[Symposium 67] De-hospitalization and community psychiatry-1. Human Rights

[SY-67] De-hospitalization and community psychiatry-1. Human Rights

Kazuo Okuma, Vittorio De Luca⁶, Donato Zupin^4,2,7,8, Goffredo Bartocci^2,7,8, Yoshikazu Ikehara³, Yuka Kudo^1,5 (1.Keio University(Japan), 2.Italian Institute of Transcultural Mental Health(Italy), 3.Tokyo Advocacy Law Office(Japan), 4.Mental Health Area – WHO Collaborative Center, ASUGI(Italy), 5.Gunma Hospital(Japan), 6.ASL ROMA5, Psychiatric Emergency Inward Monterotondo (RM)(Italy), 7.World Association of Cultural Psychiatry(Italy), 8.Transcultural Psychiatry Section, Italian Society of Psychiatry(Italy))

Keywords:

Community psychiatry,Coercive practice,Recovery-approach

WHO's guidance on community mental health services, "Promoting people-centred and rights-based approaches," calls for a focus on expanding community-based mental health services that promote people-centred, recovery-oriented and rights-based health services. However, in many countries, including Japan, services rely too heavily on the biomedical model, with care focused on diagnosis, medication and symptom relief, overlooking various social determinants that affect people's mental health. In this symposium, legendary journalist Kazuo Okuma, who infiltrated a psychiatric hospital more than half a century ago by disguising himself as an alcoholic and publishing "Reportage: Psychiatric Ward," will talk about why Japan's psychiatric care has not changed in more than half a century and introduce the film he created, "The Road to Breaking Away from Psychiatric Hospitals." Afterwards, we will hear from psychiatrists from Italy, a country that has abolished psychiatric hospitals. Dr Vittorio De Luca will present the process of affirming human rights within psychiatric emergency settings and inpatient psychiatric facilities. Dr Donato Zupin and Goffredo Bartocci will focus on the history of the deinstitutionalization movement that led to the development of the community mental health system in Trieste, and the socio-cultural factors that made it possible. And finally, Yoshikazu Ikehara, a lawyer who has been working to abolish involuntary hospitalization at the Japan Federation of Bar Associations, will talk about the roadmap for abolishing involuntary hospitalization. Yoshikazu aims to bring together people who are seeking non-coercive mental health care, and to create a culture that not only reforms the law but also protects the human rights of those in vulnerable positions.The purpose of this symposium is for each participant to deepen their understanding of the WHO's best practices of "respect for legal capacity," "non-coercive practice," "co-production," "community inclusion," and "recovery approaches," and to consider how they can be put into practice in their own communities.