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; 20

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