2.4.2 System-related problem areas
2.4.2.1 Age-atypical restrictions of freedom of mentally disabled or mentally ill
minors
Life-size cribs that are locked from the outside, in which they also
spend rest periods during the day, doors with gates, sitting in chairs,
which they cannot leave independently, restraints using straps in
wheelchairs that are not suitable for their age and weight: these are
just a few examples of measures restricting a person’s freedom used
in the care of mentally and physically impaired children and
adolescents that Commission 6 objected to as violations of human
rights.
Massive measures
restricting freedom used
on minors
Children and adolescents with disabilities requiring nursing care are
particularly vulnerable and run a greater risk of becoming victims of
violence. When restrictions of freedom are not used in pursuit of
pedagogical goals that are appropriate for the situation and the age
of the child or adolescent, but are used allegedly as protection against
risks to themselves and others, particular care and a review of the
alternatives is always necessary. More complex conditions and
multiple disabilities often require specially optimised care. This must
not be a question of resources. The development of the personality in
children and adolescents with major mental or physical disabilities
depends in large part on whether and how they are supported in
perceiving their environment, grasping it in the truest sense of the
word and exploring it themselves. When minors with disabilities are
limited by structural inadequacies and a lack of comprehensive
accessibility, inadequate staffing during day or night shifts, poorly
adjusted aids or insufficient advancement of mental or practical
capabilities, the social development of these minors is hampered in an
inadmissible way.
The use of measures that restrict freedom of mentally disabled or
mentally ill adults would also be inadmissible per se without a prior
review of alternatives and prompt reporting to the representatives of
the residents. This is regulated in the Nursing and Residential Homes
Residence Act, which also enables a review by a court. For children
and adolescents this does not apply without exception. An exemption
was created for them in the Nursing and Residential Homes Residence
Act. As the Supreme Court has recently stated, the Nursing and
Residential Homes Residence Act is apparently not applicable to
institutions and facilities under the supervision of the competent
authority for children and youth welfare and protection. Ultimately,
however, this means that they currently do not enjoy the same legal
protection as adults in comparable situations.
Legal protection for
minors and adults
But minors among themselves are also treated differently. Because
the area to which the Nursing and Residential Homes Residence Act
Legal protection can
depend on coincidences
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