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mental health problems ­incorporating ­biological, psychological and social aspects. A person-centred inclusive approach to mental health care was an important part of this view, and the report argued that much more attention should be given to the process and locus of care. A  Vision for Change was an important landmark for the development of ­services for people with mental health problems in Ireland. A formal implementation plan, covering the period from 2009 to 2013, was issued by the Health Service Executive (HSE) in 2009. A series of valuable annual reports up to

in The economics of disability
The role of country of origin

policy, A Vision for Change (Expert Group on Mental Health Policy, 2006: 48), also highlighted this group, noting that the mental health needs of specific groups such as refugees, asylum-­seekers and ‘other immigrant populations will be addressed by the provision of comprehensive mental health services that are based on care planning taking all the needs of the individual into account’. How does this altered pattern of mental health need among migrants and non-­native populations translate into access to mental health care and, specifically, rates of involuntary

in Ethical and legal debates in Irish healthcare
Abstract only

this finding to advocate the development of increased cultural competence among mental health care providers. Mental health is also the subject of Darius Whelan’s chapter, which analyses the oversight of the operations of mental health tribunals provided by the courts. Whelan argues that the courts have not engaged in robust supervision of tribunals and that the judicial approach has been to endorse tribunal decisions which deprive people of liberty and to limit interventions by the courts to the most serious violations of procedural rights. Whelan expresses

in Ethical and legal debates in Irish healthcare

Universalism. Oxford and Portland, OR: Hart Publishing. Murray, C. (2013) ‘Moving towards rights-­based mental health law: the limits of legislative reform’, Irish Jurist, 49: 161. Nedelsky, J. (2011) Law’s Relations: A Relational Theory of Self, Autonomy and Law. Oxford: Oxford University Press. O’Sullivan, L. (2008) Health and Wellbeing of Family Carers in Ireland: Results of a Survey of the Recipients of the Carers’ Allowance. Dublin: Combat Poverty Agency. Prior, P. (ed.) (2012) Asylums, Mental Health Care, and the Irish: Historical Studies 1800–2010. Dublin: Irish

in Ethical and legal debates in Irish healthcare

100, 283–92. Beecham J. (1995) Collecting and estimating costs, in Knapp M.R.J. (Ed.) The Economic Evaluation of Mental Health Care, Aldershot: Arena. Department of Health and Children (1997) Enhancing the Partnership: Report of the Working Group on the Implementation of the Health Strategy in Relation to Persons with a Mental Handicap, Dublin: Department of Health & Children. Emerson E., Alborz A., Felce D., Lowe K. (1995) Residential Services Setting Questionnaire, Manchester: Hester Adrian Research Centre, University of Manchester. Emerson E., Hatton C. (1994

in The economics of disability
Transnational commercial surrogacy in Thailand

requires the woman to navigate risks; both for herself and for the child she is gestating. Many women acting as surrogates lack follow-up physical and mental health care after delivery. This increases their health risks and bodily vulnerability (Khader, 2013 ). Together with the lack of informed consent, the ignoring of medical rights, the lack of information provided to the surrogates and the requirement to comply with any requests for foetal reduction, this illustrates how the surrogacy process reduced the women to their reproductive capacity and womb, rendering

in Bodily interventions and intimate labour
Transgender patients in early Swedish medical research

hospital built in 1872. In the 1950s and 1960s it specialized in anti-psychotic treatment with new psychotropic medicines as an alternative to permanent state custody. A 1969 article by Forssman and Wålinder gives a picture of mental health care at St Jörgen’s hospital. The authors write about ‘the astonishingly good results’ with lithium experiments in comparison to electroshock treatment, insulin-induced coma or lobotomy. One patient, a forty-three-year-old woman who was institutionalized at the age of sixteen for ‘attacks of uneasiness, violence and stupor’, had

in Bodily interventions and intimate labour