Deprivation of liberty and
treatment in psychiatric
institutions
International standards and perspectives
There is a set of international standards on involuntary placement
and treatment of persons with mental disabilities. These standards
and their interpretation vary considerably. Most international and
regional human rights bodies accept deprivation of liberty and
treatment without consent in certain circumstances (in particular
the UN Human Rights Committee, the UN Committee against
Torture, the UN Subcommittee on Prevention of Torture, the
European Committee for the Prevention of Torture and the InterAmerican Commission on Human Rights), while the UN Committee
on the Rights of Persons with Disabilities recommends an absolute
prohibition on deprivation of liberty based on disability, without
exceptions. This position is supported by the UN Working Group
on Arbitrary Detention in its Basic Principles and Guidelines on
Remedies and Procedures on the Right of Anyone Deprived of His
or Her Liberty by Arrest or Detention to Bring Proceedings Before
Court, adopted in 2015. 5
Monitoring bodies such as the SPT and CPT accept involuntary
placement, as a measure of last resort and subject to guarantees,
that prevent arbitrary detention and ensure regular judicial review
of the decision on deprivation of liberty.6 Similarly, the SPT and
CPT accept treatment without consent as a measure of last resort.
5
6
Principle 20, UN Doc. A/HRC/30/37, 6 July 2015. For a detailed analysis of
the international standards on the right to liberty and security of persons with
disabilities, see the document published in 2015 for a meeting of experts organised
by the United Nations High Commissioner for Human Rights: http://www.ohchr.
org/EN/Issues/Disability/Pages/deprivationofliberty.aspx
See SPT, Approach of the Subcommittee on Prevention of Torture and Other
Cruel, Inhuman or Degrading Treatment or Punishment regarding the rights of
persons institutionalised and treated medically without informed consent, UN
Doc. CAT/OP/27/2, 26 January 2016, §8, http://tbinternet.ohchr.org/_layouts/
treatybodyexternal/Download.aspx?symbolno=CAT/OP/27/2&Lang=en. See also
CPT, CPT Standards, CPT/Inf/E (2002) 1-Rev.2015, §52: http://www.cpt.coe.int/en/
docsstandards.htm
15
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