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International human rights law and mental illness

Published online by Cambridge University Press:  13 June 2014

John Tobin
John Tobin*
Affiliation:
St Bricin's Military Hospital, Dublin, Ireland
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Abstract

The Irish State has been party to a collection of international treaties and declarations that directly affect the care of those who suffer from mental disorders. These documents set up what are considered as minimum core standards that outline the standard of care that should be provided as a basic human right. This article reviews the relevant sections of these documents and reflects as to how they have been applied in Ireland. International conventions, which have the status of a treaty, are monitored and interpreted by various commissions and committees. This article draws on the comments of these bodies as to how a state should provide for those with mental illness. Areas such as the rights of children who are mentally ill and those who are detained by the state are examined in detail. Other areas covered are the right to the highest attainable level of mental health care, the right not to be subjected to a clinical trial, equal access to mental health care, and the right to be safeguarded against unjust involuntary detention.

Keywords

Human rights lawMinimum core standardsMental healthcareEquitable distributionTherapeutic environmentInformed consentInvoluntary detentionRight to libertyDiscrimination

Information

Type
Perspective
Information
Irish Journal of Psychological Medicine , Volume 24 , Issue 1 , March 2007 , pp. 31 - 39
Copyright
Copyright © Cambridge University Press 2007

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References

1. Report of the Inspector of Mental Hospitals for the year ending: 31 st 12 2003, Government Publications, Dublin.Google Scholar
2.Planning for the Future, Government Publications, Dublin (12), 1984.Google Scholar
3.Mental Health Commission, Annual Report for 2002: 22.Google Scholar
4.Mental Health in the WHO European Region, Fact Sheet: EURO/03/03, Copenhagen, (8 09, 2003: 2–3).Google Scholar
5.Saxena, S, Sharan, P. Financing: Mental Health Policy and Services; An International Perspective, International Psychiatry 2004; (10 6): 3–4.Google Scholar
6.WHO Mental Health Financing: Mental Health Policy and Service Guidance Package, Geneva 2003.Google Scholar
7.The European Convention on Human Rights and Fundamental Freedoms, Council of Europe, 1950.Google Scholar
8.Mental Health: The Case for Reform; a Report by the Law Society's Law Reform Committee, 07 1999.Google Scholar
9.Justice Denham, In the matter of Ward of Court (withholding medical treatment), (no: 2), 2 IR 100 p.56, 1996).Google Scholar
10.Mills, S. Clinical Practice and the Law. Butterworth (Ireland) Ltd, 2002: 255.Google Scholar
11.O'Keane, V, Jeffers, A, Moloney, E, Barry, S. The Stark Facts: Irish Psychiatric Association, Survey of Psychiatric Services in Ireland. Psychiatric Bulletin 2004; 28: 365–367.CrossRefGoogle Scholar
12.O'Neill, C, Kelly, A, Sinclair, H, Kennedy, H. Deprivation: Different implications for Forensic Psychiatric need in Urban and Rural areas. Social Psychiatry and Psychiatric Epidemiology 2005; 19(2): 48–54.Google Scholar
13.Bengt Lindqvist, United Nations Special Rapporteur on Disability (27 07 2001), UN Doc No: E/Res/2000/10.Google Scholar
14.Vienna Declaration and Program for Action, World Conference on Human Rights, Vienna (14-25 06 1993), UN Doc A/CONF.157/24, para 63Google Scholar
15.The Human Rights Committee, General Comment No: 18, Non-Discrimination, UN Official Records, Supplement No: 40 (a/45/40), pp. 173–175.Google Scholar
16.The Declaration of Human Rights (10 12 1948), GA Res 217A(III).Google Scholar
17.The Convention on Economic, Social and Cultural Rights (16 12 1966), UN Doc A/631, GA Res 2200A(XXI).Google Scholar
18.Jayawickrama, Nihal. The Judicial Application of Human Rights Law. Cambridge University Press, 2002: 130–154.CrossRefGoogle Scholar
19.Toebes, B. Towards an Improved Understanding of International Human Rights to Health. Human Rights Quarterly 1999; 2: 661–679.CrossRefGoogle Scholar
20. Substantive Issues Arising in the Implementation of the International Covenant on Economic, Social and Cultural Rights, General Comment No: 14, 22nd Session, Agenda Item No: 3 (25 04-12 05 2000), Geneva.Google Scholar
21. UN Principles for the Protection of Persons with Mental Illness and the Improvement of Mental Health Care, GA Res 46/119(17 12 1991).Google Scholar
22.Gendreau, C. The Rights of Psychiatric Patients in the Light of the Principles announced by the United Nations: A Recognition of the Rights to Consent to Treatment? Int J Law Psychiatry 1997; 259: 270.Google Scholar
23.UN Declaration on the Rights of Disabled Persons, GA Res 3447(XXX), (9 12 1975).Google Scholar
24.Rosenthal, E, Rubenstein, LS. International Human Rights Advocacy under the Principles for the Protection of Persons with Mental Illness. Int J Law Psychiatry 1993; 16: 257.CrossRefGoogle ScholarPubMed
25.Rosenthal, E, Sundram, C. The Role of International Human Rights in National Mental Health Legislation. Department of Mental Health and Substance Dependence, WHO, 2003:19.Google Scholar
26. Victor Rosano Congo v. Ecuador, Inter-American Commission on Human Rights, Report 29/99, Case 11, 425; para 54.Google Scholar
27. GA Res 56/119 (28 11 2001), UN Doc a/c3/1,67/Rev1, para 1.Google Scholar
28.UN Convention on the Elimination of all Forms of Discrimination against Women, GA Res 44/25 (18 12 1979), UN Doc A/34/36.Google Scholar
29.Convention on the Rights of the Child, GA Res 44/25 (20 11 1989), UN Doc A/44/25.Google Scholar
30.International Convention on the Elimination of all Forms of Racial Discrimination (7 03 1966), 660 UNTS 211.Google Scholar
31.Standard Rules on Equalisation of Opportunities for Persons with Disabilities (1993), GA Res 96, 48th Session, UN Doc A/48/627.Google Scholar
32. General Comment No: 5 CESCR (11th Session 1994), UN Doc IE/1995/22.Google Scholar
33.Lindqvist, B. Final Report of the Special Rapporteur of the Commission for Social Development on Monitoring the Implementation of the Standard Rules on the Equalization of Opportunities for Persons with Disabilities. UN Doc E/CN5/2000/3 para 113.Google Scholar
34.Mental Illness: The Neglected Quarter, Summary Report. Amnesty International, Irish Section 02 2003.Google Scholar
35.UN International Convention on Civil and Political Rights, (16 12 1966), GA Res 2200A(XXI).Google Scholar
36.Gostin, L. Human Rights of Persons with Disabilities. Int J Law Psychiatry 2000; 23(125): 152.CrossRefGoogle Scholar
37.Price v United Kingdom. EUR. Ct. H.R., Application No: 3394/96 (10 07 2001).Google Scholar
38.Herzcegfalvy v Austria. 244, Eur. Ct H.R. (Ser A) 82, 15 EHRR 437 (1993).Google Scholar
39.Aerts v Belgium. 1998-V, Eur. Ct H.R. 1939,1962, (1998).Google Scholar
40.Annas, GJ, Grodin, MA. The Nazi Doctors and the Nuremburg Code: Human Rights in Experimentation. Oxford University Press, 1992: 152–155.CrossRefGoogle Scholar
41.The Ethical Principles for Medical Research involving Human Subjects (Declaration of Helsinki), World Medical Association, (18 09 1989). As developed at the 18th, 29th, 35th and 41 st World Medical Assemblies.Google Scholar
42.Stromberg, CD, Stone, A. A Model Law on Civil Commitments of the Mentally III. Harvard J Legislation 1983; 275: 280.Google Scholar
43.The Report of the Inspector of Mental Hospitals for the year ending 31 December 2001. Government Publications, Dublin, 2002.Google Scholar
44.Irish Council of Civil Liberties, Response of the ICCL to the Government's White Paper on Mental Health, Minorities and Equality, 1998.Google Scholar
45.Council of Europe, Committee of Ministers Recommendation No: R. (83) 2, concerning the Legal Protection of Persons Suffering from Mental Disorders, placed as Involuntary Patients (22 02 1983) as presented by the Steering Committee on Bioethics on the 8 03 2000.Google Scholar
46.Kingdom, D, Jones, R, Lonnqvist, J. Protecting the Human Rights of People with Mental Disorder: New Recommendations emerging from the Council of Europe. Brit J Psychiatry 2004; 185: 277–279.CrossRefGoogle Scholar
47.Concluding Observations of the Human Rights Committee (24 07 2000), UN Doc A/55/40 paras 422 and 451.Google Scholar
48.Versyp v Belgium, 12 Eur. Ct. H.R. (Ser A), 76 (18 06 1971).Google Scholar
49.Amu rv France. 3rd Eur. Ct. H.R. 826 848 (06 1971).Google Scholar
50.Van der Leer v The Netherlands. (1990), app No: 11497/85,13 Eur. Ct. H.R. 820, 827.Google Scholar
51.X v United Kingdom. (1981), 46 Eur Ct H.R. (Ser A) p. 26.Google Scholar
52.Croke v Ireland. Eur.Ct. H.R. (313267/96) as in the press release issued by the Registrar of the Chamber of Judgments (21 12 2000).Google Scholar
53.Winterwerp v The Netherlands. (1979), 33 Eur. Ct. H.R. (Ser A).Google Scholar
54.Varbanov v Bulgaria. (5 10 2000), App. No: 31365/96, para 48 (court report).Google Scholar
55.Gostin, L. International Human Rights Law and Mental Disability. Hastings Centre Report 2004 (03-04): 11–12.Google ScholarPubMed
56.Mental Health Act, RSBC (British Columbia), c 288, s.31 (1) (1996).Google Scholar
57.Daly, A, Walsh, D. Activities of Irish Psychiatric Services 2001. Health Research Board Publication, Dublin, 2002.Google Scholar
58. Response of the Irish College of Psychiatrists to the Second Report of the Working Party on Child and Adolescent Psychiatric Services, 06 2003: 2.Google Scholar
59. Concluding Observations of the Committee on the Rights of the Child: Ireland, UN Doc CRC/C/15/Add 85, (4 02 1998).Google Scholar
60. The White Paper on the Protection of Human Rights and Dignity of People suffering from Mental Disorder, especially those placed as Involuntary Patients in a Psychiatric establishment. Council of Europe, Steering Committee on Bioethics, Recommendation No: 8.4 (8 03 2000).Google Scholar
61.Position Statement on Psychiatric Services for Adolescents. The Irish College of Psychiatrists 2002 (04): 3.Google Scholar
62.Preliminary Observations on the Immigration Bill 2004. Irish Human Rights Commission, 02 2004.Google Scholar
63.Smith, C, O'Neill, H, Tobin, J, Walshe, D. Mental Disorders detected in an Irish Prison Sample. Crim Behav Mental Health 1996; 6: 177–183.CrossRefGoogle Scholar
64.First Annual Report of the Inspector of Prisons and Places of Detention. Department of Justice, Equality and Law Reform, Government Publications, Dublin, 2003.Google Scholar
65. The Report to the Government of Ireland on the visit to Ireland carried out by the European Committee for the Prevention of Torture and Inhuman or Degrading Treatment or Punishment from 20-28 05 2002. It was acting in pursuance of Article 10, para 1 of the European Convention for the Prevention of Torture and Inhuman or Degrading Treatment or Punishment.Google Scholar
66.Ashingdane v United Kingdom. (1985), 93 Eur. Ct. H.R. (Ser A) p. 37–38.Google Scholar
67.Report of the Special Rapporteur, to the UN ESCOR, Commission on Human Rights, 59th Session, Provisional Agenda 10, UN Doc E/CN.4/2003/58 2003.Google Scholar
68.A Vision for Change, Report of the Expert Group on Mental Health Policy. Stationary Office, Dublin, 2006.Google Scholar