A/HRC/43/41/Add.1 Social protection 82. The Special Rapporteur recommends that the Government: (a) Review the Kuwaiti social protection system to ensure that it promotes active citizenship, social inclusion and community participation instead of segregated solutions for persons with disabilities, and that it enables persons with disabilities to access appropriate community-based services, devices and other assistance for disability-related needs; (b) Design disability benefits in such a way that they promote the independence and social inclusion of persons with disabilities and do not limit their full and equal enjoyment of other human rights and fundamental freedoms; (c) Consider the extra costs of living borne by persons with disabilities when allocating benefits and determining poverty lines; (d) Review the disability assessment process managed by the Public Authority for Disabled Affairs to make it more comprehensive, including by analysing the impact of social barriers to the participation of persons with disabilities, and train staff on its application; (e) Ensure that eligibility criteria and targeting mechanisms do not exclude persons with psychosocial disabilities and do not discriminate directly or indirectly against persons with disabilities. Disability determination, when established, must respect the rights and dignity of persons with disabilities. Living independently in the community 83. The Special Rapporteur recommends that the Government: (a) Engage in a process of deinstitutionalization with clear benchmarks and timelines, where the deinstitutionalization of children with disabilities is the top priority, and establish a moratorium on new admissions; (b) Progressively close all public and private institutions and transform the existing supply market of services for persons with disabilities into community-based services, including independent living, following a time-bound plan; (c) Establish a plan to close the South al-Sabahiya residential care centre and take immediate measures to improve the living conditions and dignity of persons with disabilities during the transitional phase. Health 84. The Special Rapporteur recommends that the Government: (a) Improve access to health care for persons with disabilities as close as possible to their homes, through comprehensive rights-based medical care, including access to reproductive health services; (b) Develop a national assistive technology policy that incorporates the WHO Priority Assistive Products List to expand the current supply of essential assistive devices and technical aids; (c) End all involuntary mental health treatment and hospitalization and ensure that all health-care interventions are provided on the basis of the free and informed consent of the persons concerned; (d) Take immediate measures to close the chronic patients’ wards in the Kuwaiti Centre for Mental Health, implement supported housing arrangements to relocate the residents and guarantee their right to live independently in the community; (e) Invest in the development of community-based health-care services that are respectful of the rights and dignity of persons with disabilities. 18

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