
Contents
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Introduction Introduction
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Widening the Scope of Ethics of Public Mental Health in LAMICs Widening the Scope of Ethics of Public Mental Health in LAMICs
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Defining the Scope of Public Mental Health Defining the Scope of Public Mental Health
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Extrapolating the Moral Considerations Pertaining to Public Health to Public Mental Health in LAMICs Extrapolating the Moral Considerations Pertaining to Public Health to Public Mental Health in LAMICs
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The Consequentialist and Teleological Nature of Public Health/Public Mental Health The Consequentialist and Teleological Nature of Public Health/Public Mental Health
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The Need for Moral Justification of the State’s Coercive Power to Invade Individual Rights as a Public Protection Measure The Need for Moral Justification of the State’s Coercive Power to Invade Individual Rights as a Public Protection Measure
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General Moral Requirements Relevant to Public Health as Applicable to Public Mental Health in LAMICs General Moral Requirements Relevant to Public Health as Applicable to Public Mental Health in LAMICs
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Overall benefit and maximal balance of benefits over harm and cost Overall benefit and maximal balance of benefits over harm and cost
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Removing harm Removing harm
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Justice and fair distribution of benefits and burdens Justice and fair distribution of benefits and burdens
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Collective efficiency and ensuring public participation Collective efficiency and ensuring public participation
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Autonomy and liberty Autonomy and liberty
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Privacy Privacy
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Confidentiality Confidentiality
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Paternalism Paternalism
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A Framework of Standards for Issue Resolution when Moral Considerations Are in Conflict A Framework of Standards for Issue Resolution when Moral Considerations Are in Conflict
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Imperative Imperative
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Least restrictive alternative; no irreversible harm Least restrictive alternative; no irreversible harm
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Socioculturally sensitive Socioculturally sensitive
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Social Justice: No Health without Mental Health—for All Social Justice: No Health without Mental Health—for All
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The Impact of SocioEconomic Determinants of Mental Health in LAMICs The Impact of SocioEconomic Determinants of Mental Health in LAMICs
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Whose Responsibility? The Feasibility of Imposing the Duty of Ensuring Public Mental Health on LAMIC Governments Whose Responsibility? The Feasibility of Imposing the Duty of Ensuring Public Mental Health on LAMIC Governments
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A Roadmap towards Positive Mental Health in LAMICs A Roadmap towards Positive Mental Health in LAMICs
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The Need for Research Originating from LAMICs for an Evidence-Based Approach The Need for Research Originating from LAMICs for an Evidence-Based Approach
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The Need to Prioritize Mental Health on the Public Health Agenda The Need to Prioritize Mental Health on the Public Health Agenda
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The Need for Policy, Guidelines, and Legislation in Mental Health and Related Services The Need for Policy, Guidelines, and Legislation in Mental Health and Related Services
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Prevent human rights violations Prevent human rights violations
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Ensure autonomy and liberty Ensure autonomy and liberty
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Enable access to mental health care Enable access to mental health care
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The Case for Focus on Preventing Disease and Promoting Positive Mental Health in LAMICs The Case for Focus on Preventing Disease and Promoting Positive Mental Health in LAMICs
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The Moral Argument for a Community-Based Approach The Moral Argument for a Community-Based Approach
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The Case for Adopting a Human Rights Approach to Mental Health—Particularly in LAMICs The Case for Adopting a Human Rights Approach to Mental Health—Particularly in LAMICs
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Conclusion—“Building Back Better” Offers Proof of Concept Conclusion—“Building Back Better” Offers Proof of Concept
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References References
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52 Contagion, Identity, Misinformation: Challenges for Psychiatric Ethics in the Age of the Internet
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70 Animal Welfare Considerations and Ethical Oversight of the Use of Animals in Psychiatric Research
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51 Ethics of Public Mental Health in Developing Societies
Get accessBuddhika Lalanie Fernando, Institute for Research and Development, Sri Lanka
Athula Sumathipala, King's College, London; and Institute for Research and Development, Sri Lanka
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Published:03 February 2015
Cite
Abstract
Half of the world’s population lives in countries with one psychiatrist to serve 200,000 people and in low and middle income countries (LAMICs), even most people with severe mental disorders remain untreated. As curative care is prioritized, public mental health is inundated with deep-seated problems, primarily due to the lack of funding. From an ethical perspective, such underlying issues in public mental health exist regardless of income levels; they are, however, further exacerbated by the lack of resources and awareness in LAMICs. Ironically, the ethics of public mental health have received much less attention than that of psychiatric research. We therefore use a public health ethics framework to broaden the ethical perspective in public mental health and examine it from a low-resource setting viewpoint. Next, we examine public mental health from a social justice perspective. Third, we examine issues critical to ensuring better access to mental health services in LAMICs.
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