Bringing together the World Health Organization's QualityRights initiative and the World Psychiatric Association's programme on implementing alternatives to coercion in mental healthcare: a common goal for action

作者：Neeraj Gill, Natalie Drew, Maria de Lourdes Veronese Rodrigues, Hassan Muhsen, Guadalupe Morales Cano, Martha Kane Savage, Soumitra Pathare, John Anthony Allan, Silvana Galderisi, Afzal Javed, Helen Herrman, Michelle Funk · 发表于：BJPsych Open · 年份：2024 · DOI：10.1192/bjo.2023.622 · 被引用次数：72 · 研究领域：Healthcare Decision-Making and Restraints、Family Caregiving in Mental Illness、Schizophrenia research and treatment

BACKGROUND: Stakeholders worldwide increasingly acknowledge the need to address coercive practices in mental healthcare. Options have been described and evaluated in several countries, as noted recently in major policy documents from the World Health Organization (WHO) and World Psychiatric Association (WPA). The WHO's QualityRights initiative promotes human rights and quality of care for persons with mental health conditions and psychosocial disabilities. A position statement from the WPA calls for implementation of alternatives to coercion in mental healthcare. AIMS: We describe the engagement of both the WHO and WPA in this work. We discuss their mutual aim to support countries in improving human rights and quality of care, as well as the differences between these two organisations in their stated goals related to coercion in mental healthcare: the WHO's approach to eliminate coercion and the WPA's goal to implement alternatives to coercion. METHOD: We outline and critically analyse the common ground between the two organisations, which endorse a similar range of rights-based approaches to promoting non-coercive practices in service provision, including early intervention in prevention and care and other policy and practice changes. RESULTS: Advocacy and action based on an agreed need to find practical solutions and advances in this area have the power to build consensus and unify key actors. CONCLUSIONS: We conclude that persons with lived experience, families, mental hea...