Empowerment in Mental Health

Promoting Social Inclusion and Combating
Stigma for Mental Health
Lisbon, 8-9 November 2010
The WHO-EC Partnership Project on
Empowerment in Mental Health
Dr Anja Esther Baumann
WHO Regional Office for
Europe
David Crepaz-Keay
Mental Health Foundation
London
WHO-EC Partnership Project
Support Member States to improve their strategies
and actions to empower mental health service users
and their families
ƒ Co-funded
by WHO and the EC
ƒ Duration: 2008 – 2011
ƒ Partners: User and carer associations, other
experts from policy, human rights, NGOs,
mental health services, research
Project outcomes
ƒ Conference “Mental Health and Wellbeing at
the Workplace”, Berlin 2009
ƒ Statement on empowerment in MNH
ƒ Identification of indicators
ƒ 100 examples of practice
ƒ Supporting governments and local actors –
WHO Leadership Meeting 27-28 October 2010
ƒ Mainstreaming of good practice
Mental Health and Wellbeing
at the Workplace
Protection and Inclusion in Challenging Times
WHO & German Alliance for Mental Health,
supported by the German Federal Ministry of Health and the EC
17-18 March 2009 in Berlin
WHO Report 2010
World Mental Health Day
10 October 2010
www.euro.who.int
With support of the EC Health and Consumers DG
WHO Statement on
empowerment in mental health
Meaning of empowerment
User and carer perspectives
Recommendations for action
With support of the EC Health and Consumers DG
Recommendations for action:
Policy / societal level
ƒEnsure that service users´ rights are respected,
protected and fulfilled
ƒEnsure government activities to reduce stigma and
discrimination and to conduct promotion/prevention
programmes
ƒConduct programmes which promote mental health
in the workplace and work to reduce stigma,
discrimination and bullying
Recommendations for action:
Health services
ƒPeople with mental health problems and their families
have access to appropriate mental health services
ƒMake sure that users and carers are equal partners at
all stages of running, planning, delivering and
evaluating services
ƒEnsure that independent review bodies with users and
carers on board are in place to review treatment and
services
Recommendations for action:
Education and training
ƒ Accessible and appropriate information and education
about services and treatment is available for people
with mental health problems
ƒLeadership trainings for service users and families
ƒDesign and deliver mental health professionals´ training
in systematic partnership with users and families
ƒInclude the stigma of mental illness as a topic in the
curricula of primary care and mental health
professionals
ƒ Offer anti-stigma trainings for community actors such
as employers and police officers
Empowerment in Mental Health – Working
together towards Leadership
27-28 October 2010, Leuven
User and carer leadership
Indicators for empowerment
WHO Meeting
in partnership with the EC, hosted by EUFAMI
An empowering process
ƒ Understanding different
perspectives and cultures
ƒ Providing meaningful indicators
across diverse cultures
ƒ Applying objectivity to a traditionally
subjective area
Different roots
Civil rights based v Consumerist
Collective v Individual
Separatist v Collaborative
Valid across diverse
cultures
ƒ Using a rights-based framework
ƒ Relative not absolute indicators
ƒ Within services and beyond
Empowerment,
discrimination and stigma
ƒ Who discriminates, and why?
ƒ Indicators responding to
discrimination
ƒ Diagnosis and stigma
Empowerment
Means different things to different people
• Access to services
• Choice of services
• Rights to decline services
Does not happen in isolation
• Sometimes it means redistributing power
• Sometimes it means compromise
• Sometimes everyone wins
Why indicators matter
Empowerment needs to make an impact:
•on individuals
•on organisations
•on communities and countries
and we need to be able to see the impact
Final thoughts
• It’s not just about resources
• It often requires more thought than
money
• Changes of behaviour, leading to
changes of attitude
This paper was produced for a meeting organized by Health & Consumers DG and represents the views of its author on the
subject. These views have not been adopted or in any way approved by the Commission and should not be relied upon as a statement of
the Commission's or Health & Consumers DG's views. The European Commission does not guarantee the accuracy of the data
included in this paper, nor does it accept responsibility for any use made thereof.