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WHO QualityRights toolkit now available in Arabic

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The WHO QualityRights project

The WHO QualityRights project aims to improve the quality and human rights conditions in inpatient and outpatient mental health and social care facilities and empower organizations to advocate for the rights of people with mental and psychosocial disabilities.

The care available in mental health facilities around the world is not only of poor quality but in many instances actually hinders recovery. It is common for people to be locked away in small, prison-like cells with no human contact or to be chained to their beds, unable to move. Violations are not restricted to inpatient and residential facilities however; many people seeking care from outpatient and community care services are disempowered and also experience extensive restrictions to their basic human rights.

The objectives of the project are to:

improve quality of care and human rights in inpatient and outpatient mental health services.

promote human rights, recovery, and independent living in the community.

develop a movement of people with mental disabilities to provide mutual support, conduct advocacy and influence policy-making processes.

reform national policies and legislation.

The WHO QualityRights toolkit

Image shows cover of QualityRights toolkit.WHO developed the QualityRights toolkit to support countries to assess and improve the quality of care and human rights conditions in mental health and social care facilities. The toolkit:

is suitable for use in low, middle and high-income countries.

can be used by governments and nongovernmental organizations.

supports improvements on the ground and at policy level.

promotes participation of people with mental health conditions.

Purpose of the toolkit

The toolkit provides practical information and guidance on:

the human rights and quality standards to be met in both inpatient and outpatient facilities.

preparing for an assessment, including establishing a multidisciplinary assessment committee.

conducting a comprehensive assessment of facilities, including conducting interviews, observing and reviewing documentation; and reporting the findings and making appropriate recommendations on the basis of the assessment.

Themes in the toolkit

The toolkit covers five human rights themes.

The right to an adequate standard of living and social protection.

The right to enjoyment of the highest attainable standard of physical and mental health.

The right to exercise legal capacity, and to personal liberty and the security of person.

Freedom from torture or cruel, inhuman or degrading treatment or punishment and from exploitation, violence and abuse.

The right to live independently and be included in the community.

Each theme includes sets of standards and criteria against which the situation in facilities can be assessed.

Background on the toolkit

WHO prepared the QualityRights toolkit to assess and improve quality and human rights in mental health and social care facilities. The toolkit was prepared with input from international experts, including people with mental and psychosocial disabilities, and is based on the United Nations Convention on the Rights of Persons with Disabilities. Its aim is to give countries information on quality and human rights standards in facilities that must be respected.

Making this toolkit available to countries and all relevant stakeholders in multiple languages is key, as it is an essential resource, not only for putting an end to past neglect and abuses but also for ensuring high quality services in the future.

WHO QualityRights toolkit

Introduction | Arabic

Interview tool | Arabic 

Review of documents and observation tool Arabic

Facility-based assessment report | Arabic 

Country-wide assessment report | Arabic

Statistics and figures

In the Eastern Mediterranean Region:

Mental and neurological disorders are responsible for 12% of all disability adjusted life years (DALYs) lost due to disease and injury

Mental health disorders account for 27% of years lived with disability

Drug abuse is responsible for a loss of 4 DALYs per 1000 population

Drug abuse is responsible for 9 deaths per 100 000 population

The overall adult (+15) per capita consumption per year of alcohol is low (0.65L as compared to the global average of 6.13L)