Key elements of mental health law reform: A clinical perspective

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Dr Brendan Kelly, Key elements of mental health law reform: A clinical perspective. NUI Galway 23 June 2012. Mental health law reform: new perspectives and challenges. Amnesty International Ireland and the Centre for Disability Law & Policy NUIG.

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Key elements of mental health law reform: A clinical perspective

  1. 1. Key Elements of Mental Health Law Reform: A Clinical Perspective Brendan Kelly Mater Misericordiae University Hospital University College Dublin
  2. 2. Ireland meets 80 out of 166 standards (48.2%)Chief deficits Promoting rights Rights of families and carers Voluntary patients Vulnerable groups Economic and social rights Capacity legislation
  3. 3. Arrangement-focussedview of justiceRealization-focussedview of justice
  4. 4. n = 81 recently detained individualsTreatment was beneficial 78%Knew they had been detained 86%Tribunal made this easier to accept 46%Negative impact on family relationships 28%Negative impact on doctor-patient relationship 27%
  5. 5. n = 820 GPsNot user-friendly 63%Increased workload 27%
  6. 6. n = 321 psychiatristsTraining was satisfactory 84%Increased workload 69%Decreased time with service-users 27%Changes in relationships with service-users 41%….more legalistic, conflicted relationships
  7. 7. Re-define “voluntary patient”Strengthen “best interests” dimensionIntroduce cumulative tribunal “case-law”Reduce legalismBroaden criteria for Circuit Court appeal …“approved mental health professionals”?Mental capacity legislation...
  8. 8. Best ways to increase observance of humanrights of the mentally ill: Social policy Mental health policy Mental health law
  9. 9. Kelly BDPenrose’s Law in Ireland:Ecological Analysis ofPsychiatric Inpatients andPrisoners, 1963-2003.Irish Medical Journal2007; 100: 373-4
  10. 10. Best ways to increase observance of humanrights of the mentally ill: Social policy Mental health policy Mental health law
  11. 11. “Medicine is a socialscience, and politicsnothing but medicine at alarger scale”Rudolf Virchow(1821-1902)
  12. 12. Key Elements of Mental Health Law Reform: A Clinical Perspective Brendan Kelly Mater Misericordiae University Hospital University College Dublin brendankelly35@gmail.com

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