Table of contents Acknowledgements v Abbreviations vii About the third Jean-Jacques Gautier Symposium 1 Objectives and structure of the report 3 Summary 5 Introduction: general framework and definitions 9 The monitoring of psychiatric institutions 9 Towards a paradigm shift: the Convention on the Rights of Persons with Disabilities 11 Main definitions and terminology 12 Deprivation of liberty and treatment in psychiatric institutions 15 International standards and perspectives 15 The principle of free and informed consent to treatment 17 The principle of free and informed consent: practical challenges to its implementation 19 Situations and risk factors in psychiatric institutions 23 Seclusion and means of restraints 23 Dignity and respect for the right to privacy 26 Evaluating treatment and the risks of overmedication 28 Monitoring psychiatric institutions: what role for NPMs? 31 Scope and limitations of NPMs’ preventive mandate Main methodological challenges Conclusion 31 34 39 Annex I: Agenda 43 Annex II: List of participants 49 Annex III: Concept note 53 Annex IV: Useful links 57 iii