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WHO QualityRights tool kit : assessing and improving quality and human rights in mental health and social care facilities.

Author: Michelle Funk; Natalie Drew; World Health Organization.; World Health Organization. Department of Mental Health and Substance Dependence. Mental Health Policy and Service Development.
Publisher: Geneva, Switzerland : World Health Organization, ©2012.
Edition/Format:   eBook : Document : International government publication : EnglishView all editions and formats
Database:WorldCat
Summary:
"All over the world, people with mental disabilities, intellectual disabilities and substance abuse problems are subject to poor-quality care and violations of their human rights. Mental health services fail to integrate evidence-based treatment and practices, resulting in poor recovery outcomes. The stigma associated with these conditions means that people experience exclusion, rejection and marginalization by
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Genre/Form: Electronic books
Additional Physical Format: Print version:
World Health Organization.
WHO Qualityrights tool kit.
Geneva, Switzerland : World Health Organization, 2012
(OCoLC)805047855
Material Type: Document, Government publication, International government publication, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Michelle Funk; Natalie Drew; World Health Organization.; World Health Organization. Department of Mental Health and Substance Dependence. Mental Health Policy and Service Development.
ISBN: 9789241548410 924154841X
OCLC Number: 801364127
Description: 1 online resource (vi, 93 pages)
Contents: Acknowledgements --
1. Introduction --
2. WHO QualityRights tool kit --
3. Who can use the tool kit? --
4. Establish a project management team and objectives --
5. Establish an assessment framework --
6 Establish the assessment committee(s) and their working method --
7. Train the members of the assessment committee(s) --
8. Establish the authority of the committee(s) --
9. Prepare consent forms and seek ethical approval --
10. Schedule and conduct the assessment --
11. Observe the facilities --
12. Review facility documentation --
13. Interview service users, family members (or friends or carers) and staff --
14. Report the results of the assessment --
15. Use the results of the assessment --
Annex 1. Principles of recovery-oriented mental health practice --
Annex 2. Legal capacity and supported decision-making --
Annex 3. Convention on the Rights of Persons with Disabilities --
Annex 4. Themes, standards and criteria of the WHO QualityRights tool kit --
Annex 5. Examples of sample sizes for different types of facilities, according to number of staff and service users --
Annex 6. Sample consent forms for interviewees participating in an assessment.
Other Titles: Country-wide assessment report.
Facility-based assessment report.
Review of documents and observation tool.
Interview tool.
WHO Quality Rights tool kit
World Health Organization QualityRights tool kit
Assessing and improving quality and human rights in mental health and social care facilities

Abstract:

"All over the world, people with mental disabilities, intellectual disabilities and substance abuse problems are subject to poor-quality care and violations of their human rights. Mental health services fail to integrate evidence-based treatment and practices, resulting in poor recovery outcomes. The stigma associated with these conditions means that people experience exclusion, rejection and marginalization by society. Misconceptions about people with such disabilities--that they are incapable of making decisions or taking care of themselves, that they are dangerous or objects of pity and welfare--mean they face discrimination in all aspects of life. They are denied opportunities to work, to get an education and to live fulfilling, independent lives in the community. Ironically, some of the worst human rights violations and discrimination experienced by people with mental disabilities, intellectual disabilities and substance abuse problems is in health-care settings. In many countries, the quality of care in both inpatient and outpatient facilities is poor or even harmful and can actively hinder recovery. The treatment provided is often intended to keep people and their conditions 'under control' rather than to enhance their autonomy and improve their quality of life. People are seen as 'objects of treatment' rather than human beings with the same rights and entitlements as everybody else. They are not consulted on their care or recovery plans, in many cases receiving treatment against their wishes. The situation in inpatient facilities is often far worse: people may be locked away for weeks, months and sometimes years in psychiatric hospitals or social care homes, where they experience terrible living conditions and are subject to dehumanizing, degrading treatment, including violence and abuse. It is critical to assess and improve quality and the observance of human rights in both outpatient and inpatient facilities in order to change this situation. A comprehensive assessment of facilities can help to identify problems in existing health care practices and to plan effective means to ensure that the services are of good quality, respectful of human rights, responsive to the users' requirements and promote the users' autonomy, dignity and right to self-determination. Assessment is important not only for reforming past neglect and abuses but also for ensuring effective, efficient services Introduction in the future. In addition, the results and recommendations from an assessment of quality and human rights can ensure that future policy, planning and legislative reform respect and promote human rights."--Introduction, p. 1-2.

The aim of the WHO QualityRights tool kit is to support countries in assessing and improving the quality and human rights of their mental health and social care facilities. The tool kit is based on an extensive international review by people with mental disabilities and their organizations. It has been pilot-tested in low-, middle- and high-income countries and is designed to be applied in all of these resource settings.--P. 3.

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