A disclosure by New Zealand’s Royal Commission has exposed a distressing past of mistreatment within its mental health and behavioral facilities impacting 200,000 children and vulnerable individuals.

“For some people it meant years or even decades of frequent abuse and neglect. For some it was a lifetime; for others, an unmarked grave,” the report stated.

This thorough investigation spanning six years with a price tag of $101 million has revealed the abuse and neglect that transpired under the pretext of mental healthcare. The revelations have reverberated globally, sparking calls of patients’ rights groups for improvements in mental health services worldwide, particularly in Europe.

Reality of sexual abuse, electric shocks, chemical restraints

The Royal Commissions publication titled “Whanaketia – Through pain and trauma from darkness to light” sheds light on a reality of sexual abuse, electric shocks, chemical restraints, medical trials and other forms of maltreatment. Survivors who have awaited recognition were finally assured by Prime Minister Christopher Luxon that “Your voices are heard and your experiences acknowledged.” The governments acknowledgment of these atrocities as torture marks a step towards justice and recovery for those affected.

“reality of sexual abuse, electric shocks, chemical restraints, medical trials and other forms of maltreatment”

The Citizens Commission on Human Rights (CCHR) in New Zealand has been instrumental in advocating for survivors and documenting abuses since 1977 including instances, like the therapy administered to children at the now shuttered Lake Alice Psychiatric Hospital.

“Many survivors died while under guardianship, or by suicide after receiving guardianship. For others, the effects of the abuse persist and worsen, making their daily activities and choices difficult,” the report adds. The country’s prime minister, Christopher Luxon, called it a “dark and sad day in New Zealand’s history as a society,” stating that “we should have done better, and I am determined that we will“, reports the BBC.

Survivors may receive compensation amounting to NZ$1.2 billion ( NZ$2 billion) shedding light on the magnitude of the injustice.

According to Jan Eastgate, President of CCHR International the report’s global ramifications are significant as similar abuses have been documented in the United States and other nations. We could mention Germany, France, Spain, Switzerland and others too. The inquiry’s conclusions echo those of a U.S. Senate inquiry into misconduct in behavioral institutions underscoring the pressing need for international reforms.

The revelations from New Zealand serve as a reminder of the potential for mistreatment within psychiatric healthcare systems.

So, what do we do in Europe?

While Europe is a “contintent of fundamental rights”, we must not forget that many of the abuses (usually and wrongfully called treatments) that we read today in the inquiry started in the very Europe, specifically experimenting in Germany by psychiatrists in favour of Nazi politicians). It would then be logical to underscore the necessity for Europe to scrutinize its mental health practices and ensure that human rights remain paramount in care provision. This is where the World Health Organizations (WHO) QualityRights campaign comes into play.

The QualityRights initiative aims to enhance care quality and human rights standards, in health and social care facilities worldwide. It endeavors to revolutionize health services by advocating for practices that uphold human rights and enhance mental healthcare quality.

Europe with its healthcare systems and cultural contexts finds itself at a crucial juncture.
The lessons learned from the inquiry in New Zealand (and from the times of the Nazis) should inspire countries to embrace and put into action the WHO’s QualityRights guidelines. Here are some important steps that Europe can consider:

• Upholding Human Rights: It is vital for European nations to ensure that mental health services uphold and defend the rights of individuals dealing with health issues. This involves preventing any form of treatment and ensuring that care is given with dignity and respect.

• Empowerment and Advocacy: Empowering individuals with mental health challenges along with their families and communities is essential. By encouraging advocacy efforts and providing platforms for voices to be heard Europe can bring about changes in mental health care systems.

• Policy and Legal Frameworks: European countries should establish and enforce policies and laws that adhere to international human rights standards. This includes setting up mechanisms for accountability and addressing cases of abuse.

• Building Capacity: Offering training programs and resources to enhance the knowledge and skills of health professionals, service users and advocacy groups is crucial. This will ensure that care is provided in a way that respects human rights principles.

• Enhancing Services: Priority should be given to improving the quality of health services while being responsive to the needs and preferences of users. This involves transitioning from institutionalized care, to community based services that help individuals integrate into society.

• Community Centered Solutions: Embracing care models rooted in communities can help break down the settings that have long perpetuated abuse. By offering support in environments individuals can experience healthier and more rewarding lives.

Spanish Supreme Court Rules that exposing abuses is of general interest and much needed debate

In a verdict Spain’s Supreme Court upheld the value of educational initiatives led by the Citizens Commission on Human Rights (CCHR) acknowledging their crucial role in raising awareness about abuses in psychiatric practices. This decision highlights the importance of advocacy and education in bringing about change and safeguarding rights within mental health services.

The court’s ruling serves as a reminder of the impact that informed and empowered communities can make in challenging systemic mistreatment. By backing efforts that educate the public and prioritize transparency European countries can cultivate spaces where mental health treatment is not only ethical but also effective.

An alarm for urgent action

The recent inquiry in New Zealand has shed light on aspects of psychiatric care exposing harmful practices that should never be repeated. As Europe contemplates these revelations the WHO’s Quality Rights campaign provides a blueprint for improvement. By embracing these standards and drawing lessons from Spain‘s dedication to education and advocacy European nations can ensure that mental health services are not just efficient but uphold human rights principles and dignity.

By drawing insights, from New Zealand’s history and adopting the Quality Rights framework Europe has the potential to pave the path towards establishing a health care system that genuinely upholds and safeguards the rights of every individual, while eradicating at once all the existing abuses without hesitation.

While Pope Francis calls for global, undivided drug prevention, during the Paris Olympics some ex-priests and some French anti-religious agencies (under investigation by the Court of Accounts), disregarding the common good, criticise the prevention actions of other religions.

In a moving address to the city of Rosario, just over a month before the Paris Olympics, Pope Francis highlighted the relevance of addressing contemporary challenges with holistic and collaborative solutions. He emphasized that achieving peace implies the joint commitment of all social, political and civic entities.

“On the road to peace, complex and integral answers must be found, with the collaboration of all the institutions that make up the life of a society,” he affirmed.

One of the central themes of the Pope’s message was the need to address not only the supply but also the demand for drugs through prevention and assistance policies. Pope Francis criticised state inaction in this area, stating that “the silence of the state in this matter only naturalises and facilitates the promotion of the consumption and commercialisation of drugs“.

He called for the rehabilitation of politics as a form of charity and promotion of the common good, assuring that “No one of good will can feel excluded or be excluded from the great task of making society a place where all can experience themselves as brothers and sisters“.

The Pope also highlighted the fundamental importance of democracy in the fight against drug trafficking, calling to ensure the autonomy of the judiciary to combat corruption and money laundering: “Every member of the judiciary is responsible for guarding its integrity, which begins with the uprightness of its heart“.

Furthermore, Pope Francis appealed to the social responsibility of the private sector, noting that “There is no good economy without a good businessman. Unfortunately, there is also a bad economy without the complicity of part of the private sector“. He urged entrepreneurs to commit themselves not only to avoid associating with criminal groups, but also to contribute to social welfare.

Finally, he urged all social, civil and religious organisations to collaborate together to create areas of encounter in the most needy communities, stating that “No one is saved alone, even in private neighbourhoods one can find insecurity and the threat of consumption for one’s own children“.

In this situation, it is counterproductive that some former priests, such as Luis Santamaria del Rio who criticises many Christian denominations, as well as French anti-religious agencies such as MIVILUDES, criticise the attempts of other religions to combat drug use. “Instead of offering solutions, these dissenting views seem to forget that the drug problem goes beyond religious differences and needs a united and supportive approach” said a passerby. Pope Francis reiterated his support for those working for justice and community building in difficult contexts, adding that “Charity will be the most explicit proclamation of the Gospel to a society that feels threatened“.

Asked about their drug prevention activities, Ivan Arjona, Scientology’s European representative, told this newspaper that “it seems that distributing 1 million drug prevention booklets during the Paris Olympics, with French, Spanish, Belgian, German, Hungarian, English, American, Italian and other volunteers from all over the world, even if it hurts the vested interests of any heartless person who could call it propaganda, is a good announcement of the Gospel, charity and love for society without looking at political or religious labels“.

In a moving finale, Pope Francis asked for the protection of Our Lady of the Rosary and sent his blessing to all, highlighting the church’s ongoing commitment to helping victims of all kinds of violence. In an increasingly complicated world, his message is a strong reminder that achieving peace and justice requires creativity and commitment from everyone.

A new study presented at the European Psychiatric Association Congress 2024 reveals a significant association between prenatal cannabis use disorder (CUD) and an increased risk of specific mental health problems.

Cannabis remains by far the most consumed illicit drug in Europe. Around 1.3% of adults in the European Union (3.7 million people) are estimated to be daily or almost daily users of cannabis. Though males have a typically higher prevalence with regards to cannabis use, the latest statistics show that women are catching up with men in drug use, especially in the younger population.

There is increasing concern around the increase in cannabis use observed in younger females in the EU, especially among pregnant and breastfeeding women. This concern is amplified by recent studies that have shown that the content of the psychoactive substance in cannabis (THC) is currently around 2-fold higher than it was 15–20 years ago, therefore increasing the risk of adverse effects for young women and their offspring following use when pregnant.

This large-scale study, conducted by researchers at Curtin University in Australia, analysed data from over 222,000 mother-offspring pairs in New South Wales, Australia. The research team utilised an innovative approach, leveraging linked data from health registries, ensuring both the exposure (prenatal CUD) and the identified symptoms of mental health problems were confirmed using diagnostic tools based on the ICD-10-AM classification system.

The study found that children born to mothers with prenatal CUD had a double risk of symptoms associated with the diagnosis ADHD, and other mental health problems compared to offspring without such exposure. A significant interaction effect was also found between prenatal CUD and maternal smoking. Additionally, the research found synergistic effects between prenatal CUD and other pregnancy complications, such as low birth weight and premature birth and potentially developing the same mental health problems.

These findings highlight the potential long-term consequences of cannabis use during pregnancy and emphasise the importance of preventive strategies.

Professor Rosa Alati, Head of the Curtin School of Population Health and senior author of the study, noted “These findings highlight the need to increase awareness of the risks associated with cannabis use during pregnancy among women planning to become pregnant.”

“This study is unique because it utilises linked data with confirmed diagnoses, providing a more robust picture of the potential risks associated with prenatal cannabis use. The results underscore the need for public health education campaigns and clinical interventions to raise awareness about the potential risks of cannabis use during pregnancy and to support women in making informed decisions regarding their health and the well-being of their children,” explains Dr Julian Beezhold the Secretary General of the European Psychiatric Association.