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Mental health law in Africa: analysis from a human rights perspective

Natalie Drew (Natalie Drew is a Technical Officer with the Mental Health Policy and Service Development (MHP), Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland)
Michelle Funk (Coordinator with the Mental Health Policy and Service Development (MHP), Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland)
Caroline Kim (Staff Lawyer with Barbra Schlifer Commemorative Clinic, Toronto, Canada)
Crick Lund (Associate Professor in the Department of Psychiatry and Mental Health, University of Cape Town, Rondebosch, South Africa)
Alan J. Flisher (Was Professor of Child and Adolescent Psychiatry, in the Department of Psychiatry and Mental Health, University of Cape Town, Rondebosch, South Africa)
Akwasi Osei (Chief Psychiatrist at the Mental Health Unit, Ghana Health Service, Accra, Ghana)
Sheila Ndyanabangi (Principal Medical Officer in the Mental Health Department, Ministry of Health Headquarters, Kampala, Uganda)
Joshua Ssebunnya (Based at the Department of Mental Health and Community Psychology, Makerere University, Kampala, Uganda)
John Mayaye (Chief Mental Health Officer and Mental Health Specialist at the National Mental Health Unit, Ministry of Health and Central Board of Health, Lusaka, Zambia)

Journal of Public Mental Health

ISSN: 1746-5729

Article publication date: 15 March 2013

272

Abstract

Purpose

The purpose of this paper is to provide detailed assessments of the mental health laws of Ghana, South Africa, Uganda and Zambia.

Design/methodology/approach

The mental health laws of four countries were assessed both by country partners and staff of WHO, Geneva, using the World Health Organization (WHO) Checklist on Mental Health Legislation, which examines the level of coverage of key issues in mental health laws.

Findings

The older laws of Ghana, Uganda and Zambia do not address fundamental human rights of people with mental health conditions. South Africa's more recent Mental Health Care Act (2002) incorporates critical human rights standards, though certain provisions fail to adequately safeguard against potential violations. For mental health legislation to maintain currency with human rights standards it must be regularly reviewed and updated.

Originality/value

The findings highlight the urgent need to revise the mental health laws of Zambia, Uganda and Ghana, and to plan ways to address the gaps identified in the relatively new South African mental health law. The entry into force of the United Nations Convention on the Rights of Persons with Disabilities in 2008 signals a new era in how mental health legislation is to be drafted. The identification of gaps in national laws, as has been undertaken by the four countries, is an important first step towards putting in place legal frameworks to promote the rights of people with mental health conditions in line with current international human rights standards.

Keywords

Citation

Drew, N., Funk, M., Kim, C., Lund, C., Flisher, A.J., Osei, A., Ndyanabangi, S., Ssebunnya, J. and Mayaye, J. (2013), "Mental health law in Africa: analysis from a human rights perspective", Journal of Public Mental Health, Vol. 12 No. 1, pp. 10-20. https://doi.org/10.1108/17465721311304249

Publisher

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Emerald Group Publishing Limited

Copyright © 2013, Authors

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