A/HRC/44/48
Contents
Page
I.
Introduction ...................................................................................................................................
3
II.
Global health: progress, challenges, common ground, and a fractured consensus ........................
3
A.
Contextual entry points and priorities ...................................................................................
3
B.
Participation and power: a global perspective ......................................................................
5
C.
Standardization and practice-based evidence .......................................................................
6
D.
Determinants of health and measurement .............................................................................
7
Over-medicalization and threats to human rights ..........................................................................
8
A.
Context: from “bad” to “mad”. Medical power and social control .......................................
8
B.
World Health Organization essential medicines list and mental health ................................
10
C.
Across the life course: specific groups vulnerable to excessive medicalization ...................
11
Rights-based approaches to alternatives: defining features, foundational principles and
application of normative framework .............................................................................................
13
A.
Scaling up alternatives as a core obligation under the right to health ...................................
13
B.
Alternatives models of mental health services as human rights in practice: key
concepts and principles of rights-based support ...................................................................
13
C.
Key principles .......................................................................................................................
14
D.
Accountability for systems transformation ...........................................................................
16
Global threats and future trends ....................................................................................................
16
A.
Mainstreaming the right to mental health in all global contexts ...........................................
16
B.
Climate change .....................................................................................................................
16
C.
Digital surveillance ...............................................................................................................
17
D.
Coronavirus disease (COVID-19) and its effects on mental health ......................................
18
Conclusions and recommendations ...............................................................................................
18
III.
IV.
V.
VI.
2