A/HRC/35/21
practices to take shape in communities is a powerful means to promote and advance
the changes needed.
90.
The Special Rapporteur seeks to develop, through an inclusive and
participatory process and open dialogue, guidelines on human rights and mental
health to support all stakeholders in the implementation of rights-based mental health
policies in their respective areas of work. He welcomes contributions and suggestions
in this respect.
B.
Recommendations
91.
The Special Rapporteur calls for leadership to confront the global burden of
obstacles and embed rights-based mental health innovation in public policy. That
includes State champions in international policy efforts, the leadership of professional
psychiatry in assessing constructively its approach to the necessity for change,
managers of mental health services leading change by example and municipal officials
championing grassroots innovation. These champions must work in partnership with
their constituents, including persons with intellectual, cognitive and psychosocial
disabilities and with autism.
92.
To address the imbalance of the biomedical approach in mental health services,
the Special Rapporteur recommends that:
(a)
States take immediate measures to establish inclusive and meaningful
participatory frameworks in the design of and decision-making around public policy,
to include, inter alia, psychologists, social workers, nurses, users of services, civil
society and those living in poverty and in the most vulnerable situations;
(b)
States and other relevant stakeholders, including academic institutions,
recalibrate mental health research priorities to promote independent, qualitative and
participatory social science research and research platforms, exploring alternative
service models that are non-coercive;
(c)
States partner with academic institutions to address the knowledge gap
in rights-based and evidence-based mental health within medical education.
93.
To ensure that social and underlying determinants for the promotion of mental
health for all are addressed, the Special Rapporteur recommends that States:
(a)
Prioritize mental health promotion and prevention in public policy,
scaling investments across the relevant ministries;
(b)
Take immediate action to develop public policies which, in alignment
with the Sustainable Development Goals, address mental health and holistic
development in early childhood and adolescence, prioritizing promotion and
psychosocial interventions;
(c)
Take policy and legislative measures on the prevention of violence in all
environments where people live, study and work;
(d)
Take immediate action to address harmful gender stereotypes, genderbased violence and access to sexual and reproductive health;
(e)
Take immediate steps to eliminate the corporal punishment of children
and their institutionalization, including children with disabilities.
94.
To ensure that international cooperation secures the right to mental health and
the 2030 Agenda, States and multilateral and international institutions should:
(a)
End all financial support for segregated residential mental health
institutions, large psychiatric hospitals and other segregated facilities and services;
(b)
Mainstream the right to mental health into health, poverty-reduction
and development strategies and interventions, and explicitly include it in general and
priority health policies and plans;
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