Saturday, December 27, 2008

Mental health and human rights

Went to visit a friend in hospital today. Well, I suppose it's not technically a hospital - it's called 'extended care'. My friend is in the psych wing. She is researching human rights, because she says that her rights have been taken away from her. She has no choice but to take the medication that she is given, and no choice as to where she will stay. It's like being in prison. She says that she'd rather be in prison.

My friend wants to take the health professionals to court, arguing that her human rights have been breached. I didn't tell her that I'd studied law, and in any case, I really didn't know what cause of action you'd take the health authorities to court over. I thought about the Charter of Human Rights in Victoria - section 10(c) says that a person must not be "subjected to medical or scientific experimentation or treatment without his or her full, free and informed consent."

I thought that individuals could use the Charter to take an authority to court. But I've just looked up the legislation, and it turns out that individuals can use the Charter to take statutory authories to court if those authorities have breached a human right. But it also looks like you need to have another action first - in other words, the breach of the Charter can only be an add-on to some other legal argument. So, for example, I guess you could sue an authority for negligence, and then also argue that the same action or ommission had breached a human right.

So, I'm not sure if this legislation will really help my friend, because I can't think of another legal cause of action on which you could base a claim. I assume the health authorities have statutory authority to force her to take her medication, and also statutory authority to admit her without her consent. Although I should really look into that.

I don't think this Victorian human rights legislation goes very far at all. It requires that all Bills introduced into Parliament include a statement of human rights compatibility, but the failure to do so doesn't make the Bill or subsequent Act invalid. If a Bill or Act does not comply with human rights, then Parliament can make an 'overriding statement' which says that the Act will be valid despite the fact that it doesn't conform. The Victorian Charter is nothing like the US Bill of Rights, which people can appeal to directly to stop individual breaches of rights.

There is debate about introducing an Australian Bill of Rights. If it's anything like the Victorian one, I guess you could say it's better than nothing, but it really does fall short of all that one expects when they think of a 'bill of rights'. I would be very surprised if Australia introduced a proper bill of rights. It would be a pretty radical move, because it would mean the introduction of a whole new area of law that nobody knows about. Making Parliament and statutory authorities abide by human rights would be a vast, unrestricted requirement - human rights tend to be broadly defined and I imagine that it would be very open to interpretation as to what authorities could or could not do.

But, I think it should be done! Exposing government authorities to a public that demands human rights will cause legislators and bureacrats to scrutinise every decision and action for compatibility. Common practices - like force-feeding drugs to psych patiends - would be reconsidered, and possibility publicly debated. I'd like to look into some other human rights legislation around the world - apparently we're the only Western democracy without it. What does the other legislation look like? How has it been used by the public? Has it been effective to defend human rights?

6 comments:

halwis said...

http://www.lbo.lk/fullstory.php?newsID=908220956

This is a different can of worms, but there are governments which are can for most intents and purposes be defined as "functional democracies" that choose to ignore the rule of law at it's whims and fancies and where people - mostly free (but it is debatable whether they/we are capable of "thinking") go about their business without protest!!!
I brought it out because you were interested in getting an international perspective... Justice seems to have a high going price (which many can't afford) in the international market these days.

Andreana said...

From the article, it looks like Sri Lanka at least has a legal framework for keeping the government accountable. Do you think the UNP will succeed in court? I wonder what happens when a government body is found guilty of contempt of court. I mean, you can't exactly jail the government! It sounds like the administrative arm of the Sri Lankan government does not have a whole lot of respect for the judicial arm. Clear separation between the judiciary and executive, as well as respect, are integral to any democracy. Otherwise, it is very difficult to keep either accountable.

halwis said...

The executive president in Sri Lanka virtually has total control over the legislature and thus, there is no separation of powers between the executive and the legislature. The opposition (with UNP as the majority party) is almost non-existent – which is a further blow to the checks and balances necessary for the function of the mechanism of democratic governance. The executive and legislature has demonstrated such a degree of corruption and incompetence that it has opened up a clear pathway for the Judiciary to intervene directly in the day-to-day government functions and policy decisions ranging from regulating the use of plastic grocery bags, noise pollution in cities, number of army check-points (which many people believe are necessary for national security because of the ever present threat of suicide attacks by the LTTE on civilian targets in major cities)… and the list continues. Even though a strong and independent judiciary is vital in any democracy, what this symbolises on ground level is a crumbling of the institutions of government – where a dictatorship of the executive is battling for supremacy (and ultimately will likely prevail in the long-term) over a dictatorship of the judiciary.
What is notably and hopelessly sad however is the fact that the citizenry has been subservient and inactive through all this – and continues dormant as it has been for 60 years in the life of this post-independent democratic republic over times when any other free and thinking people would have asserted their sovereignty. Then again… I have to count myself among them too.

David said...

Hmm...

I think there are two issues in this, the "right for the individual" to choose and the responsibility of the State to make good decisions for its people.

Rights of the individual.

How do you determine if someone is able to give informed consent, and what decisions is an individual allowed to make.

At what age can we make decisions? How much "mental health" do we need to make informed decisions about mediciations? When also do we have "the right to die"? When is it OK for me to refuse things that would otherwise save my life?


Responsibility of State

The State needs to make good transparent decisions. What can we do to ensure accountability of the State and its Agents for their actions.

Andreana said...

Haren - it's really great to get a non-Australian perspective. I'm used to thinking about these things only in terms of somewhat stable democracies. Sounds like in the case of Sri Lanka, the judiciary is playing a sort of caretaker role, because corruption in the other arms of government has caused them to be completely inept. I've never heard of that before!

Do you think you'll go back?

Andreana said...

David - the whole state/individual dichotomy is so unfortuate. The state can only operate in respect to the collective, and is unable to respond to the unique needs of the individual. A loving, supportive community could respond to the individual. But that doesn't really exist. Even at Credo, we don't have the capacity to look after people. Maybe mental health treatment will always be inhumane, as long as we live in an individualised society such as ours, where the government takes the care role that the community once would have taken on.