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UN Investigate the Impact of the Biopsychosocial Model of Disability on Human Rights !

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United Nations to investigate ,  impact of  the use and influence of the Waddell-Aylward Biopsychosocial model of disability on human rights , and the consequent effects on the disabled , access to health care , social care , insurance and welfare benefits worldwide .

As well as an independent inquest to be made , to investigate the use and influence of the Biopsychosocial model of disability on British Social Policy . 

To include human rights violations , access to health and social care , insurance and welfare benefits , warehousing of the disabled , benefit sanctions , informed consent , deaths, and mental health consequences of austerity and the work capability assessment , as identified by Oxford  and Napier University . As well as  initiatives for including mental health education in schools , and in the NHS 5 year plan on mental health and integrated care.

Appointment of appropriate safeguards , and quality, safety and excellence regulation following investigation .

"The biopsychosocial model has played a significant role in shaping the UK government's approach to disability and welfare over the last two decades, yet some important claims made about the value and benefits of biopsychosocial approaches have been based upon poor quality evidence and misleading claims ." 1

Disabled people deserve to know the impact of the Government’s policies on their lives .The government have failed to produce a full cumulative impact assessment report .

Grave systemic human rights violations against the disabled continue , despite the conclusions made in the UNCRPD enquiry report , as well as the need to protect human rights in Brexit negotiations .


Further reading : Why is this Important and what is needed 

1 . Protection of human rights in Brexit negotiations , and prevention of an increase in the number of patients , parents and carers receiving a mental health diagnosis of somatic symptoms disorder  , in both medically explained and unexplained , and suffering human rights violations, benefit sanctions , forced psychosocial treatment , institutionalisation , and death ."SSD replaced most of the DSM-IV Somatoform disorders with a single, new diagnostic category and a much simpler criteria set. SSD dispenses with the requirement for the somatic (bodily) symptoms to be medically unexplained. SSD may be applied to a percentage of patients with general medical conditions like cancer, cardiovascular disease or diabetes or to a percentage of the so-called, FSSs, CFS, ME, IBS and FM, if the clinician considers the patient's concerns about the symptoms or symptom to be “excessive” or “disproportionate” and if the patient meets the other criteria for SSD. SSD may also be applied to children and adolescents and to parents or caregivers."

2 . Prevent consequences for access to care , insurance , and welfare of the encompassing somatic/somatoform category of illness, and rejection of the construct of MUS , MUPPS , MUPS , BDS , SSD and their synonyms as a medical or psychiatric diagnosis , in both medically explained  and unexplained diseases , and an increase in mental health diagnosis being made in patients , carers and parents who can all be diagnosed with somatic symptom disorder . 

3. Prevent iatrogenesis , from the work capability assessment , and protect patients including children  , from forced , harmful psychosocial "rehabilitation" treatments , institutionalisation , diagnosis of persistent refusal disorder when the "rehabilitation " treatments don't work , and parents falsely accused of Munchausen by proxy syndrome , which are already issues charities are dealing with .

4 . Stop the commissioning of tax payers money on psychosocial "rehabilitation therapies", based on misleading research  . Removal of the use of the JCPMH report on MUS for clinical commissioning groups , which is a waste bin diagnosis , that conflicts with WHO classification , Institute of Medcine report  and NICE guidelines of certain diseases listed as functional somatic syndromes. As well as lack of inclusion of the wider international biological research on the nature of conditions listed , as functional somaric syndromes ,and the effectiveness and harms of the psychosocial therapies recommend . "The relationship of the advocates of the Waddell Aylward BPS to the UK government’s ‘welfare reform’ does not represent evidence-based policy. Rather, it offers a chilling example of policy-based evidence." 2 

5. Adherence to the requirements of the landmark change to UK law on Consent 2015 . Which requires patients to be informed of all risks , benefits and alternative treatments according to all research , and not reliance on a reasonable body of opinion such as a guideline .Patients regardless of diagnosis , to be given the option of personalised medicine , through testing and treatment of their biochemistry , using a systems biology approach , that investigates and treats underlying cause of disease , including mental health , which is available privately , and is evidence based .

6 . ICD 11 to delete the proposal for the category of Body Distress Disorder .
"With limited field studies, there is currently no substantial body of evidence for the validity, reliability, utility, prevalence, safety and acceptability of the S3DWG’s proposed disorder construct ." 3

7 . Retraction of the PACE Trial , and its policy implications worldwide  , which has support from scientists and researchers worldwide , and removal of the involvement and contribution of its authors in the DSM 5 revision , and suggestions for ICD 11 , patient care , NICE guidelines , clinical education, commissioning guidelines for CCGs , and as DWP and insurance advisers . Investigation of the policy implications of PACE and the psychosocial model use in  initiatives for including mental health education in schools , and in the NHS 5 year plan on mental health and integrated care.

"The PACE trial was the first medical trial to receive funding from the Department of Work and Pensions (DWP), and was assessing the benefits of biopsychosocial interventions at a time when the DWP was using the adoption of a biopsychosocial model of disability to justify reforms which cut spending on disability benefits. Serious concerns have been raised that problems with the trial, and the way in which results were presented, have led to misleading claims about the benefits of biopsychosocial rehabilitation"


Letter to Aylward

Criticism of Medically Unexplained Symptoms


Functional Medicine and functional psychiatry resources below  : investigating and treating underlying cause and biochemistry of chronic illness and mental health,_Environmental,_Nutritional)_Medicine

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