Mental Health Policy and Service Guidance Package MENTAL ...

1 MENTAL Health LEGISLATION &HUMAN RIGHTSM ental Health Policy and Service Guidance Package All people with MENTAL disorders have the right to receive high qualitytreatment and care delivered throughresponsive Health care services. They should be protected against any form of inhuman treatment and discrimination. MENTAL Health LEGISLATION &HUMAN RIGHTSM ental Health Policy and Service Guidance Package world Health organization 2003. Reprinted rights reserved. Publications of the world Health organization can be obtained from WHO Press, world Health organization , 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel. : +41 22 791 3264 ; fax :+41 22 791 4857 ; e-mail : Requests for permission to reproduce or translate WHOpublications whether for sale or for noncommercial distribution should be addressed to WHO Press,at the above address (fax : +41 22 791 4806 ; e-mail : The designations employed and the presentation of the material in this publication do not imply theexpression of any opinion whatsoever on the part of the world Health organization concerning the legalstatus of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiersor boundaries.))

2 Dotted lines on maps represent approximate border lines for which there may not yet befull mention of specific companies or of certain manufacturers products does not imply that they areendorsed or recommended by the world Health organization in preference to others of a similar nature thatare not mentioned. Errors and omissions excepted, the names of proprietary products are distinguishedby initial capital reasonable precautions have been taken by the world Health organization to verify the informationcontained in this publication. However, the published material is being distributed without warranty ofany kind, either expressed or implied. The responsibility for the interpretation and use of the material lieswith the reader. In no event shall the world Health organization be liable for damages arising from its use. This publication contains the collective views of an international group of experts and does not necessarilyrepresent the decisions or the stated Policy of the world Health in Library Cataloguing-in-Publication DataMental Health legislation and human rights.

3 ( MENTAL Health Policy and Service Guidance Package ) Health - legislation rights - legislation ill persons - legislation Policy Health programs - legislation I. world Health organization II. SeriesISBN 92 4 154595 x(NLM classification: WM 30)Technical information concerning this publication can be obtained from:Dr Michelle FunkDepartment of MENTAL Health and Substance AbuseWorld Health Organization20 Avenue AppiaCH-1211, Geneva 27 SwitzerlandTel : +41 22 791 3855 Fax : +41 22 791 4160E-mail : citation: MENTAL Health legislation and human , world Health organization ,2003 ( MENTAL Health Policy and Service Guidance Package ).iiAcknowledgementsThe MENTAL Health Policy and Service Guidance Package was produced under thedirection of Dr Michelle Funk, Coordinator, MENTAL Health Policy and ServiceDevelopment, and supervised by Dr Benedetto Saraceno, Director, Department ofMental Health and Substance Dependence, world Health module has been prepared by Dr Soumitra Pathare,Ruby Hall Clinic, India, Dr Alberto Minoletti, Ministry of Health , Chile, Ms Natalie Drew and Dr Michelle Funk, world Health organization , and technical coordination group:Dr Michelle Funk, world Health organization , Headquarters (WHO/HQ), Ms NatalieDrew, (WHO/HQ), Dr JoAnne Epping-Jordan, (WHO/HQ), Professor Alan J.

4 Flisher,University of Cape Town, Observatory, Republic of South Africa, Professor MelvynFreeman, Department of Health , Pretoria, South Africa, Dr Howard Goldman, NationalAssociation of State MENTAL Health Program Directors Research Institute and Universityof Maryland School of Medicine, USA, Dr Itzhak Levav, MENTAL Health Services, Ministryof Health , Jerusalem, Israel and Dr Benedetto Saraceno, (WHO/HQ). Dr Crick Lund, University of Cape Town, Observatory, Republic of South Africa, finalizedthe technical editing of this assistance:Dr Jose Bertolote, world Health organization , Headquarters (WHO/HQ), Dr ThomasBornemann (WHO/HQ), Dr Jos Miguel Caldas de Almeida, WHO Regional Office forthe Americas (AMRO), Dr Vijay Chandra, WHO Regional Office for South-East Asia(SEARO), Dr Custodia Mandlhate, WHO Regional Office for Africa (AFRO), Dr ClaudioMiranda (AMRO), Dr Ahmed Mohit, WHO Regional Office for the Eastern Mediterranean,Dr Wolfgang Rutz, WHO Regional Office for Europe (EURO), Dr Erica Wheeler (WHO/HQ),Dr Derek Yach (WHO/HQ), and staff of the WHO Evidence and Information for PolicyCluster (WHO/HQ).

5 Administrative and secretarial support: Ms Adeline Loo (WHO/HQ), Mrs Anne Yamada (WHO/HQ) and Mrs Razia Yaseen(WHO/HQ).Layout and graphic design: 2S ) graphicdesignEditor: Walter RyderiiiWHO also gratefully thanks the following people for their expert opinion and technical input to this module:Dr Adel Hamid AfanaDirector, Training and Education DepartmentGaza Community MENTAL Health Programme Dr Bassam Al AshhabMinistry of Health , Palestinian Authority, West BankMrs Ella AmirAmi Qu bec, CanadaDr Julio Arboleda-FlorezDepartment of Psychiatry, Queen's University,Kingston, Ontario, CanadaMs Jeannine AugerMinistry of Health and Social Services, Qu bec, CanadaDr Florence BainganaWorld Bank, Washington DC, USAMrs Louise BlanchetteUniversity of Montreal Certificate Programme inMental Health , Montreal, CanadaDr Susan BlythUniversity of Cape Town, Cape Town, South AfricaMs Nancy BreitenbachInclusion International, Ferney-Voltaire, FranceDr Anh Thu BuiMinistry of Health , Koror, Republic of PalauDr Sylvia CarasPeople Who organization , Santa Cruz, California, USA Dr Claudina CayetanoMinistry of Health , Belmopan, BelizeDr Chueh ChangTaipei.

6 TaiwanProfessor Yan Fang ChenShandong MENTAL Health Centre, JinanPeople s Republic of ChinaDr Chantharavdy ChoulamanyMahosot General Hospital, Vientiane, Lao People sDemocratic RepublicDr Ellen CorinDouglas Hospital Research Centre, Quebec, CanadaDr Jim CrowePresident, world Fellowship for Schizophrenia andAllied Disorders, Dunedin, New ZealandDr Araba Sefa DedehUniversity of Ghana Medical School, Accra, GhanaDr Nimesh DesaiProfessor of Psychiatry and MedicalSuperintendent, Institute of Human Behaviour and Allied Sciences, IndiaDr M. Parameshvara DevaDepartment of Psychiatry, Perak College of Medicine, Ipoh, Perak, MalaysiaProfessor Saida DoukiPresident, Soci t Tunisienne de Psychiatrie,Tunis, TunisiaProfessor Ahmed Abou El-AzayemPast President, world Federation for MENTAL Health , Cairo, EgyptDr Abra FranschWONCA, Harare, ZimbabweDr Gregory FricchioneCarter Center, Atlanta, USADr Michael FriedmanNathan S.

7 Kline Institute for Psychiatric Research, Orangeburg, NY, USAMrs Diane FroggattExecutive Director, world Fellowship for Schizophreniaand Allied Disorders, Toronto, Ontario, CanadaMr Gary FurlongMetro Local Community Health Centre, Montreal, CanadaDr Vijay GanjuNational Association of State MENTAL Health ProgramDirectors Research Institute, Alexandria, VA, USAMrs Reine GobeilDouglas Hospital, Quebec, CanadaDr Nacanieli GoneyaliMinistry of Health , Suva, FijiDr Gaston HarnoisDouglas Hospital Research Centre, WHO Collaborating Centre, Quebec, Canada Mr Gary HauglandNathan S. Kline Institute for Psychiatric Research, Orangeburg, NY, USADr Yanling HeConsultant, Ministry of Health , Beijing,People s Republic of ChinaProfessor Helen HerrmanDepartment of Psychiatry, University of Melbourne, AustraliaivMrs Karen HetheringtonWHO/PAHO Collaborating Centre, CanadaProfessor Frederick HicklingSection of Psychiatry, University of West Indies, Kingston, JamaicaDr Kim HopperNathan S.

8 Kline Institute for Psychiatric Research,Orangeburg, NY, USADr Tae-Yeon HwangDirector, Department of Psychiatric Rehabilitation and Community Psychiatry, Yongin City, Republic of KoreaDr A. JancaUniversity of Western Australia, Perth, AustraliaDr Dale L. JohnsonWorld Fellowship for Schizophrenia and Allied Disorders, Taos, NM, USADr Kristine JonesNathan S. Kline Institute for Psychiatric Research, Orangeburg, NY, USADr David Musau KiimaDirector, Department of MENTAL Health , Ministry of Health , Nairobi, KenyaMr Todd KriebleMinistry of Health , Wellington, New ZealandMr John P. KummerEquilibrium, Unteraegeri, SwitzerlandProfessor Lourdes Ladrido-IgnacioDepartment of Psychiatry and Behavioural Medicine,College of Medicine and Philippine General Hospital,Manila, PhilippinesDr Pirkko LahtiSecretary-General/Chief Executive Officer, world Federation for MENTAL Health , and ExecutiveDirector, Finnish Association for MENTAL Health ,Helsinki, FinlandMr Eero Lahtinen,Ministry of Social Affairs and Health , Helsinki, FinlandDr Eugene M.

9 LaskaNathan S. Kline Institute for Psychiatric Research,Orangeburg, NY, USADr Eric LatimerDouglas Hospital Research Centre, Quebec, CanadaDr Ian LockhartUniversity of Cape Town, Observatory, Republic of South AfricaDr Marcelino L pezResearch and Evaluation, Andalusian Foundationfor Social Integration of the Mentally Ill, Seville, SpainMs Annabel LymanBehavioural Health Division, Ministry of Health , Koror, Republic of PalauDr Ma HongConsultant, Ministry of Health , Beijing,People s Republic of ChinaDr George MahyUniversity of the West Indies, St Michael, BarbadosDr Joseph MbatiaMinistry of Health , Dar-es-Salaam, TanzaniaDr C line MercierDouglas Hospital Research Centre, Quebec, CanadaDr Leen MeulenbergsBelgian Inter-University Centre for Research and Action, Health and Psychobiological and Psychosocial Factors, Brussels, BelgiumDr Harry I. MinasCentre for International MENTAL Health and Transcultural Psychiatry, St.

10 Vincent s Hospital, Fitzroy, Victoria, AustraliaDr Alberto MinolettiMinistry of Health , Santiago de Chile, ChileDr P. MogneMinistry of Health , MozambiqueDr Paul MorganSANE, South Melbourne, Victoria, AustraliaDr Driss MoussaouiUniversit psychiatrique, Casablanca, MoroccoDr Matt MuijenThe Sainsbury Centre for MENTAL Health , London, United Kingdom Dr Carmine MunizzaCentro Studi e Ricerca in Psichiatria, Turin, ItalyDr Shisram NarayanSt Giles Hospital, Suva, FijiDr Sheila NdyanabangiMinistry of Health , Kampala, UgandaDr Grayson NorquistNational Institute of MENTAL Health , Bethesda, MD, USADr Frank NjengaChairman of Kenya Psychiatrists Association, Nairobi, KenyavDr Angela Ofori-AttaClinical Psychology Unit, University of Ghana MedicalSchool, Korle-Bu, GhanaProfessor Mehdi PaesArrazi University Psychiatric Hospital, Sale, MoroccoDr Rampersad ParasramMinistry of Health , Port of Spain, Trinidad and TobagoDr Vikram PatelSangath Centre, Goa, IndiaDr Dixianne PenneyNathan S.