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Updated: Feb 14, 2026
07:37
Assessment and Communication for People with Disorders of Consciousness
Published on: August 1, 2017
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Unchaining people with mental disorders: medication is not the solution.
Vikram Patel1, Kamaldeep Bhui2
1Pershing Square Professor of Global Health and Wellcome Trust Principal Research Fellow,Department of Global Health and Social Medicine,Harvard Medical School,Boston,USA.
The British Journal of Psychiatry : the Journal of Mental Science
|February 14, 2018
Summary
Incarceration and abuse of individuals with mental disorders violate human rights. A rights-based approach, emphasizing community services, is crucial for ethical mental healthcare.
Area of Science:
- Psychiatry
- Human Rights Law
- Social Science
Background:
- The chaining, incarceration, and abuse of individuals with mental disorders in prisons and mental hospitals represent a significant ethical and humanitarian failure.
- Current practices often neglect the cultural and social contexts of mental healthcare, leading to human rights violations.
Discussion:
- A rights-based approach is essential to address human rights violations in mental healthcare.
- International human rights conventions must be enforced to protect individuals with mental disorders.
- Scaling up comprehensive community-based mental health services is critical.
Key Insights:
- Human rights violations against people with mental disorders are unacceptable.
- Cultural and social contexts must be considered in mental healthcare without compromising human rights.
- Community-centered services align with the needs and preferences of individuals affected by mental disorders.
Outlook:
- Future mental healthcare must prioritize human rights and community integration.
- Strengthening international cooperation is vital for enforcing mental health human rights.
- Policy reforms should focus on deinstitutionalization and robust community support systems.
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