FREDA: a human rights-based approach to healthcare

Curtice, Martin; Exworthy, Tim

doi:10.1192/pb.bp.108.024083

Cited by 49 publications

(38 citation statements)

References 4 publications

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“…A human rights-based approach to healthcare has been reviewed in The Psychiatrist by Curtice & Exworthy. 20 and may be referred to, when elucidating appropriate treatment and management plans for mental health tribunal and hospital managers' hearing reports, in Ministry of Justice reports for restricted patients, second-opinion approved doctor requests and in the consideration of SCT orders. This would be in keeping with the emphasis that the Mental Health Act and the Mental Capacity Act now place on both human rights and proportionality.…”

Section: Discussionmentioning

confidence: 99%

The proportionality principle and what it means in practice

et al. 2011

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SummaryThe Mental Health Act 2007 and the Mental Capacity Act 2005 have been made compatible with the European Convention on Human Rights (as enacted in the UK by the Human Rights Act 1998). The respective Codes of Practice have now embedded within them a human rights-based approach. Central to this is the principle of proportionality, which is regarded as the dominant theme underlying the Convention. This article explores the legal basis of proportionality, specifically analysing its use in relation to the Mental Health Act and the Mental Capacity Act. In doing so, it considers the use of the principle of proportionality in clinical practice.

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Section: Discussionmentioning

confidence: 99%

The proportionality principle and what it means in practice

et al. 2011

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“…Environmental issues that can threaten dignity in acute wards include overcrowding and poor staffing (both in number and quality). Curtice and Exworthy 23 identified environmental threats to dignity, including lack of privacy on mixed-gender wards and impoverished or unclean environments. Excessive bed demand and overoccupancy of acute psychiatric wards and facilities can further “exacerbate difficulties in maintaining the safety, dignity, and privacy of patients”.…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Patient Dignity Inventory in an acute psychiatric ward: an extension study of the preliminary validation

Lorenzo

Ferri²,

Biffarella³

et al. 2018

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BackgroundDuring the last decades, dignity has been an emerging issue in mental health since its ethical and therapeutic implications became known. This study is an extension of the preliminary validation of the Patient Dignity Inventory (PDI) in a psychiatric setting, originally designed for assessing perceived dignity in terminal cancer patients.MethodsFrom October 21, 2015 to December 31, 2016, we administered the Italian PDI to all patients hospitalized in an acute psychiatric ward, who provided their consent and completed it at discharge (n=165). We performed Cronbach’s alpha coefficient and principal factor analysis. We administered other scales concomitantly to analyze the concurrent validity of PDI. We applied stepwise multiple linear regression to identify the patients’ demographic and clinical variables related to the PDI score.ResultsOur response rate was 93%, with excellent internal consistency (Cronbach’s alpha coefficient=0.94). The factorial analysis showed three factors with eigenvalue >1, which explained >80% of total variance: 1) “loss of self-identity and anxiety for the future”, 2) “concerns for social dignity and spiritual life”, and 3) “loss of personal autonomy”. The PDI and the three factor scores were positively and significantly correlated with the Hamilton Scales for Depression and Anxiety but not with other scale scores. Among patients’ variables, “suicide risk” and “insufficient social and economic condition” were positively and significantly correlated with the PDI total score.ConclusionThe PDI can be a reliable tool to assess patients’ dignity perception in a psychiatric setting, which suggests that both social and clinical severe conditions are closely related to dignity loss.

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“…Proponents argue that HR are a code for human interactions, whose values should permeate all human interactions to inform ethical decision making (Curtice et al . ), through interlinked processes balancing each principle with the rest (Doody ; Curtice & Exworthy ; Greenhill & Whitehead ).…”

Section: Introductionmentioning

confidence: 99%