need to be addressed by changes in laws, policies and practices

The UN expert reiterated his call for mental health care action and investment to be redirected to rights-based supports, to non-coercive alternatives that address the psychosocial determinants of health, and to the development and strengthening of practices that are non-violent, peer-led, trauma-informed, community-led, healing and culturally sensitive.

“I’m calling once again for the ultimate elimination of segregated psychiatric institutions that reflect the historic legacy of social exclusion, disempowerment, stigma and discrimination.”

To achieve this, realisation of the principles and values of the Convention of the Rights of Persons with Disabilities should guide mental health policies and services, and discriminatory laws and practices should be abandoned.

“COVID-19 has exacerbated the failures of the status quo in mental health care. The pandemic provides the global community with a unique opportunity to demonstrate political will to move away from medicalisation and institutionalisation in mental health-care,” the Special Rapporteur said.

© Scoop Media

 
 
 
Culture Headlines | Health Headlines | Education Headlines

 


Howard Davis: Controlling the High Ground

Stephen Johnson's raw and angry film not only poses important questions with scrupulous authenticity, but also provides a timely reminder of the genocidal consequences of casual bigotry and xenophobia. More>>

Howard Davis: Dryzabone - Robert Conolly's The Dry

After the terrible devastation caused by last year’s bushfires, which prompted hundreds of Australians to shelter in the ocean to escape incineration and destroyed uncountable amounts of wildlife, The Dry has been released during a totally different kind of dry spell. More>>


Howard Davis: Benjamin Ree's The Painter and The Thief

The Norwegian filmmaker had long been fascinated by art thieves who commit high-stakes crimes with a delicate touch when a chance Google search in 2015 uncovered a botched heist in Oslo. More>>


Howard Davis: Hit the Road, Jack - Chloé Zhao's Nomadland

Nomadland is perhaps the ultimately 'road' movie as it follows a group of dispossessed and disenfranchised vagabonds who find a form of communal refuge in camp sites and trailer parks after the economic contraction of 2008. More>>


Howard Davis: Byrneing Down the House - Spike Lee's American Utopia

Lee does an admirable job capturing Byrne's stunning live performance of his latest album, but the real star of the show is the staging. More>>


Howard Davis: The Phoenix Foundation Friend Ship Tour Docks in Wellington

A sense of local pride was certainly running high at the Opera House on Saturday night, as the lads ran through a tasty little set drawn mostly from their latest album Friend Ship (splash out for Xmas on the shocking pink extra-thick vinyl edition). More>>


 
 
 
 
 
 

LATEST HEADLINES

  • CULTURE
  • HEALTH
  • EDUCATION
 
 
  • Wellington
  • Christchurch
  • Auckland