Establishing Good Practice for Human Rights-Based Approaches to Mental Health Care and Psychosocial Support in Kenya.

Journal: Health and human rights

Volume: 22

Issue: 2

Year of Publication: 2021

Affiliated Institutions:  Program Officer for Mental Health and Rights at the Open Society Foundations, New York, USA; Research Associate at the Harvard Law School Project on Disability, Cambridge, USA; and Visiting Research Fellow at the Centre for Applied Legal Studies, University of the Witwatersrand, Johannesburg, South Africa. Professor of the Practice of Health and Human Rights at the Harvard T.H. Chan School of Public Health, Director of Research at the François-Xavier Bagnoud Center for Health and Human Rights at Harvard University, and Jeremiah Smith Jr. Lecturer at Harvard Law School, Cambridge, USA. Executive Director of the Harvard Law School Project on Disability and Visiting Professor at Harvard Law School, Cambridge, USA; and Extraordinary Professor at the Centre for Human Rights, University of Pretoria, South Africa. Professor at the Clinic of Psychiatry, Vilnius University, Lithuania, and the United Nations Special Rapporteur on the Right to Health.

Abstract summary 

A human rights-based approach (HRBA) to health has long been seen as an important way in which to address public health needs in a manner that is equitable and conducive to social justice. Yet the actual content of an HRBA to health remains unspecific, and therefore implementation remains heterogeneous. This situation is even more challenging in the field of mental health, where human rights considerations are particularly complex and have emerged out of a history of myriad violations. Even when research has been conducted into mental health, it has focused predominantly on the Global North, raising questions of contextual and cultural relevance. Accordingly, this study examined the issue from the perspectives of stakeholders in Kenya who consider their work or the services they use to be rights based. It explored the key principles and interventions deemed to constitute an HRBA to mental health care and psychosocial support, the perceived benefits of such approaches, and the main barriers and supports relevant for implementation. The results produced seven key principles and corresponding interventions. Among other things, it highlighted the importance of economic well-being and self-efficacy, as well as the reduction of barriers to implementation, such as stigma and lack of adequate resourcing. Two key tensions were apparent-namely, the un/acceptability of coercion and the role of traditional and faith-based modalities in an HRBA to mental health care and psychosocial support.

Authors & Co-authors:  Mahomed Bhabha Stein Pūras

Study Outcome 

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Statistics
Citations :  International Covenant on Economic, Social and Cultural Rights. 1966. G.A. Res. 2200A/21.
Authors :  4
Identifiers
Doi : 
SSN : 2150-4113
Study Population
Male,Female
Mesh Terms
Human Rights
Other Terms
Study Design
Study Approach
Country of Study
Kenya
Publication Country
United States