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oapen-20.500.12657-483812021-04-27T00:47:52Z Chapter Is coercion ever beneficent? McKeown, Alex Mortimer, Rose Manzini, Arianna Singh, Ilina mental health; public health; ethics bic Book Industry Communication::M Medicine::MB Medicine: general issues::MBP Health systems & services::MBPK Mental health services Early intervention in mental health seeks to improve the wellbeing of as many people as possible, by intervening at an early stage in the onset of illness, or by taking preventative action in ‘at risk’ populations. The paradigm is rhetorically powerful, and it is easy to talk in terms of it helping to deliver rights to health and realise social justice. However, in spite – or perhaps because – of the apparently unarguable desirability of such goals, it is harder to discuss rights to dissent. In this respect the risk of coercion is an issue that should be discussed, especially because of the stigmatizing effect that the labelling associated with early intervention may have in mental health contexts. Here we explore this issue, with a particular focus on its practical and ethical implications in relation to UK policy for treating Attention Deficit Hyperactivity Disorder and mild Conduct Disorder in young people. 2021-04-26T09:41:22Z 2021-04-26T09:41:22Z 2019 chapter https://library.oapen.org/handle/20.500.12657/48381 eng application/pdf Attribution 4.0 International Bookshelf_NBK546020.pdf Elsevier/Academic Press Mental Health as Public Health bc3c4ca1-cc2d-4060-aa92-79940123861b 4892babc-b1a9-466d-84e4-2db67386b87e d859fbd3-d884-4090-a0ec-baf821c9abfd Wellcome 17 Wellcome Trust Wellcome open access
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Early intervention in mental health seeks to improve the wellbeing of as many people as possible, by intervening at an early stage in the onset of illness, or by taking preventative action in ‘at risk’ populations. The paradigm is rhetorically powerful, and it is easy to talk in terms of it helping to deliver rights to health and realise social justice. However, in spite – or perhaps because – of the apparently unarguable desirability of such goals, it is harder to discuss rights to dissent. In this respect the risk of coercion is an issue that should be discussed, especially because of the stigmatizing effect that the labelling associated with early intervention may have in mental health contexts. Here we explore this issue, with a particular focus on its practical and ethical implications in relation to UK policy for treating Attention Deficit Hyperactivity Disorder and mild Conduct Disorder in young people.
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