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Transcript
“Psychology is action”
Implementing a human rights
approach within public
services:
An outline psychological perspective
Peter Kinderman
Professor of Clinical Psychology, University of
Liverpool, UK
PETER KINDERMAN
Professor of Clinical Psychology
Division of Clinical Psychology
University of Liverpool
Liverpool. L69 3GB
[email protected]
Psychology and human rights
“Psychology is action”
PETER KINDERMAN
Professor of Clinical Psychology
Division of Clinical Psychology
University of Liverpool
Liverpool. L69 3GB
[email protected]
Psychological science recognizes the commonality of
psychological process – of humanity – and of the
commonality of basic human needs.
Psychologists also understand that there are collective and
shared representations within society of how we relate
one to another.
Human rights are seen as the codification of how we
collectively understand our relationships and
obligations to each other.
Kinderman P. (2004) Psychology and Human Rights. Science and Public
Affairs. June 2004: 10.
Human rights and high quality care
“Psychology is action”
PETER KINDERMAN
Professor of Clinical Psychology
Division of Clinical Psychology
University of Liverpool
Liverpool. L69 3GB
[email protected]
These issues of human rights apply in mental health and
health and social care more widely; involving issues of
fairness, respect, equality and dignity.
Since high quality care necessarily requires attention to
human rights issues, improvement in basic care
standards is a human rights issue.
Kinderman P. & Butler F. (2006) Implementing a Human Rights Approach
within Public Services: An Outline Psychological Perspective. A Report
for the Department for Constitutional Affairs.
Human rights and high quality care
“Psychology is action”
PETER KINDERMAN
Professor of Clinical Psychology
Division of Clinical Psychology
University of Liverpool
Liverpool. L69 3GB
[email protected]
Put more simply… we would go a long way to improving
human rights issues if we improve standards of care.
Kinderman P. & Butler F. (2006) Implementing a Human Rights Approach
within Public Services: An Outline Psychological Perspective. A Report
for the Department for Constitutional Affairs.
“Psychology is action”
Six Principles for Human Rights
in Public Services
•
•
•
•
•
•
PETER KINDERMAN
Professor of Clinical Psychology
Division of Clinical Psychology
University of Liverpool
Liverpool. L69 3GB
[email protected]
The Human Rights Act (in the UK) is a corner-stone of
our constitutional settlement
The values of fairness, respect, equality and dignity
(FRED) underpin the Act
These human rights principles complement existing
value systems such as the public service ethos and
equality of opportunity
Human rights principles can contribute to improving
public services
The human rights framework is useful in addressing
the challenges of public service provision and
A human rights approach to public service delivery will
constitute best practice at the same time as amounting
to compliance with the law.
Kinderman P. & Butler F. (2006) Implementing a Human Rights Approach
within Public Services: An Outline Psychological Perspective. A Report
for the Department for Constitutional Affairs.
Care based on psychological principles
“Psychology is action”
PETER KINDERMAN
Professor of Clinical Psychology
Division of Clinical Psychology
University of Liverpool
Liverpool. L69 3GB
[email protected]
Care based on psychological principles
“Psychology is action”
PETER KINDERMAN
Professor of Clinical Psychology
Division of Clinical Psychology
University of Liverpool
Liverpool. L69 3GB
[email protected]
Mental health care in the EU is rapidly changing, but many
commentators, particularly sociologists and
psychologists, view systems as remaining wedded to a
medical model and not ‘fit for purpose’. If services are
to improve, the way that the services providing care
understand mental health problems needs to change
radically.
Kinderman, P. & Tai, S. (2006) Clinical implications of a psychological model
of mental disorder. Behavioural and Cognitive Psychotherapy. 35: 1-14.
Kinderman P., Sellwood, W. & Tai, S. (in press) Service implications of a
psychological model of mental disorder. Journal of Mental Health.
Care based on psychological principles
“Psychology is action”
PETER KINDERMAN
Professor of Clinical Psychology
Division of Clinical Psychology
University of Liverpool
Liverpool. L69 3GB
[email protected]
i) Services would be planned on the basis of need and
functional outcome rather than diagnostic categories.
Where residential care is necessary, a concept of ‘hospital’
care would be unnecessary,
ii) Specialist teams, focusing on psychological principles, could
be developed,
iii) Services would fully embrace the recovery approach,
iv) Services could facilitate genuine service user involvement,
v) Access to psychological therapies based on individual case
formulations could be improved,,
vi) Nurses, occupational therapists and social workers could
develop increasing competencies in psychosocial
interventions,
vii) Psychologists should offer consultation and clinical
leadership, and
viii) Psychiatry would remain a key profession, offering medical
expertise in the understanding and treatment of mental
disorder to the multidisciplinary team.
Kinderman, P. Sellwood, W. & Tai, S. (in press) Policy implications of a psychological
model of mental disorder. Journal of Mental Health.
Conclusions
“Psychology is action”
A number of Articles of the European Convention on
Human Rights are highly relevant to mental health:
People must be protected from ‘inhuman or degrading
treatment or punishment’, everyone has the right to
‘liberty and security of person’ – a situation which
demands a definition of ‘persons of unsound mind –
and ‘everyone has the right to respect for his private
and family life’.
These issues of human rights apply outside of mental
health in health and social care more widely; involving
issues of fairness, respect, equality and dignity.
High quality care necessarily requires attention to human
rights issues, therefore improvement in basic care
standards – arguably on psychological grounds – is a
human rights issue.
PETER KINDERMAN
Professor of Clinical Psychology
Division of Clinical Psychology
University of Liverpool
Liverpool. L69 3GB
[email protected]
A recommendation…
“Psychology is action”
To protect the human rights of people with mental health
problems through the provision of high quality
services, we should continue to facilitate
international cooperation – on a practical basis –
across Europe.
PETER KINDERMAN
Professor of Clinical Psychology
Division of Clinical Psychology
University of Liverpool
Liverpool. L69 3GB
[email protected]
A recommendation…
“Psychology is action”
To protect the human rights of people with mental health
problems through the provision of high quality
services, we should continue to facilitate
international cooperation – on a practical basis –
across Europe.
PETER KINDERMAN
Professor of Clinical Psychology
Division of Clinical Psychology
University of Liverpool
Liverpool. L69 3GB
[email protected]
“Psychology is action”
PETER KINDERMAN
Professor of Clinical Psychology
Division of Clinical Psychology
University of Liverpool
Liverpool. L69 3GB
[email protected]
Peter Kinderman
Professor of Clinical Psychology,
University of Liverpool