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Schloss Leopoldskron
Salzburg Global Forum for Young Cultural Innovators 
New Paradigms for Behavioral and Mental Health Care
07 Dec - 12 Dec, 2014
 Addressing the Challenges of Climate Migration: Legal Protections, Resilience & Eco-Security

Robert Drake (Chair) - Professor of Psychiatry, Dartmouth Psychiatric Research Center, Lebanon, NH, USA
Albert Mulley (Co-Chair) - Albert Mulley is director of the Dartmouth Center for Health Care Delivery Science and professor of medicine at the Geisel School of Medicine at Dartmouth. Before joining the Dartmouth Center, He spent ...
Ilirjana Bajraktari - Founder, Healthcare Professionals for Peace and Social Responsibilty in Kosovo, Birr, Switzerland
Paul Burstow - Chair, CentreForum Commision on Mental Health, UK
Walter Castillo Martell - Director General, National Institute of Mental Health,Peru
Ramasubramanian Chellamuthu - Founder, M.S. Chellamuthu Trust and Research Foundation,Tamil Nadu
Byron Good - Professor of Medical Anthropology, Director, Programs in Global Mental Health, Department of Global Health and Social Medicine, Harvard Medical School, MA, USA
Hong Ma - Hong MA is professor of the Institute of Mental Health, Peking University. She has served as executive director of the National Center for Mental Health, China-CDC since its inception in 2003. Since ...
Lisa Marsch - Director,Dartmouth Psychiatric Research Center,NH,USA
Thara Rangaswamy - Founder, SCARF (Schizophrenia Research Foundation),Chennai
Ezra Susser - Professor of Epidemiology and: Professor of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY, USA

Additional Session Support:
Dawn Carey (Resource Specialist) - Dawn Carey works with partners at The Dartmouth Center for Health Care Delivery Science to recognize and share the knowledge of other organizations and individuals, both domestic and international, ...
Merritt Patridge (Resource Specialist) - Merritt Patridge is the program lead for delivery science impact investing at The Dartmouth Center for Health Care Delivery Science (TDC). She joined TDC upon her graduation from the M.B.A. program ...
Graham John Thornicroft (Resource Specialist) - Graham Thornicroft is professor of community psychiatry at the Institute of Psychiatry, King’s College London, and is the head of the Health Service and Population Research Department. Since 2010, he ...
Chris Underhill (Resource Specialist) - Founder, BasicNeeds UK

Salzburg Global Seminar's multi-year Health and Health Care Innovation Program focuses on ensuring that the well-being of patients remains at the center of all health care, and that patients' interests can be best served when patients themselves are routinely informed and engaged in decisions about their treatment and care. This 2014 program will be the third in our series on shared decision making, which addresses implications for quality, safety, effectiveness and efficiency of care, for professional training and regulation, for health literacy, for service design, and for patients themselves.

In the field of mental health, there is unfortunately a dominant view within many public and private health systems that patients do not have the capacity to engage effectively in decisions about their care. In some cases there are indeed critical episodes to support this view: however, even in sometimes severe cases, patients can be engaged between such episodes in determining what the best course of action might be for them. This calls on medical teams to help elucidate preferences, values and life goals, and goes well beyond informed consent. Perhaps more importantly, one aim of mental health care can and should be to expand patients' capacity to engage in decision making about their own care. This not only makes care more effective - enhancing compliance, for instance - but can also have the goal of re-building a patient's autonomy.

The program will specifically focus on:

The possibility for unrealized potential in patient engagement in decision making; and

The ethical and legal conditions for representation of patients, when they are unable to represent themselves, to ensure that prior evidence of a patient's own views is gathered and features in the decision making process.

Participants will review and compare best practice in setting the ethical and legal conditions in cases where patient representation is necessary, and examine how this is best presented as part of the legal human rights agendas in mental health care.

Session Faculty

Albert Mulley
Robert Drake



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