Ethics, Human Rights, and the Future of Mental Health Care: Advancing Person-Centered, Recovery-Oriented and Rights-Based Approaches in Contemporary Psychiatry

The ratification of the UN Convention on the Rights of Persons with Disabilities (CRPD), the growing criticism towards paternalistic and coercive models of care, and the advocacy of persons with lived experience have all contributed to stimulating the implementation of rights-based and recovery-oriented approaches in mental health care. These approaches prioritize self-determination, empowerment, and the promotion of personal recovery. They recognize lived experience as an essential resource both for the development of research and for the provision of care, promoting collaborative approaches and peer support practices. However, clinicians still face many challenges in translating these principles into real-world care and implementing these new practices. These include tensions between conflicting ethical and professional duties, legal constraints and institutional mandates (e.g., legal liability, public safety), and the need to adapt to evolving legislation on consent, capacity, involuntary treatment, and medical assistance in dying. Further barriers are posed by the persistence of stigma and discrimination and the lack of resources for the implementation of new practices, including alternatives to coercive treatments.This Research Topic aims to advance research on person-centered, rights-based, and recovery-oriented approaches in contemporary mental health care. It seeks to promote research and practices founded on the principles of recovery, social justice, and respect of human rights, and to contribute to the gathering of new evidence, reflections, and insights. We aim to particularly focus on the cultural, social, legislative, institutional and organizational barriers and enablers to the implementation of these models and to ultimately support their dissemination across different settings and contexts.We invite contributions from psychiatry, psychology, public health, ethics, social sciences, law, epidemiology and user-led research. Relevant topics include but are not limited to psychiatric legislation, policy and ethics; decision-making capacity, supported decision-making and advance care practices, coercion and alternatives to coercive practices; recovery-oriented and trauma-informed models of care, including person-centered approaches to community care, reintegration and social inclusion; the role of peer support, lived experience and caregivers in mental health research and practice. Particular attention will be given to works that critically examine the implementation of human rights-based and recovery-oriented approaches across diverse settings and their interaction with the cultural, legislative, institutional and organizational contexts. This includes the intersection of psychiatric care services with other institutions, as well as with legislation and policies on involuntary treatment, criminal law, community reintegration, supportive housing and social support. We especially welcome contributions grounded on the insights and perspectives of persons with lived experience and from low- and middle-income countries. We invite original research, scoping and systematic reviews, theoretical frameworks, case studies, co-produced and narrative contributions. Topic Editor Silvana Galderisi serves as a consultant and/or advisor to Angelini, Boehringer-Ingelheim, Gedeon Richter-Recordati, Janssen, Lundbeck, Otsuka, ROVI and Bristol Myers Squibb. The other Topic Editors declare no competing interests relating to the Research Topic subject. Topic editors: Silvana Galderisi, Helen Herrman, Neeraj Gill, Guadalupe Morales Cano Source: https://www.frontiersin.org/research-topics/75996/ethics-human-rights-and-the-future-of-mental-health-care-advancing-person-centered-recovery-oriented-and-rights-based-approaches-in-contemporary-psychiatry