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  1. Article ; Online: Consumers' experiences of rights-based mental health laws: Lessons from Victoria, Australia.

    Maylea, Chris / Katterl, Simon / Johnson, Brendan / Alvarez-Vasquez, Susan / Hill, Nicholas / Weller, Penelope

    International journal of law and psychiatry

    2021  Volume 78, Page(s) 101737

    Abstract: Many countries embarked on reforms of mental health law in the wake of the Convention on the Rights of Persons with Disabilities. These reforms have had varying levels of success. This paper considers the experience of consumers in the Victorian mental ... ...

    Abstract Many countries embarked on reforms of mental health law in the wake of the Convention on the Rights of Persons with Disabilities. These reforms have had varying levels of success. This paper considers the experience of consumers in the Victorian mental health system, drawing on an evaluation that asked consumers and clinicians about their knowledge and experience of rights under the Victorian Mental Health Act, 2014. The data show that consumers were not informed of their rights, were not involved in decisions about treatment, were not able to access safeguards, and could not exercise their rights. The explanations for this include limited staff time, unclear delegations of responsibility, a lack of knowledge, training, and support for rights, and a preference for 'best interests' approaches. The paper identifies tangible reforms that would maintain rights for consumers, including competent refusal of treatment, legislative and regulatory reforms, and training and resourcing. Consumers in this study found that the rights-based framework in the Mental Health Act, 2014 had such an insignificant effect on clinical mental health practice in Victoria that their rights appeared to be illusory.
    MeSH term(s) Disabled Persons ; Humans ; Mental Health ; Mental Health Services ; Victoria
    Language English
    Publishing date 2021-08-21
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 304429-4
    ISSN 1873-6386 ; 0160-2527
    ISSN (online) 1873-6386
    ISSN 0160-2527
    DOI 10.1016/j.ijlp.2021.101737
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The need for independent advocacy for people subject to mental health community treatment orders.

    Weller, Penelope / Alvarez-Vasquez, Susan / Dale, Matthew / Hill, Nicholas / Johnson, Brendan / Martin, Jennifer / Maylea, Chris / Thomas, Stuart

    International journal of law and psychiatry

    2019  Volume 66, Page(s) 101452

    Abstract: Independent mental health advocacy (IMHA) has been proposed as a way of maintaining peoples' rights in involuntary settings, but little is known about the challenges and opportunities associated with the provision of independent mental health advocacy to ...

    Abstract Independent mental health advocacy (IMHA) has been proposed as a way of maintaining peoples' rights in involuntary settings, but little is known about the challenges and opportunities associated with the provision of independent mental health advocacy to those on compulsory treatment orders in the community. In Victoria, Australia, an IMHA service is available to people who are at risk of or subject to compulsory treatment, including those who are subject to Community Treatment Orders. The IMHA service is based on the independent advocacy model developed in the United Kingdom. This paper details the benefits and challenges of providing independent non-legal advocacy to those in the community, drawing on a 15-month independent co-produced evaluation of the IMHA service. With limited publicly available sector level data, the evaluation employed qualitative approaches. Issues raised include the need to better target limited resources in the most effective way and the problem of ensuring timely and adequate access. While advocacy was well received by consumers, tensions specific to the community setting were influenced by the attitudes of clinicians to need, risk and recovery as opposed to a coherent understanding of consumer preference and choice.
    MeSH term(s) Commitment of Mentally Ill/legislation & jurisprudence ; Community Mental Health Services ; Humans ; Interviews as Topic ; Mental Disorders/psychology ; Mental Disorders/therapy ; Mental Health ; Patient Advocacy ; Program Evaluation ; Victoria
    Language English
    Publishing date 2019-06-18
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 304429-4
    ISSN 1873-6386 ; 0160-2527
    ISSN (online) 1873-6386
    ISSN 0160-2527
    DOI 10.1016/j.ijlp.2019.101452
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

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