This mental health policy is grounded on, andconsistent with a number of existing policy and legislation mandates in SouthAfrica, including, but not limited to: Ø Childand Adolescent Mental Health Policy Guidelines, 2003; Ø ChildJustice Act, Act 75 of 2008; Ø TheChildren’s Act, Act 38 of 2005; Ø NationalHealth Act, Act 63 of 2003; Ø MentalHealth Care Act, Act 17 of 2002; Ø TheNational Health Policy Guidelines for Improved Mental Health in South Africa,1997; Ø TheConstitution of the Republic of South Africa, 1996; Ø TheWhite Paper for the Transformation of the Health System in South Africa, 1997. (National Mental Health Policy Framework and Statistic Plan2013-2020:18)Vision: “Improvedmental health for all in South Africa by 2020″Mission: “Frominfancy to old age, the mental health and well-being of all South Africans willbe enabled, through the provision of evidence-based, affordable and effectivepromotion, prevention, treatment and rehabilitation interventions. In partnerships between providers, users,carers and communities, the human rights of people with mental illness will beupheld; they will be provided with care and support; and they will beintegrated into normal community life” (NationalMental Health Policy Framework and Statistic Plan 2013-2020:19) Valuesand principles of National Mental Health Policy Framework andStatistic Plan 2013-2020:19-21 Values Principles Mental health is part of general health •Mental health care should be integrated into general health care •People with mental disorders should be treated in primary health care clinics and in general hospitals in most cases •Mental health services should be planned at all levels of the health service Human rights •The human rights of people with mental illness should be promoted and protected •The rights to equality, non-discrimination, dignity, respect, privacy, autonomy, information and participation should be upheld in the provision of mental health care. •The rights to education, access to land, adequate housing, health care services, sufficient food, water and social security, including social assistance for the poor, and environmental rights for adult mental health care users should be pursued on a basis of progressive realisation.
The non-conditional rights of mental health care users under the age of 18 years, including basic nutrition, shelter, basic health care services and social services, should be promoted and protected. Community care •Mental health care users should have access to care near to the places where they live and work. •Mental health care users should be provided with the least restrictive forms of care.
•Local community-based resources should be mobilised where ever possible. •All avenues for outpatient and community-based residential care should be explored before inpatient care is undertaken. •A recovery model, with an emphasis on psychosocial rehabilitation, should underpin all community-based services. Accessibility and equity •Equitable services should be accessible to all people, regardless of geographical location, economic status, race, gender or social condition.
•Mental health services should have parity with general health services. Inter-sectoral collaboration Addressing the social determinants of mental health requires collaboration between the Health sector and several other sectors, including Education, Social Development, Labour, Criminal Justice, Human Settlements and NGOs. Mainstreaming Mental health should be considered in all legislative, policy, planning, programming, budgeting, and monitoring and evaluation activities of the public sector. Recovery Service development and delivery should aim to build user capacity to return to, sustain and participate in satisfying roles of their choice in their community. Respect for culture There are varying cultural expressions and interpretations of mental illness, which should be respected, insofar as they protect the human rights of the mentally ill.
Gender Services should be sensitive to gender-related issues experienced by men and women, and boys and girls. Social support and integration Maximum support should be provided to families and carers of those with mental illness, in order to broaden the network of support and care. Participation •Mental health care users should be involved in the planning, delivery and evaluation of mental health services.
•Self-help and advocacy groups should be encouraged Self-representation •Mental health care users and their associates should have support to enable them to represent themselves. •The development of self-help, peer support and advocacy groups should be supported. Citizenship and non-discrimination •Mental health care users should be given equal opportunities and reasonable accommodation to ensure full participation in society. •Attitudinal and structural barriers to full participation should be overcome. Access to education, employment, housing, and social supports should receive particular attention. Efficiency and effectiveness •The limited resources available for mental health should be used efficiently, for maximum effect. •Interventions should be informed by evidence of effectiveness.
Comprehensiveness Mental health interventions should be directed at mental health promotion, the prevention of mental illness, treatment and rehabilitation. Protection against vulnerability Developmental vulnerabilities to mental health problems associated with life stages of infancy, middle childhood, adolescence, adulthood and old age), as well as vulnerabilities associated with gender (including pregnancy), socio-economic position, ill-health and disability should be protected against through the provision of targeted prevention interventions A) In theNational Mental Health Policy Frameworkand Statistic Plan 2013-2020:26, one of the main significant areasidentified in the intervention framework is the Services for Children.Areas of special focus are:· Prevention of delays in emotional and intellectualdevelopment;· Introduction of life skills education;· Prevention of substance-related problems;· Family strengthening programmes for at-riskchildren · Programmes to strengthen school connectedness HumanRights form part of the core values of the National Mental Health Policy Framework and Statistic Plan 2013-2020:20.One of the principles forming part of the human rights value states that “the non-conditional rights ofmental health care users under the age of 18 years, including basic nutrition,shelter, basic health care services and social services, should be promoted andprotected.”