The Declaration of the Rights of Disabled Persons was adopted by the United Nations in 1975. It defines ‘disabled person’ to mean ‘any person unable to ensure by himself or herself, wholly or partly, the necessities of normal individual and/or social life, as a result of deficiency, whether congenital or not, in his or her physical or mental capacities’. This definition includes people with a mental illness, whether or not they also have other disabilities. The Declaration recognizes that people with disabilities are entitled to:
• The inherent right to respect for their human dignity; The same fundamental human rights as other citizens, whatever the origin nature and seriousness of their handicaps and disabilities, including the right to a decent life - as normal and full as possible;
• The right to legal safeguards against abuse of any limitation of rights made necessary by the severity of a person’s handicap, including regular review and the right of appeal;
• The right to any necessary treatment, rehabilitation, education, training and other services to help develop their skills and capabilities to the maximum;
• The right to economic and social security and the right, according to their capabilities, to secure and retain productive employment and to join trade unions;
• The right to have their needs considered in economic and social planning; The right to family life, the right to participate in all social, recreational and creative activities and the right not to be subjected to more restrictive conditions of residence than necessary;
• The right to protection against exploitation or discriminatory, abusive or degrading treatment;
• The right to qualified legal assistance to protect their rights, and to have their condition taken fully into account in any legal proceedings.
Madridge Journal of AIDS (ISSN: 2638-1958); This article reviewed literature and scholarly studies related to psychosocial traumatic events among women in Nigeria. It conceptualized and discussed trauma from universal and cultural perspectives and different types of trauma.
Human trafficking involves the use of force, fraud, or coercion to obtain some type of labor or commercial sex act. ... Traffickers use force, fraud, or coercion to lure their victims and force them into labor or commercial sexual exploitation. Human trafficking earns global profits of roughly $150 billion a year for traffickers, $99 billion of which comes from commercial sexual exploitation. Globally, an estimated 71% of enslaved people are women and girls, while men and boys account for 29%
Systems Must Include Three Levels of Care for Aftermath of SuicideFranklin Cook
A summary of how care-delivery systems, individual organizations and agencies, and service providers can address responding to a suicide in a way that meets the needs of everyone exposed to the fatality, both immediately and over the long-term. This is essential reading for leadership, strategic planning, and program development. The blog post on "Grief After Suicide" about this report is at http://bit.ly/systemshelp.
Impact of Suicide on People Exposed to a FatalityFranklin Cook
"Impact of Suicide on People Exposed to a Fatality" is excerpted and adapted from Responding to Grief, Trauma, and Distress After a Suicide: U.S. National Guidelines (2015), by the Survivors of Suicide Loss Task Force (bit.ly/sosl-taskforce) of the National Action Alliance for Suicide Prevention. The original document is available free for download at bit.ly/respondingsuicide.
This summary report concludes that:
The research delineated above represents the solid and growing body of evidence that, for a significant number of people exposed to the suicide fatality or attempt of another person, there are long-term, harmful mental health consequences. Shneidman’s declaration (1972) that postvention is prevention for the next generation is unquestionably supported by clear and overwhelming evidence that exposure to the suicide of another person, particularly of a close intimate, elevates the risk of suicidal behavior and of death by suicide in the population of people exposed.
The Grief After Suicide blog post related to this essay is http://bit.ly/impactessay.
Madridge Journal of AIDS (ISSN: 2638-1958); This article reviewed literature and scholarly studies related to psychosocial traumatic events among women in Nigeria. It conceptualized and discussed trauma from universal and cultural perspectives and different types of trauma.
Human trafficking involves the use of force, fraud, or coercion to obtain some type of labor or commercial sex act. ... Traffickers use force, fraud, or coercion to lure their victims and force them into labor or commercial sexual exploitation. Human trafficking earns global profits of roughly $150 billion a year for traffickers, $99 billion of which comes from commercial sexual exploitation. Globally, an estimated 71% of enslaved people are women and girls, while men and boys account for 29%
Systems Must Include Three Levels of Care for Aftermath of SuicideFranklin Cook
A summary of how care-delivery systems, individual organizations and agencies, and service providers can address responding to a suicide in a way that meets the needs of everyone exposed to the fatality, both immediately and over the long-term. This is essential reading for leadership, strategic planning, and program development. The blog post on "Grief After Suicide" about this report is at http://bit.ly/systemshelp.
Impact of Suicide on People Exposed to a FatalityFranklin Cook
"Impact of Suicide on People Exposed to a Fatality" is excerpted and adapted from Responding to Grief, Trauma, and Distress After a Suicide: U.S. National Guidelines (2015), by the Survivors of Suicide Loss Task Force (bit.ly/sosl-taskforce) of the National Action Alliance for Suicide Prevention. The original document is available free for download at bit.ly/respondingsuicide.
This summary report concludes that:
The research delineated above represents the solid and growing body of evidence that, for a significant number of people exposed to the suicide fatality or attempt of another person, there are long-term, harmful mental health consequences. Shneidman’s declaration (1972) that postvention is prevention for the next generation is unquestionably supported by clear and overwhelming evidence that exposure to the suicide of another person, particularly of a close intimate, elevates the risk of suicidal behavior and of death by suicide in the population of people exposed.
The Grief After Suicide blog post related to this essay is http://bit.ly/impactessay.
Reasonable responses to unreasonable behaviour?: medical and sociological perspectives on the aftermaths of sexual violence - Liz Kelly, CWASU, London Metropolitan University
Professional Risk Assessment: Risk of Harm to OthersDr Gemma Russell
Presentation delivered to Lifeworks Australia as part of their professional development in 2013.
Specifically discusses how to conduct a comprehensive risk assessment, regarding individual's risk of harm to others. Seminar includes ethical and legal obligations of the practitioner as well as implications for different types/levels of risk.
Mental Health Policy - The History of Mental Health Policy in the United StatesDr. James Swartz
These slides are from a lecture that covers the history of mental health policy in the United States over the 20th and into the 21st century. The community mental health movement, begun in the 1960s under the Kennedy administration, is especially highlighted.
Panel at the 2020 Restorative Design Conference, on the topic of "Trauma-Informed Design."
This panel discusses definitions of trauma, some of the ways traditional human-centered design practices might cause harm by triggering past trauma or even creating new trauma, how to create safety in our engagements with communities, and how designers might bring a trauma-informed lens to their work.
Since the beginning of the year, 60,656 non-EU immigrants landed in Italy, of which 51,596 in Lampedusa and other islands in the Pelagian
.
This presentation afford the definition of human being and Integral Development based on Fernando Rielo's philosophy
This workwas presented during the II Workshop on Medical Anthropology in Rome, on October 14th-15th 2011.
Reasonable responses to unreasonable behaviour?: medical and sociological perspectives on the aftermaths of sexual violence - Liz Kelly, CWASU, London Metropolitan University
Professional Risk Assessment: Risk of Harm to OthersDr Gemma Russell
Presentation delivered to Lifeworks Australia as part of their professional development in 2013.
Specifically discusses how to conduct a comprehensive risk assessment, regarding individual's risk of harm to others. Seminar includes ethical and legal obligations of the practitioner as well as implications for different types/levels of risk.
Mental Health Policy - The History of Mental Health Policy in the United StatesDr. James Swartz
These slides are from a lecture that covers the history of mental health policy in the United States over the 20th and into the 21st century. The community mental health movement, begun in the 1960s under the Kennedy administration, is especially highlighted.
Panel at the 2020 Restorative Design Conference, on the topic of "Trauma-Informed Design."
This panel discusses definitions of trauma, some of the ways traditional human-centered design practices might cause harm by triggering past trauma or even creating new trauma, how to create safety in our engagements with communities, and how designers might bring a trauma-informed lens to their work.
Since the beginning of the year, 60,656 non-EU immigrants landed in Italy, of which 51,596 in Lampedusa and other islands in the Pelagian
.
This presentation afford the definition of human being and Integral Development based on Fernando Rielo's philosophy
This workwas presented during the II Workshop on Medical Anthropology in Rome, on October 14th-15th 2011.
Medical Whistleblower Canary Notes Newsletter 36 United Nations Declar...MedicalWhistleblower
The United Nations recognized the vital role of human rights defenders and the UN was convinced that these human rights defenders need to be protected from retaliation for reporting violations of human rights of others. The UN formally defined the defense of human rights as a right in itself and to recognize persons who undertake human rights work as “Human Rights Defenders.”The Resolution 53/144 was adopted in order to protect both human rights defenders and their activities. This is commonly known as the “Declaration on human rights defenders.”
Medical Whistleblowers are human rights defenders. The Hippocratic Oath taken by every Medical Doctor states the Doctors’ responsibility to care for the sick, to report on the welfare of the individual patient and also guard against any bias in the medical care system in relationship to any class of persons. The central moral commitment of the Hippocratic traditional code is its dedication to something other than the physician’s self-interest, that something being the primacy of the welfare of the patient. The Medical Doctor’s clear obligation is to detect and prevent abuse and neglect. Medical Whistleblowers promote the well-being of patients by taking appropriate actions to avert the harms caused by violence and abuse. The duty of the Doctor is to not only address patients’ immediate injuries, but also the psychological and social needs of victims. Medical Whistleblowers need to work closely in conjunction with members of the public safety and law enforcement communities. In the U.S.A. there is mandated reporting of any signs of violence, abuse, or suspicious injuries. This places the Medical Whistleblower in the position of being a human rights defender and possibly facing retaliation by politically or economically powerful adversaries. In the political international context, medical professionals are some of the first reporters of violations of human rights. Medical Whistleblowers report the abuse of the elderly in hospital and nursing home settings, the financial and civil rights violation by guardians of the mentally ill, sexual assault of vulnerable youth in the foster care system, male upon male rape in prisons, neglect or abuse of refugees, and brutality against prisoners of war or psychological torture of terrorist suspects. Often Medical Fraud goes hand in hand with the violation of the patient’s human rights. Criminals who defraud the US Medicaid system by fraudulent charges, false reports and unnecessary procedures on vulnerable patients, do not care that they are causing physical, emotional and financial harm to vulnerable children and adults. These criminals deliberately seek out persons who by their very medical condition, disability, cognitive difficulty, legal immigration status, nationality, or disease state are particularly vulnerable. The right of opinion and expression of Medical Whistleblowers needs to be protected in order to protect these vulnerable patients.
Medical Whistleblower Canary Notes Newsletter 36 United Nations Declar...MedicalWhistleblower
The United Nations recognized the vital role of human rights defenders and the UN was convinced that these human rights defenders need to be protected from retaliation for reporting violations of human rights of others. The UN formally defined the defense of human rights as a right in itself and to recognize persons who undertake human rights work as “Human Rights Defenders.”The Resolution 53/144 was adopted in order to protect both human rights defenders and their activities. This is commonly known as the “Declaration on human rights defenders.”
Medical Research: conflicts between autonomy and beneficence/non maleficence, euthanasia, informed consent, confidentiality, criticisms of orthodox medical ethics
10. 2015 mwan 072015 upr town hall treaties, international mechanisms, domes...MedicalWhistleblower
Medical Whistleblower Advocacy Network, 2015, UPR Town Hall, Treaties, International Mechanisms and Domestic Implementation, Ratification efforts in the USA to ratify the Convention on the Rights of Persons with Disabilities, CRPD
6. 2015 mwan 032615 thematic report voiceless victims wards of the court ic...MedicalWhistleblower
Medical Whistleblower Advocacy Network Report 3/26/15 regarding human rights violations of persons who are wards of the court. The medical abuse and neglect of vulnerable mentally disabled adults and children as well as the elderly. Wards of the court have had their legal rights to legally advocate for themselves removed by a Judge's court order and another person (a guardian) assigned to represent their legal rights. The ability to advocate for one's own needs is essential in order to prevent human rights abuses. The worst human rights abuses happen behind closed doors and in places where the vulnerable persons are deprives of their basic human rights including the right to legally advocate for oneself. Pharmaceutical companies deliberately target vulnerable patient populations who are least likely to sue the company if an adverse event happens with their product. The use of pharmaceutical medications off-label without full informed consent is considered a human rights violation of a person's medical integrity. The use of neuroleptic medications without informed consent is considered potentially as torture. The use of psychiatric medications for chemical restraint is very overused and contributes to decreased quality of life for patients and also decreased life expectancy.
This is a preliminary report on the abuse and neglect of persons in residential treatment for “substance abuse” in the U.S.A. There have been violations of human rights, lack of investigation, prosecution and punishment of the offenders. This prevailing permissive environment has given de jure or de facto amnesty to those who violate human rights. Starting in the 1970’s there were residential treatment facilities for teens that were found to be abusive. The SEED, Straight Inc. and its derivatives, Roloff Homes, WWASPS and, more recently, Teen Challenge were adjudicated “guilty” of human rights abuses. This report explores the ways these perpetrators of abuse have used the political system to protect themselves and exploit loopholes in the law to expand their network of abusive residential treatment facilities for youth.
This is a preliminary report on the abuse and neglect of persons in residential treatment for “substance abuse” in the U.S.A. There have been violations of human rights, lack of investigation, prosecution and punishment of the offenders. This prevailing permissive environment has given de jure or de facto amnesty to those who violate human rights. Starting in the 1970’s there were residential treatment facilities for teens that were found to be abusive. The SEED, Straight Inc. and its derivatives, Roloff Homes, WWASPS and, more recently, Teen Challenge were adjudicated “guilty” of human rights abuses. This report explores the ways these perpetrators of abuse have used the political system to protect themselves and exploit loopholes in the law to expand their network of abusive residential treatment facilities for youth.
This report to the UN Universal Periodic Review is provided by Medical Whistleblower1 both as an
individual stakeholder and as an advocacy network, including - Whistleblowing Airline Employees
Association2, and the Illinois Family Court Accountability Advocates3. Medical Whistleblower joins with
an array of U.S.A. organizations and individuals that are concerned about U.S.A.’s failure to implement its
international human rights commitments to human rights defenders. Medical Whistleblower is located in
Lawrence, KS, USA and was established in 2001 to meet the advocacy needs of persons who have stepped
forward to provide information about medical fraud against vulnerable populations, patient abuse and
neglect, and human rights violations. Many are mandated reporters under state or US federal law.
R A P E V I C T I M S A R E A C L A S S O F P E R S O N S O F T E N D...MedicalWhistleblower
Every two minutes, somewhere in America, someone is sexually assaulted. 1, 2 One out of every six American women has been the victim of an attempted or completed rape in her lifetime. 3 Only one in 50 women who have been raped reports the crime to the police.4
Although both women and men may be victims of domestic violence, sexual assault, and stalking, women are the victims of the vast majority of these crimes. According to the Bureau of Justice Statistics, more than 85% of violent victimizations by intimate partners between 1993 and 1998 were perpetrated against women. Women are between 13 and 14 times more likely than men to be raped or sexually assaulted; for instance, in 1994, 93% of sexual assaults were perpetrated against women. Four of five stalking victims are women.
To encourage employee representatives and employers to build cultures in which respect for individuals is regarded as an essential part of the conduct of all those who work in the organization.
•To increase awareness and knowledge of bullying in the workplace, and encourage the development of employment practices that enhance worker safety and prevent bullying in the workplace.
Post Traumatic Stress Disorder (PTSD) is a natural emotional reaction to a deeply shocking and disturbing experience. It is a normalreaction to an abnormalsituation.
•Any human being has the potential to develop PTSD
•Cause external –Psychiatric Injury not Mental Illness
•Not resulting from the individual’s personality –Victim is not inherently weak or inferior
Law Enforcement, Intelligence, And Bioterrorism Investigation TestMedicalWhistleblower
A short multiple choice test to assess the basic knowledge of law enforcement officers regarding the value of intelligence in bioterrorism investigation.
How Should We Address Bulling In The Workplace Medical WhistleblowerMedicalWhistleblower
This powerpoint presentation by Medical Whistleblower, Dr. Janet Parker DVM examines how we can make workplaces less hostile and to promote good employment practices to identify, decrease and eliminate bullying in the workplace.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stockrebeccabio
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We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Medical Whistleblower Canary Notes Newsletter 11 Psychiatric Rights & The Law Nov 2006 Vol 1 Issue 11
1. Medical Whistleblower
November 2006
Medical Whistleblower’s
Volume 1 Issue 11
Canary Notes
Inside this issue:
UN Declaration—Rights of Disabled People
UN Principles of Protec- 2
tion—Persons with The Declaration of the Rights of Disabled Persons was adopted by the United
Mental Illness
Nations in 1975. It defines ‘disabled person’ to mean ‘any person unable to en-
Mental Health Advance 3 sure by himself or herself, wholly or partly, the necessities of normal individual
Directives
and/or social life, as a result of deficiency, whether congenital or not, in his or
Mental Health Managed 4 her physical or mental capacities’. This definition includes people with a mental
Care & Medical Privacy
illness, whether or not they also have other disabilities. The Declaration recog-
Privacy Principles 4 nizes that people with disabilities are entitled to:
• The inherent right to respect for their human dignity; The same fundamental
human rights as other citizens, whatever the origin nature and seriousness of
their handicaps and disabilities, including the right to a decent life - as normal
and full as possible;
• The right to legal safeguards against abuse of any limitation of rights made
necessary by the severity of a person’s handicap, including regular review and
the right of appeal;
• The right to any necessary treatment, rehabilitation, education, training and
other services to help develop their skills and capabilities to the maximum;
Copies of UN law enforce- • The right to economic and social security and the right, according to their ca-
ment, criminal justice and pabilities, to secure and retain productive employment and to join trade unions;
human rights standards can
be obtained from : • The right to have their needs considered in economic and social planning; The
Office of the High right to family life, the right to participate in all social, recreational and creative
Commissioner for Human activities and the right not to be subjected to more restrictive conditions of resi-
Rights, CH-1211 dence than necessary;
Geneva 10, Switzerland
(http://www.un.org/cgi • The right to protection against exploitation or discriminatory, abusive or de-
-bin/treaty 2.pl grading treatment;
or
• The right to qualified legal assistance to protect their rights, and to have their
E-mail to: treaty@un.org)
condition taken fully into account in any legal proceedings.
2. Page 2 Medical Whistleblower’s Canary Notes Volume 1 Issue 11
UN Principles for the Protection of Persons
Durable Power of At-
with Mental Illness
torney for Health Care
Manual: An Advocacy Principles for the Protection of Persons with
Tool for Mental Health
Mental Illness and for the Improvement of Men-
tal Health Care were adopted by the UN Gen-
Consumer Empower-
eral Assembly in 1991. The Mental Illness Prin-
ment and Patient
ciples focus mainly on human rights in relation
Choice, (1994) Avail-
to the mental health system but they also say:
able from Protection
and Advocacy Inc., • Every person with mental illness has the same
Sacramento CA. rights as every other person, including the rights
in the International Covenant on Civil and Politi-
cal Rights and the rights recognized in the Dec-
laration on the Rights of Disabled Persons;
• Every person with a mental illness has the right to live and work, as far as pos-
sible, in the community;
• People being treated for a mental illness must be accorded the right to recogni-
tion as a person before the law.
• All persons have the right to the best available health care, which shall be part
Currently the American courts and of the health and social care system and that;
medical profession recognize five
essential tenets of informed con- • Every patient shall have the right to receive such health and social care as is
sent: appropriate according to his or her health needs, and is entitled to care and
1) The patient must be treatment in accordance with the same standards as other ill persons.
competent (in the case of
minors, the competency of
The UN Principles reaffirm that individuals who have experienced mental illness
parents or legal guardian have the right to protection from economic or sexual exploitation or physical
would apply) abuse, sexual abuse or degrading treatment. These principles in relation to
2) Consent must be mental health care, deal with abuses and the means to prevent them, as well as
voluntary and not coerced. recognizing the right of everyone in the community to have access to mental
3) Sufficient information health care when necessary. The Principles emphasize that people with mental
must be disclosed.
illness should not be stigmatized or disadvantaged in the care available because
of the nature of the illness. There should not be a lower standard for mental
4) The information must
health care than for the rest of the health system. They require that mental
be understood and
health facilities be inspected by competent authorities often enough to ensure
evaluated in terms of the
that conditions, treatment and care of patients comply with the Principles. The
patient’s (or guardian’s) Principles emphasize the concept of ‘least restrictive alternative’ in relation to
own values treatment; the right to be treated and cared for, as far as possible, in the commu-
5) Consent should entail nity in a way suitable to the individual’s cultural background; special protection
conscious or explicit for children; and directing treatment towards enhancing personal autonomy, in-
permission. cluding respect for patients’ rights to privacy and opportunities for education and
vocational training. There are detailed requirements for informed consent.
Attorney Jim Gottstein of Anchorage Alaska runs the Law Project for Psychiat-
ric Rights see his website http://psychrights.org/
3. Medical Whistleblower’s Canary Notes Volume 1 Issue 11 Page 3
Mental Health Advance Directives
In most states in the USA, the law declares that an individual with capacity has
the ability to control decisions relating to his or her own health care (including
mental health). Most states recognize some form of Health Advance Directive
which can be an essential tool for an individual to express his or her choices at a
time when the effects of illness have not deprived him or her of the power to ex-
press his or her instructions or preferences. Consequently, many state legisla-
tures have affirmed that, pursuant to other provisions of law, a validly executed
mental health advance directive is to be respected by agents, guardians, and
other surrogate decision makers, health care providers, professional persons, and
health care facilities. A "Mental Health Advance Directive" or "Directive" means a
written document in which the principal makes a declaration of instructions or
preferences or appoints an agent to make decisions on behalf of the principal re-
garding the principal's mental health treatment. Some mental illnesses cause indi-
viduals to fluctuate between capacity and incapacity. Early treatment may prevent
an individual from becoming so ill that involuntary treatment is necessary; and
The International Center
mentally ill individuals need some method of expressing their instructions and
preferences for treatment and providing advance consent to or refusal of treat- for the Study of
ment. A properly executed Advance Directive also helps prevent illegal coercion Psychiatry and
of a mentally ill patient to treatment he/she would not have consented to if not in- Psychology, Inc.
capacitated. Additional Legal Information on Mental Health Advance Directives The International Office
can be found at: National Resource Center on Psychiatric Advance Directives
Dominick Riccio, Ph.D.
(NRC-PAD) is continuing to provide new information for consumers, family mem-
bers, clinicians, and policy makers interested in PADs. Executive Director
http://www.psychrights.org 1036 Park Ave.
http://www.nrc-pad.org/ http://www.brazelon.org Suite 1B
New York, N.Y. 10028
Mental Health Managed Care and Medical Privacy (212) 861-7400
Health care ethics call for great respect for patient privacy and confidentiality. Pri- www.icspp.org
vacy is especially important in mental health since patients talk about sensitive ICSPP United States
and personal topics such as being a victim of physical or sexual abuse, drug and Lloyd Ross, Ph.D.,
alcohol use and family problems. Managed care disrespects privacy. True privacy
and confidentiality means sharing sensitive, personal information with a single Regional Director
trusted professional chosen by the patient. Managed care however requires shar- 27 North Broad St.
ing private information with several people who are not chosen by the patient, Ridgewood, N.J. 07450
such as gatekeepers and utilization reviewers who then store the information in
files accessible to thousands of employees. True privacy and confidentiality (201) 445-0280
means protecting information so that it cannot be seen by anyone not involved in
treatment. Managed care usually only protects information to the extent of federal
and state law which, in the case of insurance records, is very little protection and
records are available to even employers. In true patient privacy and confidentiality
patients have the freedom to control, without coercion who can see their personal
and confidential records. In managed care patients are forced to giveaway up all
privacy to receive benefits.
4. Medical Whistleblower
The information contained through the Medical Whistle-
blower Canary Notes Newsletter is provided for general
information only. The information provided by the Medial
Dr. Janet Parker Whistleblower Canary Notes does not constitute legal or
P.O. Box C professional advice nor is it conveyed or intended to be con-
Lawrence, KS 66044 veyed in the course of any adviser-client discourse, but is
Phone: 360-809-3058 intended to be general information with respect to common
Fax: None issues. It is not offered as and does not constitute legal or
E-mail: MedicalWhislteblower@gmail.com medical advice or opinion. It should not serve as a substitute
for advice from an attorney, qualified medical professional,
social worker, therapist or counselor familiar with the facts
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of your specific situation. We encourage you in due diligence
MedicalWhistleblower.googlepages.com to seek additional information and resources before making
any decision. We make no warranty, express or implied,
concerning the accuracy or reliability of the content of this
newsletter due to the constantly changing nature of the legal
Supporting the Emotional Health of All Whistleblowers and medical aspects of these issues .
and their Friends, Supporters and Families.
The National Coalition of Privacy Principles
Mental Health Professionals
There are concerns and complaints regarding the provisions in HIPPA that allow the re-
and Consumers, Inc.
lease of patient information without patient consent. Privacy and confidentiality of medical
P.O. Box 438 data is all but abolished in this age of computers and modern technology which can lead
to rapid transmission of sensitive data to many persons/entities with little possibility of re-
Commack, New York 11725 traction or deletion of data at a later time.
Privacy Principles:
1) Recognize that patients own their health data.
2) Give patients control over who can access their per-
sonally identifiable health information across
Judge David L. Bazelon electronic health information networks.
Center for Mental Health 3) Give patients the right to opt-in and opt-out of elec-
Law tronic systems.
1101 15th Street, NW, 4) Give patients the right to segment sensitive information.
Suite 1212 5) Require audit trails of every disclosure of patient information and allow patients to re-
view those disclosures.
Washington, DC 20005
6) Require that patients be notified of suspected or actual privacy breaches.
www.brazelon.org
7) Deny employers access to employees’ medical records.
Phone: 202-467-5730
8) Preserve stronger privacy protections in state laws.
Fax: 202-223-0409
Email:
webmaster@bazelon.org http://www.ahrp.org http://www.followthemoney.org/index.phtml
http://www.fda.gov/cder/warn/index.htm http://www.citizen.org/hrg
http://www.publicintegrity.org/dtaweb/home.asp