Who QualityRights
Act, unite, and empower for mental health
Materials for the training of specialists and transformation of mental health services
Quality Rights
Quality Rights
Presentation
QualityRights is a World Health Organisation (WHO) tool kit designed to assess and improve quality and human rights in mental health and social care facilities.
The tool kit can be used by various national and international groups and organisations. It can be used either for a single assessment or as part of a national programme to improve facilities and services. It is of interest to establishments, services, specialists from all fields, policies, and anyone related to persons with disabilities. In this context, ‘establishment’ means any place where people with mental disabilities live or receive care, treatment, and/or rehabilitation, such as psychiatric hospitals, psychiatric units in general hospitals, and outpatient services, (including community mental health or substance abuse centres, primary care clinics, and outpatient care provided by general hospitals); day centres for people with mental disabilities, and social support centres (including orphanages, homes for the elderly, homes for children with intellectual or other disabilities, and other types of homes for ‘groups’ of people).
‘Person with a mental disability’ is understood to include people with mental, neurological, or intellectual disabilities, along with those with substance abuse disorders.
QualityRights documents use the term ‘psychosocial disability’, which has been adopted to include people who have received a diagnosis related to mental health or who self-identify with this term. Moreover, the terms ‘cognitive disability’ and ‘intellectual disability’ are also used and are designed to include people who have received a diagnosis related to their cognitive or intellectual functions, such as dementia and autism. The use of ‘disability’ in this context is important because it highlights the barriers that hinder the full participation in society of people with actual or perceived impairments, along with the fact that they are protected under the United Nations Convention on the Rights of Persons with Disabilities (CRPD). Therefore, the use of ‘disability’ in this context does not imply that people have an impairment or a disorder.
The instrument QualityRights provides tools, manuals, and guides along with an online training programme designed to transform attitudes and practices in mental health. Its aim is to promote the human rights of people with psychosocial, intellectual, or cognitive disabilities around the world by adopting a participatory approach.
The training is organised in 14 modules so that the different countries can put into practice the international human rights standards and have an influence on policies by developing the required skills and knowledge in order to deploy person-centred strategies which are based on recovery. This will help in delivering a quality care and support service and promoting mental health and well-being.
It covers the following five topics taken from CRPD, organised into standards and detection criteria:
- The right to an adequate standard of living and social protection (Article 28 of CRPD)
- The right to enjoy the highest possible level of physical and mental health (Article 25 of CRPD)
- The right to exercise the legal capacity and the right to personal freedom and personal safety (Articles 12 and 14 of CRPD)
- Protection against torture, cruel/inhuman/degrading treatment or punishment, exploitation, violence, and abuse (Articles 15 and 16 of CRPD)
- The right to live independently and to be included in the community (Article 19 of CRPD)
The QualityRights initiative was conceived by Michelle Funk and Natalie Drew Bold, who are members of the Mental Health Services and Policy Development Team, the Department of Mental Health and Substance Abuse, WHO. Key international experts from several countries have contributed to the design of the materials, including experts from various academic fields, service providers, and political advocacy groups.
In Catalonia, WHO has approached Support-Girona for the establishment of an alliance that should deploy the QualityRights instruments in institutions, services, specialists, and people, as well as provide training throughout Catalonia.
The accreditation will correspond to the promoters and owners of the initiative, which is WHO through the QualityRights programme.
The scope of the training will first take into account the establishment of alliances with the different target groups.
Goals
- To build the capacity for combating stigma and discrimination as well as promoting human rights and recovery
- To improve the quality and human-rights-related conditions in mental health and social services
- To create community-based services and recovery-oriented services that respect and promote human rights
- To support the development of a civil society movement for conducting advocacy and influence policy-making
- To reform national policies and legislation in accordance with CRPD and other international human rights standards
Recipients
In first person
- Persons with disabilities (psychosocial, intellectual, and cognitive, including dementia) and those who are or have been users of mental health and social services
Service providers
- Managers of mental health and social services, mental health experts, and other specialties in the field of medicine (practitioners and nursing), geriatrics, psychology, occupational therapy, social work, community support, personal assistance, peer support, and volunteering
- People who work in the field of social services and mental health or who provide services to these
- Non-governmental organisations (NGOs), associations of family members, people who use health and social services, and other organisations working in the field of mental health, human rights, or other related fields
- Support persons and other carers
Public policies
- Relevant ministries, such as health, social rights, education, justice, etc., and those responsible for the policies
- Government institutions and services, such as police, courts, prison staff, supervisory bodies, detention centres, legal reform commissions, councils of persons with disabilities, and national institutions of human rights
- Other organisations and relevant parties, such as mental health rights advocates, lawyers, legal assistance organisations, academics, university students, community leaders
Access to materials in Catalan pending final review
Human rights
Human rights. WHO QualityRights core training: For all services and all people
Mental health, disability, and human rights
Mental health, disability, and human rights. WHO QualityRights core training: For all services and all people
Legal capacity and right to decide
Legal capacity and right to decide. WHO QualityRights core training: Mental health and social services
Recovery and the right to health
Recovery and the right to health. WHO QualityRights core training: Mental health and social services
Freedom from coercion, violence, and abuse
Freedom from coercion, violence, and abuse. WHO QualityRights core training: Mental health and social services
Access to materials in Catalan pending final review
Restorative practices for mental health and well-being
Restorative practices for mental health and well-being. WHO QualityRights specialised training
Strategies to end seclusion and restraint
Strategies to end seclusion and restraint. WHO QualityRights specialised training
Supported decision-making and advance planning
Supported decision-making and advance planning. WHO QualityRights specialised training
This training programme is based on WHO’s QualityRights materials regarding mental health, human rights, and recovery, which you can refer to and download from this website in Catalan, Spanish, and English.
At present, the supporting documentation is in Spanish and its translation into Catalan is under way
Transforming services and promoting human rights. WHO QualityRights training and guidance: Mental health and social services. Course guide
EWHO's QualityRights module on transforming services and promoting human rights. Training and guidance on WHO QualityRights: Mental health and social services provides an opportunity to understand and think about the quality of a service and the human rights thereof.
Guidance modules on peer support
Individual peer support for people with lived experience. WHO QualityRights guidance module
Guidance module
Peer support groups for people with lived experience. WHO QualityRights guidance module
Guidance module
Guidance modules for civil society and advocacy for human rights
Advocacy for mental health, disability, and human rights. WHO QualityRights guidance module
Civil society organisations to promote human rights in mental health and related areas. WHO QualityRights guidance module
Person-centred recovery planning for mental health and well-being
Self-help tool for mental health and well-being, person-centred, to be used by people during the process of developing a recovery plan
Complementary guides
At present, the supporting documentation is in Spanish and its translation into Catalan is under way. It is a set of guidelines designed to help countries adapt their mental health systems and services according to international human rights standards. These guidelines provide a detailed description of person-centred mental health and human rights-based approach. Real-world examples of good practice are also provided. Moreover, the required links with the housing, education, employment, and social protection sectors are described, and integrated regional and national of community-based mental health service networks are presented. Furthermore, it includes recommendations and action measures to develop community-based mental health services that respect the human rights of the population and focus on recovery. In addition, this comprehensive document is complemented by seven technical support modules focusing on specific categories of mental health services.
WHO guidelines and technical modules on community-based mental health services: promoting people-centred and rights-based approach
This technical module presents a choice of new services that deliver care in general hospital settings integrated into the main health system in order to encourage people to return to their lives and communities. Moreover, it includes a number of practical steps and recommendations that facilitate the process of conceptualising, planning, and testing mental health hospital care governed by good practice and human rights standards. The examples gathered in this module show that it is possible to receive quality care and support in general hospital settings. The module is a component of the seven technical modules included in the WHO guidance and technical modules on community-based mental health services: promoting people-centred and rights-based approach. This set of guidelines aims to support all the relevant parties who wish to establish or transform their mental health systems and services so that they comply with international human rights standards and promote a people-centred approach to recovery.
Hospital mental health services: promoting person-centred and rights-based approach
This technical module includes a choice of versatile and dynamic community-based mental health services that respect human rights by providing care and support to the population at home or in public settings. These services reach disadvantaged populations that would otherwise have no access to such care. In addition, the module includes a number of practical steps and recommendations that facilitate the process of conceptualising, planning, and testing a community outreach service that is governed by good practice and human rights standards. The module is a component of the seven technical modules included in the WHO guidance and technical modules on community-based mental health services: promoting people-centred and rights-based approach. This set of guidelines aims to support all the relevant parties who wish to establish or transform their mental health systems and services so that they comply with international human rights standards and promote a people-centred approach to recovery.
Community-based mental health services: promoting person-centred and rights-based approach
This technical module presents a choice of daily life assistance services that promote independent living by offering accommodation or support to find and maintain a home. These services are aimed at people who are homeless and may also have complex mental health needs. The module includes a number of practical steps and recommendations that facilitate the process of conceptualising, planning, and testing a daily life support service that is governed by good practice and human rights standards. The module is a component of the seven technical modules included in the WHO guidance and technical modules on community-based mental health services: promoting people-centred and rights-based approach. This set of guidelines aims to support all the relevant parties who wish to establish or transform their mental health systems and services so that they comply with international human rights standards and promote a people-centred approach to recovery.
Daily life assistance services in mental health: promoting people-centred and rights-based approach
This technical module shows a choice of care and support options for the persons living with mental health issues and psychosocial disabilities in the community. These centres are designed to provide support outside the institutional settings and close to home. In addition, the module includes a number of practical steps and recommendations that facilitate the process of conceptualising, planning, and testing a community centre that is governed by good practice and human rights standards. The module is a component of the seven technical modules included in the WHO guidance and technical modules on community-based mental health services: promoting people-centred and rights-based approach. This set of guidelines aims to support all the relevant parties who wish to establish or transform their mental health systems and services so that they comply with international human rights standards and promote a people-centred approach to recovery.
Community-based mental health centres: promoting person-centred and rights-based approach
This technical module provides real-world examples of mental health crisis services that, while providing effective care and support to people experiencing a crisis, also respect their legal capacity and other human rights. In addition, a number of recommendations are given that provide a clear roadmap for countries to establish new recovery-oriented, person-centred, and high-quality services that protect and promote human rights. The module is a component of the seven technical modules included in the WHO guidance and technical modules on community-based mental health services: promoting people-centred and rights-based approach. This set of guidelines aims to support all the relevant parties who wish to establish or transform their mental health systems and services so that they comply with international human rights standards and promote a people-centred approach to recovery.
Mental health services during a crisis: promoting person-centred and rights-based approach
This technical module includes a choice of mental health services among parents for promoting hope, sharing experiences, empowerment, and taking active steps to respect the legal capacity of the supported persons and avoiding coercive measures. Moreover, it also includes a number of practical steps and recommendations that facilitate the process of conceptualising, planning, and testing a parenting support service that is governed by good practice and human rights standards. The module is a component of the seven technical modules included in the WHO guidance and technical modules on community-based mental health services: promoting people-centred and rights-based approach. This set of guidelines aims to support all the relevant parties who wish to establish or transform their mental health systems and services so that they comply with international human rights standards and promote a people-centred approach to recovery.
It takes part in the recruitment of young people benefiting from the Youth Guarantee Programme in Catalonia, in accordance with Order TSF/115/2018 of 12 July.
The programme is financed by the Youth Employment initiative and the European Social Fund, with a co-financing of 91.89%.
Foundations Register 1817. Register Department of Work, Social Affairs, and Families of the Government of Catalonia S05710.
Support-Girona is registered in the Register of Interest Groups of the Catalan Government Administration and the Public Sector. Identification number 315.
Municipal Register of Entities (Girona City Council) with number EH3234.
Census of Voluntary Entities of Catalonia 001907-000.