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<!DOCTYPE html>
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<head>
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>Mental Health and Wellness Knowledge Base</title>
<meta name="description" content="A diverse collection of mental health links">
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<h1>Mental Health and Wellness Knowledge Base</h1>
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<h2>
<a class="label label-danger" href="https://mhwkb.github.io/category/EN">EN</a>
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<h2>
<p>To explore the Knowledge Base, click a Language icon above. You may
also read the article below, which is one of the inspirations for this web site.</p>
</h2>
<p>The original source of the article is at <a href="http://www.ohchr.org/EN/NewsEvents/Pages/DisplayNews.aspx?NewsID=21689&LangID=E">http://www.ohchr.org/EN/NewsEvents/Pages/DisplayNews.aspx?NewsID=21689&LangID=E</a></p>
<h1>World needs “revolution” in mental health care – UN rights expert</h1>
<span id="ctl00_PlaceHolderMain_DisplayNewsID_lblNewsFullText" class="lblnewsfulltext" style="display:inline-block;width:100%;"><div class="ExternalClass4C9C8280F0EA4A2C9B9780FDF91D4465"><p>GENEVA
(6 June 2017) – The United Nations Special Rapporteur on the right to
health, Dainius Pūras, has called for a sea change in mental health
care around the world, urging States and psychiatrists to act with
courage to reform a crisis-hit system built on outdated attitudes. </p><p>“We
need little short of a revolution in mental health care to end decades
of neglect, abuse and violence,” Mr. Pūras said after presenting <a href="http://ap.ohchr.org/documents/dpage_e.aspx?si=A/HRC/35/21">his latest report</a> to the UN Human Rights Council in Geneva. </p><p>“Mental
health is grossly neglected within health systems around the
world. Where mental health systems exist, they are segregated
from other healthcare and based on outdated practices that violate
human rights. </p><p>“I am calling on States to move away from
traditional practices and thinking, and enable a long overdue shift to a
rights-based approach. The status quo is simply unacceptable.” </p><p>He
added: “Mental health policies and services are in crisis - not a
crisis of chemical imbalances, but of power imbalances. We need bold
political commitments, urgent policy responses and immediate remedial
action.” </p><p>Mr. Pūras said there was a “grossly unmet” need for
rights-based care and support. Progress was being hindered by huge
power imbalances in the systems currently used in policymaking, service
provision, medical education and research. Other major obstacles
included the dominance of the biomedical model, with its overdependence
on medication, and the “biased” use of evidence, which was
contaminating knowledge about mental health. </p><p>“There is now
unequivocal evidence of the failures of a system that relies too heavily
on the biomedical model of mental health services, including the
front-line and excessive use of psychotropic medicines, and yet these
models persist,” Mr. Pūras said. </p><p>“This pattern occurs in
countries across the national income spectrum. It represents a
failure to integrate evidence and the voices of those most affected
into policy, and a failure to respect, protect and fulfil the right to
health.” </p><p>In his report, Mr. Pūras warns that power and
decision-making in mental health are concentrated in the hands of
“biomedical gatekeepers”, particularly those representing biological
psychiatry. </p><p>These gatekeepers, supported by the pharmaceutical
industry, maintain this power by adhering to two outdated concepts:
that people experiencing mental distress and diagnosed with “mental
disorders” are dangerous, and that biomedical interventions are
medically necessary in many cases. </p><p>“These concepts
perpetuate stigma and discrimination, as well as the practices of
coercion that remain widely accepted in mental health systems today,”
underlined Mr. Pūras, calling for a “paradigm shift” to ensure
compliance with the UN Convention on the Rights of Persons with
Disabilities. </p><p>“It is crucial now to assess the root causes
of failure and to chart a way forward, reaching consensus on the best
way to do this,” he said. </p><p>“New ways of thinking need to permeate
the public sector, and mental health must be integrated into the whole
of public policy. We need bold action from within the corridors
of power, specifically from within the psychiatric profession and its
leadership,” the expert said. </p><p>“Paternalistic and excessively
medicalized concepts must give way to participatory, psychosocial care
and support in the community. Cost-effective and inclusive options with
successful outcomes do exist and are being used around the world today
- they just need to be scaled up and maintained.” </p><p>Mr. Pūras
stressed that psychosocial distress would always be part of the human
experience, particularly in the face of growing emergencies,
inequalities and discrimination. <br>
<br>
The Special Rapporteur is an independent expert appointed by the UN
Human Rights Council to help States, and others, promote and protect the
right to the highest attainable standard of health (<a href="http://www.ohchr.org/EN/Issues/Health/Pages/SRRightHealthIndex.aspx">right to health</a>).
Dainius Pūras (Lithuania) is a medical doctor with notable expertise
on mental health, child health, and public health policies. He is a
Professor and the Head of the Centre for Child psychiatry social
paediatrics at Vilnius University, and teaches at the Faculty of
Medicine, Institute of International relations and political science
and Faculty of Philosophy of Vilnius University, Lithuania. </p><p>The Special Rapporteurs are part of what is known as the <a href="http://www.ohchr.org/EN/HRBodies/SP/Pages/Welcomepage.aspx">Special Procedures</a>
of the Human Rights Council. Special Procedures, the largest body of
independent experts in the UN Human Rights system, is the general name
of the Council’s independent fact-finding and monitoring mechanisms
that address either specific country situations or thematic issues in
all parts of the world. Special Procedures’ experts work on a voluntary
basis; they are not UN staff and do not receive a salary for their
work. They are independent from any government or organization and
serve in their individual capacity. </p><p>For further information and media requests, please contact Ms. Dolores Infante-Cañibano (+41 22 917 9768 / <a href="mailto:dinfante@ohchr.org">dinfante@ohchr.org</a>) </p><p>For <strong>media inquiries</strong> related to other UN independent experts: <br>
Xabier Celaya, OHCHR Media Unit (+ 41 22 917 9383 / <a href="mailto:xcelaya@ohchr.org">xcelaya@ohchr.org</a>) </p><p>Concerned about the world we live in? Then<strong> STAND UP for someone’s rights today. </strong>#Standup4humanrights and visit the web page at <a href="http://www.standup4humanrights.org/">http://www.standup4humanrights.org</a></p></div></span>
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