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Past suggestions of ENUSP for WP5

which remain relevant

Users should always be at the center of all processes

Promote, reinforce the users' movement and access to

EU Funding.

Enforce the UN !P" and apply its standards to the

whole wor#ing process of the $oint %ction

&n particular, apply the UN !P" standards in the areas

of human rights, deinstitutionaliation, discrimination and

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Particularly good messages from WP5

Encourage and promote the revision and updating of

mental health policy, based on human rights and the

available evidence, in countries where this is needed)

Promote the revision and updating of mental health

legislation, ta#ing into account the principles of recovery

and the recommendations from !P")*

Promote the active involvement of users and carers in

the delivery, planning and reorganiation of services)

"evelop+ self(help and users and carer groups.*

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Fear and desire to control: factors that may influence reforms

0een as an opportunity1 2arger communities towns/ are not disturbed

by people with mental health problems. (SWOT, Estonia, WP5)

Reinstitutionalization:

&n Portugal, the percentage of compulsory admissions increased from to 345, from

6444 to 6433. (WP5 report)

&n France, the number of compulsory admissions increased by 45 in the five years

between 6447 and 6433 (Robiliard Parliamentary Report, 2013).

8he general prison population has increased in all countries between 375 and 3495/

(WP5 report)

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e!rivation of li"erty and forced treatmentare illegal:

+legislation of several 0tates parties, including mental health laws, still !rovide

instances in which !ersons may "e detained on the grounds of their actual or

!erceived im!airment, provided there are other reasons for their detention, including

that they are deemed dangerous to themselves or to others. #his !ractice is

incom!ati"le with article $% as inter!reted "y the &uris!rudence of the 'RPcommittee( )t is discriminatory in nature and amounts to ar"itrary de!rivation of

li"erty(*(!idelines on arti"le 1# o$ t%e &' RP, ***, +)

)nvoluntary commitmentof persons with disabilities on health care grounds

contradicts the a"solute "an on de!rivation of li"erty on the "asis of im!airments

article 393/b//and the !rinci!le of free and informed consent for health carearticle

6/+* (!idelines on arti"le 1# o$ t%e &' RP, *,10)

8he ommittee has emphasied that 0tates parties should ensure that the !rovision of

health services+ including mental health services are "ased on free and informed

consent of the !erson concerned,*(!idelines on t%e arti"le 1# o$ t%e &' RP,,

11)

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Solutions

:ental health reforms must be based on the current

human rights framewor-, particularly on the UN !P"

lear .uality standards+ which are implemented and

monitored

;uality indicators based on a human rights framewor#

Users< meaningful involvement

+=8he ommittee> has e?pressed its concern

a"out the institutionalization of !ersons with

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/est !ractices recommended "y ENUSP

@pen "ialog %pproach from Finland Family Aroup onferencing FA/ from the Netherlands %dvance "irectives 8he Personal @mbudsman from 0weden, organiation Po 0#ane 2eeds 0urvivor(2ed risis 0ervice :aytree 0anctuary for the 0uicidal in 2ondon Peer(%dvocacy and Peer train(the(trainers programmes, Fundacion

:undo Bipolar in 0pain, and %dvocacy(France in France Peer run crisis and support services, including peer(run respite

houses -estern :ass !ecovery 2earning ommunity !2/, U0%and -eglaufhauses Cilla 0tDc#le, Aermany

0upport for withdrawal

8he 9P& National 0tandards, developed by the National 0urvivor

User Networ# N0UN/, in the U. Principles Purpose Presence Process &mpact