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UN Programme on Disability   Working for full participation and equality

 

Article 15 - Freedom from torture or cruel,

inhuman or degrading treatment or punishment

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Third Session

 

Comments, proposals and amendments submitted electronically


 

Governments

European Union

India

Mexico


UN System organizations


OHCHR

WHO

 

National Human Rights Institutions


Ontario Human Rights Commission

 

Non-governmental organizations


Bizchut

European Disability Forum

Indian NGO Consultative Meeting

International Save the Children Alliance

Japan Disability Forum

Landmine Survivors Network

World Blind Union

World Network of Users and Survivors of Psychiatry

 




Comments, proposals and amendments submitted electronically

Governments

EUROPEAN UNION

Draft Article 11

FREEDOM FROM TORTURE OR CRUEL, INHUMAN OR DEGRADING TREATMENT OR PUNISHMENT.


1. States Parties shall take all effective legislative, administrative, judicial, educational or other measures to prevent persons with disabilities from being subjected to torture or cruel, inhuman or degrading treatment or punishment.

2. In particular, States Parties shall prohibit, and protect persons with disabilities from, medical or scientific experimentation without the free and informed consent of the person concerned, and shall protect persons with disabilities from forced interventions or forced institutionalisation aimed at correcting, improving, or alleviating any actual or perceived impairment.


EU Proposal: EU suggests the deletion of “and shall protect persons with disabilities from forced interventions or forced institutionalisation aimed at correcting, improving, or alleviating any actual or perceived impairment ” from Paragraph 2.






INDIA

Articles 11 and 12 (merged)

Freedom from Torture, Degrading Treatment, Violence and Abuse


1. States Parties shall take all effective legislative, administrative, judicial, or other appropriate measures to prevent persons with disabilities from being subjected to torture or cruel, inhuman or degrading treatment or punishment and violence and abuse.

2. In particular, States Parties shall prohibit, and protect persons with disabilities from medical or scientific experimentation without the free and informed consent of the person concerned, and shall protect persons with disabilities from forced interventions or forced institutionalization aimed at correcting, improving or alleviating any actual or perceived impairment. In instances of reduced or temporarily reduced capacity to give this consent, appropriate objective, neutral legal procedure and safeguards should be provided in the best interests of persons with disabilities and legal guardians/surrogate’s consent should be obtained where third party interests are concerned/harmed.

3. States Parties recognize that persons with disabilities are at greater risk, both within and outside the home, of violence, injury or abuse, neglect or negligent treatment, maltreatment or exploitation, including sexual exploitation and abuse. States Parties shall therefore take all appropriate legislative, administrative, social, educational and other measures to protect persons from disabilities, both within and outside the home, from all forms of violence, injury or abuse, neglect or negligent treatment, maltreatment or exploitation, including sexual exploitation and abuse.

4. States Parties shall also take all appropriate measures to prevent violence, injury or abuse, neglect or negligent treatment, maltreatment or exploitation and abuse, especially against children and women with disabilities, by taking measures, inter alia, for providing support for persons with disabilities and their families, including the provision of information and other appropriate forms of assistance and support. In such cases, States Parties shall take all appropriate measures to promote their physical and psychological recovery and reintegration into communities.

5. States Parties shall ensure that all facilities and programmes, both public and private, where persons with disabilities are placed together, separate from others, are effectively monitored to prevent the occurrence of violence, injury or abuse, neglect or negligent treatment, maltreatment or exploitation, including sexual exploitation and abuse.

6. States parties shall endeavour to ensure the identification, reporting, referral, investigation, treatment and follow-up of instances of violence and abuse. The provision of protection services, and where necessary, access to judicial interventions should also be made available






MEXICO

Art. 11 - Freedom from Torture or Cruel, Inhuman or Degrading Treatment or Punishment


May 26th, 2004

New paragraph.

3. In order to monitor living conditions and facilities of places where persons with disabilities are placed, international instruments shall be applied, as appropriate including, the Optional Protocol of the Convention against Torture, for the realization visits by national or international bodies to detention centers.







UN System organizations

OHCHR


See references to international human rights conventions and jurisprudence



WHO

Article 11 - Freedom from torture or cruel, inhuman or degrading treatment or punishment

WHO recognizes the importance of this article and affirms that no one shall be subjected without his free consent to medical or scientific experimentation (WHO, 2003). In this context, WHO would like to highlight the importance of obtaining consent from all individuals with disabilities who have the capacity to consent to voluntary treatment in hospital as well as community settings.

WHO would also like to highlight that involuntary admission should be permitted only if both the following criteria are met: (a) there is evidence of mental disorder of specified severity as defined by internationally accepted standards; and (b) there is a likelihood of self-harm or harm to others and/or of deterioration in the individual's condition if treatment is not given (WHO, 2003). All individuals admitted involuntarily should have a specific right to appeal against their involuntary hospitalization both to the managers of the institution concerned and to a review board or tribunal (WHO, 2003).

WHO would like to reiterate that all persons should be assumed to have capacity unless there is evidence to the contrary established by appropriate legal due process. (1) Furthermore, WHO believes that consideration should be given to options for advanced directives and or the authorization of an independent board when an individual is unable to consent (United Nations, 1991). A review board shall periodically review the cases of individuals admitted involuntary at reasonable intervals as specified by domestic law (United Nations, 1991).WHO believes that the lack of such provisions may likely to result in no research being conducted that would enhance the quality of life of persons with disabilities and may have implications on long term care of persons with disabilities in need of chronic care.




National Human Rights Institutions

ONTARIO HUMAN RIGHTS COMMISSION

Article 11 – Freedom from torture or cruel, inhuman or degrading treatment or punishment


The Commission is supportive of this draft Article. The Commission’s report, The Opportunity to Succeed: Achieving Barrier-free Education for Students with Disabilities, addresses the possible discriminatory impact of the discipline provisions of Ontario’s Safe Schools Act on students with disabilities and students from racial minority groups. The report recommended that educators be required to use discretion in their application of the Safe Schools Act and assess whether a student with a disability has been accommodated appropriately before that student can either be suspended or expelled. The report also recommended that school boards collect and analyze data on which students are being disciplined under the Act to ensure that the legislation is not having an adverse impact on individuals protected by the Ontario Human Rights Code.






Non-governmental organizations


BIZCHUT

Draft Article 11 – Freedom from torture or cruel, inhumane or degrading treatment or punishment


(a) Repositioning the issues of forced hospitalization, forced treatment and forced institutionalization in other articles.

As detailed in our comment 10(c) above, in our opinion the correct place for clause 2 in this Article, in relation to forced hospitalization, treatment and institutionalization, is in Article 10 of the Convention.

In relation to the protection of persons with disabilities from forced intervention, and from medical or scientific experimentation without the free and informed consent of the person concerned – the issue is related to in Article 21 (Right to Health and Rehabilitation, clauses (j) and (k)). Indeed, in our opinion, Article 21 is the accurate place for this issue, meaning, that it does not need to be included in

Article 11. (See clause (b) below.)

(b) Torture or cruel, inhumane or degrading treatment or punishment (clause 1) – are prohibited across the board

As we commented earlier on Article 8 (Right to Life), also in this case, mention of the prohibitions in article 11(1) – and only relating to persons with disabilities – calls into question a prohibition that should be obvious, potentially causing the discourse on rights of people with disabilities to regress.


Conclusion: In our opinion, there is no place for Article 11 in the Convention, as follows: We suggest that Article 11(1) not be included in the Convention. As regards Article 11(2) - in our opinion the clause should be divided between Articles 10, 15 and 21, as described in this comment and in the comment to Article 10.







EUROPEAN DISABILITY FORUM

Draft Article 11 Freedom form torture or cruel, inhuman or degrading treatment or punishment


EDF strongly supports the prohibition of forced interventions and forced institutionalisation in this article as well as in draft article 12.






INDIAN NGO CONSULTATIVE MEETING

Draft Article 11


19. Additional text is suggested to article 11 therefore the new subpara 3 of article 11 should read as “To ensure that the best interest of the person is protected in the event the person is passing through a phase in which he or she is unable to communicate free consent, no intervention shall occur unless a form of consent is given on their behalf by a duly appointed nominee by the person concern or by an impartial authority established under the law.”

20. With regard to para 1 of article 12, the participants suggested enlargement of the heads of prevented actions and suggested inclusion of word “abduction”. The modified text of 12-1) should therefore be read as “States Parties recognise that persons with disabilities are at greater risk, both within and outside the home, of violence, injury or abuse, neglect or negligent treatment, maltreatment or exploitation, including sexual exploitation and abuse. States Parties shall, therefore, take all appropriate legislative, administrative, social, educational and other measures to protect persons with disabilities, both within and outside the home, from all forms of violence, injury or abuse, neglect or negligent treatment, maltreatment or exploitation, including sexual exploitation, abuse and abduction.”

21. Similar addition of the word “abduction” is suggested for article 12-3. Therefore the article 12-3 should read as “States Parties shall also take all appropriate measures to prevent violence, injury or abuse, neglect or negligent treatment, maltreatment or exploitation, including sexual exploitation, abuse and abduction, by ensuring, inter alia, support for persons with disabilities and their families, including the provision of information.”

22. Under 12-5 similar addition of the word “abduction” is suggested. Therefore the article 12-5 should be read as “Where persons with disabilities are the victim of any form of violence, injury or abuse and abduction, neglect or negligent treatment, maltreatment or exploitation, including sexual exploitation and abuse, States Parties shall take all appropriate measures to promote their physical and psychological recovery and social reintegration.

23. With regard to article 12-6, addition of text was suggested. The 12-6 should be read as “States Parties shall ensure the identification, reporting, referral, investigation, treatment and follow-up of instances of violence and abuse, and the provision of protection services and, as appropriate, legal remedies, judicial intervention and judicial involvement.






INTERNATIONAL SAVE THE CHILDREN ALLIANCE

Draft Article 11 – freedom from cruel, inhuman and degrading treatment


This section covers very different issues, deserves more coherence with art 10 &12 and thus requires fundamental change.

Some thoughts for change

11.1 This article does not seem to cover the increase in threatening and inflicting cruel acts aimed to maim and traumatise children and adults in situations of upheaval, conflict and war. This is especially true in the context of recruiting child-soldiers and street-gangs; but also where disabled children are separated from their family or live in institutions.

11.2 see comments for article 10






JAPAN DISABILITY FORUM

Draft Article 11> Freedom from torture or cruel, inhumane or degrading treatment or punishment


Original Text of the Draft

2 In particular, States Parties shall prohibit, and protect persons with disabilities from, medical or scientific experimentation without the free and informed consent of the person concerned, and shall protect persons with disabilities from forced interventions or forced institutionalisation aimed at correcting, improving, or alleviating any actual or perceived impairment.


JDF’s Comment to this part

In Article 11-2, the obligatory provision for the prohibition of “medical or scientific experimentation” and “forced interventions or forced institutionalization” as well as the obligatory provision for the protection of persons with disabilities from these should be kept.





LANDMINES SURVIVORS NETWORK

DRAFT ARTICLE 11 COMMENTS


Although medical experimentation has previously been addressed in the context of prohibitions against torture, cruel, inhuman or degrading treatment or punishment (Cf. International Covenant on Civil and Political Rights, Article 7), it is unusual for forced medical treatment and institutionalization to be addressed in the same context, as is done in Draft Article 11(2). In order to better elaborate protections and legal safeguards against forced treatment and institutionalization, it may be better to address these issues in a separate article, as well as to ensure that legal safeguards in related articles (such as Draft Article 10) are comprehensively addressed.

Footnote 38 indicates the desire by some members of the Working Group to permit forced treatment and forced institutionalization – a position not favored by most disability advocates. If this approach is considered by the Ad Hoc Committee it will be particularly important to address what legal safeguards to employ in such situations.






WORLD BLIND UNION

FREEDOM FROM TORTURE OR CRUEL, INHUMAN OR DEGRADING TREATMENT OR PUNISHMENT


Article 11:
This Article must focus on the actions undertaken by states.




WORLD NETWORK OF USERS AND SURVIVORS OF PSYCHIATRY

Draft article 11
FREEDOM FROM TORTURE OR CRUEL, INHUMAN OR DEGRADING TREATMENT OR PUNISHMENT


May 26, 2004
Article 11 obligates states to prevent torture and other ill treatment of people with disabilities, in particular, medical or scientific experimentation without the free and informed consent of the person concerned, and forced interventions or institutionalization to correct, improve or alleviate any actual or perceived impairment.

This is crucial for people with psychosocial disabilities. World Network of Users and Survivors of Psychiatry is familiar with situations all over the world where people are subjected to invasive and harmful psychiatric procedures as well as experimentation, without their consent.
These procedures range from psychosurgery and electroshock without anesthesia, to forced and coerced administration of drugs that interfere with our mental functioning and distort our personalities.

Such interventions violate the international human rights norm prohibiting torture, under certain conditions. The definition of torture in the Inter-American Convention to Prevent and Punish torture includes:

the use of methods upon a person intended to obliterate the personality of the victim or to diminish his physical or mental capacities.


Inter-American Convention to Prevent and Punish Torture, Article 2

When psychiatric interventions are used against the will of any person to interfere with the person’s capacity to produce certain kinds of thoughts, destroy the person’s existing psychological makeup, or prevent the person from carrying out actions, this fits within the definition of torture in the Inter-American Convention. This concept is closely related to the freedom of thought enshrined in ICCPR article 18, which is not subject to any limitations or derogations.







 

 


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