JUSTICE FOR ALL
The 2020 UN International Principles and
Guidelines on Access to Justice for Persons
with Disabilities recommend to:
“establish or support alternative justice mechanisms, such as restorative justice, alternative
dispute resolution mechanisms, and cultural
and social forms and forums of justice, that
are available to persons with disabilities on an
equal basis with others, without regard for any
construct of capacity to participate”.
In September 2022, the OHCHR and WHO
issued a Call for inputs on a “Draft guidance
on Mental Health, Human Rights, and
Legislation”.126 The draft guidance covers
the topic of diversion too, recognising that
“many countries have adopted legislation
that diverts offenders with mental health
conditions and psychosocial disabilities from
the traditional criminal system pathway to the
mental health system. …The rationale behind
this is to reduce incarceration rates, as well as
the likelihood of criminal recidivism.”
The draft guidance reports “increasing
concern among human rights and disability
advocates that such diversion programs fail
to address the underlying structural inequalities leading to criminalization (i.e., stigma,
ableism, racism, poverty, lack of community
support, etc.) and often resort to medicalised
approaches and coercive practices that are
contrary to their human rights. People may
stay out of prison but are still subjected to
control and coercion, such as community
treatment orders. Indeed, in many diversion
schemes, if individuals do not comply with
the treatment orders imposed, they may
return to the criminal justice system.”127
The draft guidance suggests that diversion
programmes are considered an integral part
of broader efforts to adopt anti-carceral
strategies and legislation should ensure that
diversion programmes:
• “are used only when there is sufficient
evidence that the individual committed the
alleged offence (i.e., there are reasonable
grounds, based on the available evidence,
to believe the individual committed the
alleged offence);
• are provided on a free and voluntary basis,
based on adequate information about
the nature, content and duration of the
programme;
• are oriented towards the provision of person-centred and rights-based community
support and restorative justice; and
• do not entail coercive mental healthcare or
social control.”128
Moreover, the draft guidelines also touch
upon the issue of deinstitutionalization, giving concrete guidance on how to effectively
implement it:129
• The creation of new asylums, psychiatric
hospitals, neuropsychiatric hospitals or monovalent institutions, social care institutions,
public or private, is prohibited.
• The health authority, in coordination with
other relevant sectors and service users,
shall implement a policy for the deinstitutionalization of persons placed in all kinds
of institutions, including the adoption of
a plan of action with clear timelines and
responsibilities, concrete benchmarks and
an adequate budget, a moratorium on
new admissions and the development of
adequate community support.
• Existing institutions must shift their operations to restore the autonomy and choice
of residents and ensure the objectives and
principles of person-centred and rightsbased, community-based mental health until
their definitive replacement.
• Every health or related social facility with
long-term inpatient residents shall create
a deinstitutionalization committee, with
representation of service users.
• Mental health systems shall collect information from mental health and related social
care services that have either an inpatient
psychiatric unit or emergency department
receiving service users with mental health
conditions and psychosocial disabilities.
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