OVERVIEW OF RELEVANT STANDARDS
treatment of persons, including measures to
treat mental disorders, when circumstances
render treatment of this kind necessary as
a last resort and the treatment is subject to
legal safeguards.
Many UN treaties include prohibitions on arbitrary detention. However, some UN treaty
bodies contain positions that diverge from
the standards set out by the UNCRPD.68 For
example, the Human Rights Committee has
considered that deprivation of liberty of persons with disabilities could be justifiable and
necessary in some cases.69 Similarly, the UN
Committee Against Torture, the Subcommittee on Prevention of Torture and other Cruel,
Inhuman or Degrading Treatment or Punishment, as well as UN soft law standards, such
as the Nelson Mandela Rules, have accepted
the possibility of lawful involuntary committal
and involuntary treatment, provided there are
adequate safeguards and reasonable accommodations.70 Such safeguards were notably
laid down in the trainer’s manual drafted by
the Office for Democratic Institutions and
Human Rights (ODIHR) and Penal Reform
International entitled “Introduction to the
Nelson Mandela rules, international training
programme”, which includes recommendations on special accommodations for people
in prisons who have intellectual and/or
psychosocial disabilities.71
Other UN bodies aligned their position to the
UNCRPD standards, calling for bans on deprivation of liberty on the basis of impairment
and involuntary hospitalisation and forced
institutionalisation. These bodies include the
OHCHR,72 the Committee on the Elimination
of Discrimination against Women (CEDAW
Committee)73 and the Working Group on
Arbitrary Detention (WGAD).74
1.3. DEPRIVATION OF
LIBERTY: TREATMENT
OF PERSONS
1.3.1. EU STANDARDS
The 2022 Recommendation on procedural
rights of suspects and accused persons
subject to pre-trial detention and on material detention conditions75 issued by the
30
EC specifically refers to the UNCRPD and
contains special measures for persons with
disabilities or serious medical conditions,
requiring “appropriate care”. For persons
diagnosed with mental health related
medical conditions, it requires “specialised
professional care where needed in specialised institutions or dedicated sections of the
detention facility under medical supervision”
in addition to “continuity of healthcare” for
detainees in preparation for release where
necessary. Paragraph 76 also states that
Member States should take care to provide
“appropriate activities for such detainees”.
There are no additional EU standards
specifically regulating the treatment of
defendants and detainees with intellectual
and/or psychosocial disabilities.
1.3.2. COUNCIL OF
EUROPE STANDARDS
According to the ECtHR, in certain cases,
the inappropriate conditions of detention for
persons with intellectual and or psychosocial
disabilities can also amount to a violation of
Art 3 ECHR. For detainees who are found
not criminally responsible, when assessing
a claim under Art 3 ECHR, the Court takes
into consideration the cumulative effects
of the conditions and the duration of the
detention as well as the inadequacy of the
medical treatment.76 As for the medical treatment, the Court requires a comprehensive
therapeutic strategy aiming at treating the
detainee, showing that there is an individual
treatment plan in place for the applicant,
and substantiating the administration of
therapeutic treatment or the psychiatric care
provided.
According to the ECtHR, detaining such
individuals in “establishments not suitable
for incarceration of the mentally-ill, raises
a serious issue under the Convention” or
treating them “like other inmates, notwithstanding their particular state of health” may
exacerbate the feeling of distress, anguish
and fear of the person concerned.77 For
example, in W.D. v. Belgium, the Court held
that there had been a violation of Art 3
ECHR because the applicant was detained
in a prison environment for more than nine
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