A/HRC/39/36
and holistic services combining physical and mental health, psychosocial, social and
economic support, and protection.
36.
Kriti Sharma elaborated on investigations conducted by Human Rights Watch into
violations of the rights of persons with psychosocial disabilities in over 25 countries
worldwide. Human Rights Watch had found that persons with psychosocial disabilities
routinely experienced stigma and discrimination and often did not enjoy basic human
rights. She called for the repeal of laws and policies that normalized coercion, including
practices of involuntary treatment, electroshock therapy and the use of restraints. She
pointed out that stigma may also be pervasive among officials responsible for protecting the
rights of persons with psychosocial disabilities, and that even where training was provided
on rights and mental health, there was commonly resort to the default response of isolation
and force, due to a lack of understanding of support needs. In order to change the mindsets
of key actors, they needed to witness first-hand the failings of the current system, but also
to become familiar with examples of good practice across all contexts, including
humanitarian situations. She called for strengthened cooperation between representative
organizations of persons with disabilities and mainstream civil society, in order to tackle
multiple and intersecting forms of stigma and discrimination.
37.
Peter McGovern shared his experience conducting training for mental health
personnel with the WHO QualityRights initiative, which provided a transformative and
practical framework translating the rights-based and recovery-orientated approaches
enshrined in the Convention on the Rights of Persons with Disabilities into a reality for
services and service users. Training necessarily included representation from all stakeholder
groups, including health professionals and policy advisers, alongside persons with real-life
experience of using services, and entailed engaging in discussions to identify rights denials
in services through analysis of case studies, and exploring barriers to change and how to
overcome them. The QualityRights initiative addressed resistance, engaged participants and
built momentum to support people in a different way. Participants at training sessions
concurred that rights-based approaches not only benefited service users but also service
providers. Mr. McGovern stressed that the training was a call to action and a guide to how
everyday changes could take place, and cited demonstrable changes in attitude to the use of
coercive practices in crisis scenarios and in the respect for the individual’s right to make
decisions for himself or herself after a few days of training. He concluded that the result of
training was a shared ownership of service improvement plans — which opened up
opportunities for wider culture change promoting a shift towards human rights-based
approaches in mental health support.
38.
During the interactive dialogue, statements were made by delegates from Australia,
the Plurinational State of Bolivia and Peru, and by representatives of the International
Network Toward Alternatives and Recovery, Mental Health Europe, Disability Rights
International, Salud Mental España, the International Disability Alliance, the World
Network of Users and Survivors of Psychiatry, Human Rights Watch, Autistic Minority
International, the Hearing Voices Network, the Indonesian Mental Health Association and
the Azienda Sanitaria Universitaria Integrata, Trieste. The Peruvian delegate explained the
Government’s commitment to broadening the role of community centres in mental health
care, and the Bolivian delegate stressed that its mental health system also drew on
indigenous healing in the national health service, integrating both into a holistic system.
The Australian delegate spoke of the compounded discrimination for marginalized
populations, such as indigenous peoples and lesbian, gay, bisexual, transgender and intersex
persons, and referred to programmes to reduce stigma in health services by building
awareness and knowledge about the impact of health issues within those communities. Civil
society participants called for the elimination of coercion from mental health services and
for effective legal protection and remedies, keeping rights holders, persons with
psychosocial disabilities, autistic children and adults at the centre of all initiatives, stressing
that their voices must not be substituted by parents or family members who were often
empowered by the law to restrict their rights (through forced contraception of women with
disabilities under guardianship). Good practices were noted, which included precautionary
measures granted by the Inter-American Commission on Human Rights to protect the life
and integrity of institutionalized persons with disabilities, leading to the first orders for their
integration back into the community; the forthcoming international gathering of the
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