For over a decade, international human rights law has demanded the right to health for mental health consumers. Physical health services and mental health services are bound ‘to provide care of the same quality to persons with disabilities as to others, including on the basis of free and informed consent by, inter alia, raising awareness of the human rights, dignity, autonomy and needs’ of consumers’. Both anecdotal experience and empirical data show that this has not occurred. In this presentation, we interrogate the right to health and frame a human rights-based response, focusing on practical approaches to embed human rights in health service provision. We consider supported decision-making and consumer-led responses as best practice in rights-based treatment, care and support.