The Open Society Mental Health Initiative

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Capacity and Competence - Introduction


The ability of a person to make decisions about his or her life, whether about day to day decisions such as what to wear or eat, or more substantial decisions such as where to live and whether to consent to medical treatment, is referred to as the person's capacity to make such decisions.

 

Scope of legal capacity


In many cases the ability of a person to make a particular decision will have legal consequences for that person and/or other people, for example, getting married, agreeing to medical treatment, becoming employed or buying property.  In such cases the person must have the legal capacity to make such decisions. This means, that the person:

For example, the right to marry is usually dependent on the person having reached a certain age (and there not being any other legal restrictions, such as the person already being married to someone else). The question whether the person is able to exercise his or her right to marry will depend on whether the person has the capacity to make the decision to marry.


Article 12 UN Convention on the Rights of Persons with Disabilities


The process of determining whether a person has the capacity to make the decision in question will differ from country to country and will also depend on the type of decision being considered.  However in light of Article 12 of the UN Convention on the Rights of Persons with Disabilities, the following key principles should underpin legislation concerning legal capacity:


Guardianship - the arbitrary removal of legal capacity


Article 12 provides further support for the reform of the guardianship system that is prevalent in Central and Eastern Europe and the former Soviet Union. In this region, many people with intellectual disabilities and/or mental health problems are placed under guardianship, having been deemed to lack the capacity to make decisions for themselves. A guardian is appointed to make decisions on their behalf.

 

Plenary(full) guardianship removes the legal capacity of the person concerned so that they are prohibited from making any decisions of a legal nature, such as entering into employment, getting married or opening a bank account. In addition,In the past the lack of proper safeguards for guardianship has led to widespread abuse. For example, individuals subject to plenary guardianship can be placed in a social care institution by their guardian without their consent, for life, and without the right of appeal. 

 

Further information:

Legal opinion on Article 12 of the CRPD

Key Elements of a System for Supported Decision Making (2008), Inclusion Europe

Article 12 UNCRPD

Council of Europe, Recommendation No R(99)4 of the Committee of Ministers to Member States on Principles Concerning the Legal Protection of Incapable Adults

Highlights

1) Dumping Grounds For Forgotten People

An investigation by Bulgarian journalist Yana Buhrer Tavanier on the mental care institutions in Bulgaria, Romania and Serbia.   

Please visit the website dedicated to the investigation and view the new promotional video.


Judith Klein, director of the OSMHI (Open Society Mental Health Initiative) has written a foreword to the article, which appears in the newsletter of the European Coalition for Community Living, Issue No. 10, October 2009 and also on the investigation website.


2) Report of the Ad Hoc Expert Group on the Transition from Institutional to Community-based Care

A report on the Transition from Institutional to Community-based Care was handed over to Commissioner Vladimír ?pidla on September 23, 2009. The report was drafted by a group of independent experts convened by Commissioner Spidla in February 2009 to address the issues of institutional care reform in their complexity.  The report is also available in Bulgarian, Croatian, Hungarian, Romanian.

Films

Karin Dom - a training and resource centre for children with special needs and their families

This short film was made following a BBC production about a children's institution in Mogilino, Bulgaria. The film features MHI partner organization Karin Dom and highlights what community-based alternatives for children can be like in Bulgaria.

UN Disability Convention

The Convention on the Rights of Persons with Disabilities received its 20th ratification on April 3, 2008, triggering the entry into force of the Convention and its Optional Protocol on May 3, 2008. This marks a major milestone in the effort to promote, protect and ensure the full and equal enjoyment of all human rights and fundamental freedoms of persons with disabilities, and to promote respect for their inherent dignity.

Information on the convention process:
Convention in Easy to Read
View the list of signatories
Countries that have ratified the Convention
ICRPD Ratification Toolkit
Convention and Inclusive Education
View more information

 

News reports on the Convention:
Agreement on New UN Convention
Urging Implementation
Archive Webcast: Convention Signing 
Record Number of Countries Sign
Secretary-General Ban Hails Entry Into Force Of Treaty On Disability Rights
More news reports

Publications:
UN Handbook for Parliamentarians on the Convention on the Rights of Persons with Disabilities and its Optional Protocol
First Implementation Manual For The United Nations Convention On The Rights Of Persons With Disabilities (Addressed Specifically To Users And Survivors Of Psychiatry)


Ratify Now (The campaign to support global grassroots efforts to ratify the Convention on the Rights of Persons with Disabilities).

Films about Inclusion

Foster Care for Children with Disabilities: English ** Russian

I Want to Work and I Can Work!

Living Proof: The right to live in the community

Reality - film on personal assistance

Being an Unperson. A short film about the experience of dehumanization within the care system.

In My Language. A short film about autism and nonverbal communication.

A Way of Describing Autism. A short film by Dave Spicer and Amanda Baggs.

Equalise It!

A Manifesto for Disability Equality in Development Cooperation

The international committee of UK Disabled People's Council (formerly BCODP) has written this manifesto in the light of the signing of the UN Convention on the Human Rights of Persons with Disabilities. 

To read the campaign launch letter, please click here.

Organisations who wish to sign up to the Manifesto are asked to contact Bill Albert or Mark Harrison so that their name and logo can be added to the list of signatories.