- Project Topic – Safeguarding rights of people with mental disabilities by introducing supported decision making model for Lithuanian legal system. Aim:
To propose changes to existing legal guardianship system while introducing supported decision making model for Lithuanian legal system corresponding to requirements for equal recognition before the law under Art. 12 of Convention on the rights of people with disabilities (CRPD).
- To critically analyze Lithuanian legal guardianship system for its compliance/noncompliance to the equal recognition before the law requirements in Art. 12 of CRPD.
- To review and analyze supported decision making models existing in other countries.
- Based on the comparative analysis of the supported decision making models, to make recommendations for Lithuanian legislation and practice on possible supported decision making model.
- Review of national laws, policies and practices on legal capacity and guardianship, as well as international standards. Specific areas of WHO Mental health legislation and human rights checklist will be used for assessing the Lithuanian legislature regulating legal capacity and guardianship procedure.
- Supported decision making model. Requirements and principals as indicated in Art. 12 of CRPD.
- Review of supported decision making models existing in other countries.
- Analysis of Lithuanian practice as possible SDM measures.
- Conclusions and Recommendations
- Project Topic – SURVEY ON HUMAN RIGHTS BASED ON WHO TOOL FOR ASSESSING QUALITY AND HUMAN RIGHTS CONDITIONS IN MENTAL HEALTH FACILITIES IN ETHIOPIA Purpose:
The purpose of this research is to assess quality of services, conditions and human rights in Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia, using the WHO tool for assessing quality and human rights conditions in mental health facilities.
The research consisted of observations and interviews. Fourteen interviews were conducted, six with users, two with family members and six with staff members. The following thematic areas were investigated in the observations and interviews:
- Profession, professionalism and consulting with health professionals
- Building conditions and sleeping conditions
- Seclusion, restraint and management of crisis situations
- Food, water and diet
- Hygiene, bathing and toilet facilities
- Electroconvulsive Therapy (ECT), psychosurgery and other medical procedures that have permanent and irreversible effects
- Activities and restrictions to communicate and to leave the facility
- Humanity, dignity and respect
- Psychotropic medication
Observations and interviews were conducted by the author together with a hospital staff member assigned by the Chief Executive Officer (CEO) of the hospital.
The findings for each theme are summarized in the table below:
Theme Rating Theme 1: The right to an adequate standard of living Achievement Initiated (A/I) Theme 2: The right to the enjoyment of the highest attainable standard of physical and mental health Achieved partially (A/P) Theme 4: Freedoms from torture or cruel, inhuman or degrading treatment or punishment and from exploitation, violence and abuse Not initiated (N/I)
From the observations and interviews with users, family members and staff members several issues related to human rights transpired, and more specifically to violations of the rights to an adequate standard of living, the right to the enjoyment of the highest attainable standard of physical and mental health, the right to freedom from torture or cruel, inhuman or degrading treatment or punishment and the right of freedom from exploitation, violence and abuse.
Conclusions and Recommendations:
Many violations of human rights have been discovered in this survey. Users are denied basic rights and exposed to inhuman treatments.
Areas where human rights have to be implemented include: electroconvulsive therapy (ECT), general hygiene and clothing, seclusion and restraint, humanity, dignity and respect.
The quality of services needs to be greatly improved.
- Project Topic – Human Rights Training for Mental Health Users Outline
Aims and Objectives:
This training program is aimed to increase the awareness of human rights to Mental health users who are involved in “Our Step” Association of mental health users” and to those who are devoted to promote – and encourage others to promote – mental health and human rights.
- To be able to acquire a basic knowledge of international human rights law and treaties, including the right to health.
- To understand and explore the value and impact of linking health and human rights.
- To be able to understand the health impacts resulting from violations of human rights.
- To have knowledge of how mental health workers and professionals can protect and respect human rights.
- To develop the capability to work efficiently and effectively in groups and be able to communicate through presentations and discussions (as potential trainers).
- To form a basic advocacy group of Mental Health and Human Rights that can be disseminated throughout Jordan.
The participatory approach will be used for the training program. Group discussion, questions and feedback will add value and enrich the learning process of the training.
The training program will include the four main processes of planning, implementation, follow up and evaluation.
Detailed scheduling of steps and dates will be provided later with the detailed proposal.
The WHO materials on human rights (capacity building package) will be used for the training purposes, a translation into Arabic language and some other adaptation will be made as needed.
The above mentioned materials are based on the CRPD.
For the evaluation process, a survey will be designed that match the material and reflect knowledge of Human Rights.