mental health problems incorporating biological,
psychological and social aspects. A person-centred inclusive approach to
mentalhealthcare 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
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
How does this altered pattern of mental health need among migrants
and non-native populations translate into access to mentalhealthcare and,
specifically, rates of involuntary
this finding to advocate the development of increased cultural competence
among mentalhealthcare 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.
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
Prior, P. (ed.) (2012) Asylums, MentalHealthCare, and the Irish: Historical
Studies 1800–2010. Dublin: Irish
Beecham J. (1995) Collecting and estimating costs, in Knapp M.R.J. (Ed.) The
Economic Evaluation of MentalHealthCare, 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
Emerson E., Alborz A., Felce D., Lowe K. (1995) Residential Services Setting
Questionnaire, Manchester: Hester Adrian Research Centre, University of
Emerson E., Hatton C. (1994
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 mentalhealthcare 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
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 mentalhealthcare 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