Accessibility means that health services should be affordable, situated within easy physical reach, and be offered to everyone without discrimination. Share this via Email L Guan et al., Unlocking Patients with Mental Disorders Who Were in Restraints at Home: A National Follow-Up Study of Chinas New Public Mental Health Initiatives, PLOS ONE 10(4) (2015), https://doi.org/10.1371/journal.pone.0121425 (accessed September 22, 2020). pone.0162305 (accessed September 17, 2020), p.3; J. Edwards, Ghanas Mental Health Patients Confined to Prayer Camps. The Lancet 383: 9911 (2014), doi: 10.1016/s0140-6736(13)62717-8 (accessed September 17, 2020), pp. In Guatemala, for instance, rising temperatures and long droughts are reducing returns from coffee, corn and sugarcane farms. In many countries there is very limited, if any, government oversight of these institutions. [153], In its interpretation of the treaty provisions, the committee stated, At all times, including in crisis situations, the individual autonomy and capacity of persons with disabilities to make decisions must be respected.[154], The UN special rapporteur on torture has noted that shackling unequivocally amount(s) to torture even if committed by non-State actors under conditions in which the State knows or ought to know about them.[155], The core human rights treaties prohibit subjecting any person to torture or to cruel, inhuman, or degrading treatment or punishment, including non-consensual medical or scientific experimentation. Treaty Series No. 501(c)(3) nonprofit association A/39/51 (1984), entered into force June 26, 1987; Convention on the Rights of the Child (CRC), adopted November 20, 1989, G.A. Although mental illness is widespread- 25% of adults in developed countries experience significant mental health problems each year- the treatment is outdated and lacking. Living in Chains: Shackling of People with Psychosocial Disabilities Create and carry out deinstitutionalization policies and time-bound action plans, based on the values of equality, independence, and inclusion for people with disabilities. The Census Bureau reported that 30% of American adults had symptoms consistent with an anxiety or depression diagnosis as of May 24. Depression, which is the leading cause of disability, is reported to be twice as common in women than men. The World Health Organization's new Mental Health Atlas paints a disappointing picture of a worldwide failure to provide people with the mental health services they need, at a time when the COVID-19 pandemic is highlighting a growing need for mental health support.The latest edition of the Atlas, which includes data from 171 countries, provides a clear indication that the increased attention . [168], Under the CRPD, persons with disabilities have the right to choose their place of residence and with whom they live. The nation needs an additional 6,398 mental health providers to fill these shortage gaps. Those who experience sexual violence encounter many barriers to reporting the abuse safely and confidentially, and are unlikely to access time-sensitive health care, for example to prevent sexually transmitted infections or pregnancy or to access [8] Women, given the high incidence of sexual violence they suffer, are also disproportionately affected by Post-Traumatic Stress Disorder (PTSD).[9]. A/44/49 (1989), entered into force September 2, 1990, art. In other cases, people have to use a drain or an open toilet in the room. Feb 28, 2023. Aisha, mother who chains her 18-year-old daughter with a psychosocial disability in the Gaza Strip told Human Rights Watch: Archbishop Danokech of the Holy Ghost Coptic Church of Africa in Kisumu, western Kenya, where over 60 men, women, and children with psychosocial disabilities are detained and most of whom are chained, told Human Rights Watch: We do not want them to wear clothes. The government identifies shortage areas so it can address them with proper resources. The exchange, co-founded by clinical psychologist Leticia Gonzalez Pileski, PsyD, and Jason Platt, PhD, a counseling psychologist based in Mexico City, holds one-day conferences where students discuss their work in liberation psychology and organizes trips to war-torn areas of El Salvador to help survivors preserve cultural memory about the violence they endured. While the pandemic has exacerbated underlying mental health issues for many Americans, barriers to receiving mental health care have existed for years. 38-39; Jasmine Bauomy, In South Sudan, Stigma and Underfunding Plague Mental Health Care, Al Jazeera, January 18, 2019, https://www.aljazeera.com/indepth/features/south-sudan-stigma-underfunding-plague-mental-health-care-190117180739562.html (accessed August 3, 2020). Families who struggle to cope with the demands of caring for a relative with a psychosocial disability may feel they have no choice but to shackle them. 49) at 167, U.N. Doc. People end up living shackled in institutions for long periods because their relatives do not come to take them home and the institution has nowhere to send them. 69 (1988), signed November 17, 1988. The WHOs QualityRights initiative, introduced in 31 countries around the world, is a groundbreaking effort to improve access to quality mental health and social services for people with disabilities and seeks to transform health systems and services towards a person-centered and human rights-based approach, in line with the UN Convention on the Rights of Persons with Disabilities (CRPD).[142]. Establish independent and confidential complaints systems that receive and investigate complaints, including ill-treatment of persons with psychosocial disabilities in institutions. Worldwide Campaign to End Shackling, Shame, Human Rights Watch defends the rights of people in close to 100 countries worldwide, spotlighting abuses and bringing perpetrators to justice, Human Rights Watch is a 501(C)(3)nonprofit registered in the US under EIN: 13-2875808, Click here to download an Easy-to-Read version of the report, Karoon, What is the state of mental health in Thailand?, post to Pacific Prime Thailand (blog), Melinda Benjamin, The Promotion of Mental Health Awareness in Cambodia,, Mark Tilly,TV series to fight mental health stigma,. [39] Human Rights Watch interview with Carlos [not his real name], man with a psychosocial disability, Maputo, Mozambique, November 20, 2019. In many institutions in Indonesia, people with psychosocial disabilities were fed meals devoid of proper nutrition such as instant noodles for most meals.[113]. Human Rights Watch research across 60 countries found people with real or perceived psychosocial disabilities are arbitrarily detained against their will in homes, state-run or private institutions, and traditional or religious healing centers. may well amount to torture.[161], The CRPD and the African Charter both explicitly prohibit all forms of exploitation, violence, and abuse. 38-39. Its a crucial part of larger efforts to strengthen our social fabric and to repair the damage caused by sociopolitical violence.. The Situation of Access to Health Services in El Salvador The emergency On the upcoming April 4 ballot, you can vote to increase funding for mental health initiatives and resources within Kankakee County. Government data from over 70 sources organized to show how the money flows, the impact, and who "the people" are. Budget allocations for mental health care are barely 1% of the total health care budgets; and the psychiatric hospitals located in the national capitals consume at least 90% of those funds. 3, entered into force January 3, 1976; Convention on the Elimination of All Forms of Discrimination against Women (CEDAW), adopted December 18, 1979, G.A. The UN special rapporteur on the right to health noted that: In her 2018 report, the UN special rapporteur on the rights of persons with disabilities called on states to ensure that all health-related services include a human rights-based approach to disability, are non-discriminatory, seek informed consent prior to any medical treatment, respect privacy and are free from torture or other cruel, inhuman or degrading treatment.[180]. Dont put a lock on it. In the same report, the special rapporteur stressed that States must protect persons with disabilities against home-based deprivation of liberty, including home confinement, shackling and pasung.[167]. Deprivation of liberty is permissible only when it is lawful and not arbitrary, and includes initial and periodic judicial review. In Juba and Malakal prisons, people with psychosocial disabilities were chained to the floor day and night or tied outside to tree naked, and soiled with their own excrement.[88]. [76] Yulia Gorbunova, Held in Chains in Russia, commentary, Human Rights Watch Dispatch, August 8, 2017, https://www.hrw.org/news/2017/08/08/held-chains-russia. Men, women, and children, some as young as 10, are chained or locked in confined spaces for weeks, months, and even years, in about 60 countries across Asia, Africa, Europe, the Middle East, and the Americas. In comparison, 1,560 did in the 2014-2015 academic year. [92] It cannot be discriminatory and should never be justified on the basis of the existence of a disability.[93]. [64] Mentally Ill Confined at Home Due to Lack of Resources and Public Education, Global Times, June 25, 2015, https://www.globaltimes.cn/content/928917.shtml (accessed July 28, 2020); Caged People, The Beijing News, July 11, 2013, http://www.bjnews.com.cn/feature/2013/07/11/272800.html (accessed July 28, 2020); Chinese Healthcare: The Rural Reality, Collective Responsibility, July 23, 2018, https://www.coresponsibility.com/chinese-healthcare-the-rural-reality/ (accessed May 2020); 26-year-old Mentally Disturbed Man in China Locked in Cage by His Parents, Hong Kong Free Press, January 15, 2016, https://www.hongkongfp.com/2016/01/15/26-year-old-mentally-disturbed-man-in-china-locked-in-cage-by-his-parents/ (accessed May 2020); A Mentally Ill Chinese Man Has Been Locked In A Cage By His Family For 11 Years, Business Insider, May 28, 2013, https://www.businessinsider.com/chinese-man-kept-in-cage-for-11-years-2013-5 (accessed July 28, 2020); Chinese Mentally Ill Woman, Chained in Room for Decades by Family, to Get Medical Treatment, South China Morning Post, undated, https://www.scmp.com/news/china/society/article/1815641/chinese-mentally-ill-woman-chained-room-decades-family-get (accessed July 28, 2020). [78] Human Rights Watch interview with a lawyer, Nuevo Len DIF, Monterrey, Mexico, April 11, 2019. The 56-page report, Living in Chains: Shackling of People with Psychosocial Disabilities Worldwide, examines how people with mental health conditions are often shackled by families in their own homes or in overcrowded and unsanitary institutions, against their will, due to widespread stigma and a lack of mental health services.

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