A/HRC/35/21
Report of the Special Rapporteur on the right of everyone to
the enjoyment of the highest attainable standard of physical
and mental health
Contents
Page
I.
Introduction ...................................................................................................................................
3
II.
Context ..........................................................................................................................................
3
III.
Global burden of obstacles ............................................................................................................
5
A.
Dominance of the biomedical model ....................................................................................
5
B.
Power asymmetries ...............................................................................................................
6
C.
Biased use of evidence in mental health ...............................................................................
7
IV.
Evolving normative framework for mental health ........................................................................
8
V.
Right to mental health framework ................................................................................................
9
A.
Obligations............................................................................................................................
9
B.
International cooperation ......................................................................................................
10
C.
Participation ..........................................................................................................................
10
D.
Non-discrimination ...............................................................................................................
11
E.
Accountability.......................................................................................................................
12
F.
Beyond mental health services towards care and support .....................................................
12
G.
Informed consent and coercion .............................................................................................
14
H.
Underlying and social determinants of mental health ...........................................................
15
Shifting the paradigm ....................................................................................................................
16
A.
The human rights imperative to address promotion and prevention in mental health ..........
16
B.
Treatment: from isolation to community ..............................................................................
17
Conclusions and recommendations ...............................................................................................
19
A.
Conclusions ..........................................................................................................................
19
B.
Recommendations.................................................................................................................
20
VI.
VII.
2