Welcome to the 22nd WCP Congress Program Scheduling
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RECORDED LECTURES
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Interorganizational Symposia | Original Sessions | Panel Discussions
HUMAN RIGHTS-BASED APPROACH IN PSYCHIATRY: PRESENT SITUATION, CHALLENGES AND OPPORTUNITIES FOR THE WAY FORWARD
Abstract
Abstract Body
There is an increasing awareness globally of the need for change in mental health services, so that approaches based on paternalism and coercion are prevented and replaced by services that are empowering, inclusive and promote recovery.
Resolutions from the UN Human Rights Council, reports of the UN Special rapporteurs, WHO QualityRights Initiative and the recent WHO document (2021) - "Guidance on community mental health services: Promoting person-centred and rights-based approaches" are convincing examples of the emerging new consensus. The modern direction is towards investing in rights based services and abandoning reliance on coercion, institutionalization and overmedicalization.
Experts who call for the shift of paradigm, urge to address excessive use of biomedical model, remaining power imbalances between providers and users of services, and biased use of knowledge as main obstacles on the way to the realization of the right to mental health.
Many promising rights based practices from global South and global North should be explored and replicated. To achieve measurable change, medical education and mental health research should strengthen the focus on developing and replicating innovations from social sciences and human rights based approach as new priorities.
Mental health and well-being of individuals and populations can be effectively promoted and protected only when states invest in sustainable way in enabling, supportive and free from violence environments in all settings (family, school, workplace, community, society at large). This principle includes mental health services which should abandon legacy of human rights abuses and promote human rights based approach in a non-selective way.
HUMAN RIGHTS IN MENTAL HEALTH CARE IN PREGNANT WOMEN AND DURING THE PERINATAL PERIOD
Abstract
Abstract Body
Objectives: To outline and discuss the provisions enshrined in the Thai Labor Protection Act and their impact on the human rights of Thai women, especially in regard to their mental health.Method: Documentary research about the constitution of the kingdom of Thailand, related labor laws, real-life practices and obstacles.
Results: In the context of medical evidence, several Thai law provisions do not adequately protect women’s legal rights in relation to their physical and mental health.
Section 38 and 39, of the Labor Protection Act (2012), outlines the ‘legal rights of pregnant women’ (title of the law). This act was enacted voluntarily by the government with a view of complying with the standard adopted by the International Labor Organization (ILO). Nonetheless, evidence from medical studies have always been disregarded. For example, Thai women can only take 98 days of pregnancy leave for one gravidity with parity and there are no exact laws protecting employees who were in an antenatal period, in regard to any maternal mental health (MMH) conditions.
Conclusion: There is no provision in the Labor Protection Act that refers to mental health issues in connection to the antenatal and postnatal periods, such as post-partum depression or other MMH conditions, which can require specialist long-term health care provision. The WHO suggests that women should breastfeed infants for 24-52 weeks as a minimum. Nevertheless, Thai laws do not reflect this or the impact it may have on mental health and wellbeing.