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[171] Universal Declaration of Human Rights (UDHR), adopted December 10, 1948, G.A. CBP data echo the demographic shiftthe majority of migrants detained at the border are now families or unaccompanied children rather than adult men (Recent Migration to the United States From Central America: Frequently Asked Questions, Congressional Research Service, 2019). Lack of engagement with work. Res. Dont put a lock on it. A person who is shackled can be affected by post-traumatic stress, malnutrition, infections, nerve damage, muscular atrophy, and cardio-vascular problems.[106]. 31, The Right to Health, http://www.ohchr.org/Documents/Publications/Factsheet31.pdf (accessed September 22, 2020), pp. 58 (1982), entered into force October 21, 1986. The cost of mental health services can be prohibitive. Mental Asylum, The Hindu, January 3, 2019, https://www.thehindu.com/news/national/sc-shocked-at-chaining-of-inmates-in-up-mental-asylum/article25901395.ece (accessed August 17, 2020). [57] Human Rights Watch interview with mother of a man with a mental health condition, Bali, Indonesia, November 19, 2020 (full name and details withheld). [48] In March 2019, six people with mental health conditions, including three children, were chained to logs in a Christian faith healing center in Montserrado, Liberia because they were accused of witchcraft. In order to show the scale and scope of shackling of people with real or perceived psychosocial disabilities worldwide, Human Rights Watch conducted a study of mental health legislation, relevant policies, and practices across 60 countries around the world. [11] Estimates that include people with conditions related to substance could be as high as 970 million or 13 percent of the global population. El Salvador | IntraHealth We advocate for policies to ensure equitable access to high-quality services. The WHOs QualityRights initiative, introduced in 31 countries around the world, is a groundbreaking effort to improve access to quality mental health and social services for people with disabilities and seeks to transform health systems and services towards a person-centered and human rights-based approach, in line with the UN Convention on the Rights of Persons with Disabilities (CRPD).[142]. I stay in a small room with seven men. Based on research on shackling across 60 countries, Human Rights Watch has found that the key factors to ensuring the success of governmental programs to end shackling include: With the right kind of support, people with mental health conditions can live and thrive in their communities. [86] Article 25, among other problematic provisions, states that a caregiver or a guardian of a person with a mental disorder shall not allow that person to walk freely in public places. In a country where people with psychosocial disabilities are stigmatized and subjected to abuse, such broad discretion given to authorities to restrict the freedoms of movement and liberties of a person with mental health conditions will facilitate further abuse and entrenchment of the problem.