International policy frameworks, including the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) and the WHO Quality Rights initiative, have established dignity as a foundational right in mental health care. However, a significant gap remains between these policy aspirations and the lived experience of service users, often due to risk-averse cultures that prioritize control over autonomy. This commentary employs an interpretive synthesis of international literature (2006–2025) and illustrative case examples, such as the Trieste model and Quality Rights implementation in low-resource settings, to examine the operationalization of dignity-centered care. I argue for a paradigm shift from control-based safety models to relational safety grounded in biographical literacy and positive risk-taking. Key findings highlight that dignity-centered approaches not only improve patient experiences of respect and agency but also mitigate moral injury and burnout among the nursing workforce. Furthermore, as digital mental health tools and AI-driven risk assessments emerge, systems must ensure these technologies enhance rather than automate paternalism. I conclude that realizing dignity-centered care requires a structural and cultural transformation, embedding dignity into clinical protocols, leadership practices, and environmental design to move beyond rhetorical commitments toward measurable, humane standards.
Robert L. Anders (Wed,) studied this question.
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