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Child rights and Child and Adolescent Mental Health Services (CAMHS) in Ireland
1Consultant Child and Adolescent Psychiatrist, Linn Dara CAMHS, Dublin, Ireland, jeothy.mohan@gmail.com.
Insights
Children's rights in child and adolescent mental health services are examined. Current practices, particularly regarding consent and participation, fall short of a rights-based framework, necessitating collaborative improvements.
Area of Science:
- Child and adolescent mental health
- Human rights law
- Healthcare policy
Background:
- Legal and policy frameworks for children's services and mental health in Ireland.
- The importance of participation in rights-based approaches to service provision.
- Disparities in current Child and Adolescent Mental Health Services raise human rights concerns.
Purpose of the Study:
- To explore children's rights within the Irish child and adolescent mental health sector.
- To analyze the concept of participation as central to rights-based service delivery.
- To identify shortcomings in current practices, using consent as a case study.
Main Methods:
- Reflective analysis of legal and policy contexts.
- Qualitative study exploring perceptions of psychopharmacological treatment in young people with ADHD.
- Examination of consent processes within services.
Main Results:
- Current practices in Child and Adolescent Mental Health Services demonstrate disparities and human rights issues.
- The issue of consent highlights a gap between current practice and a rights-based framework.
- Young people with ADHD have specific perceptions regarding psychopharmacological approaches.
Conclusions:
- Existing service provision requires significant changes to align with children's rights.
- A more participatory and collaborative approach is essential for improving services.
- Recommendations are proposed to enhance rights-based practice in child and adolescent mental health care.
Abstract:
This paper explores children's rights in the child and adolescent mental health arena in Ireland. It begins by outlining the legal and policy contexts of both children's services and mental health policy and practice. It specifically focuses on the notion of participation as a key factor in addressing rights-based approaches in the provision of services. The article explores current practice in Child and Adolescent Mental Health Services, highlights some of the disparities in services, which result in questions about human rights. Mainly reflective in its approach, it does, however, provide data from a small scale qualitative study carried out in relation to young people diagnosed with ADHD and their perceptions of psychopharmacological approach. The issue of consent is explored as an example of how current practice approaches fall short of a rights-based framework. It concludes with recommendations for changes incorporating a more participatory and collaborative approach.
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