A/HRC/34/32
liberty and security of the person as such measures impose treatment and the threat of
detention if refused.
31.
Forced institutionalization violates the right to personal liberty and security,
understood as freedom from confinement of the body and freedom from injury to one’s
bodily or mental integrity, respectively. 42 It amounts to a violation of the right to live free
from torture and ill-treatment,43 and from exploitation, violence and abuse, and of the right
to personal integrity. States parties should repeal legislation and policies that allow or
perpetuate involuntary commitment, including its imposition as a threat, and should provide
effective remedies and redress for victims. 44
32.
Criminal law and procedures commonly deny due process of law to persons with
disabilities considered unfit to stand trial and/or incapable of criminal responsibility,
leading to deprivation of liberty on the basis of impairment, including through the diversion
of persons with psychosocial disabilities into the custody of forensic institutions. The
Committee on the Rights of Persons with Disabilities has consistently considered that this
denies fair trial rights, amounts to arbitrary detention and often leads to harsher
consequences than criminal sanctions, such as indefinite detention in mental health
facilities.
C.
Forced treatment: forced medication, overmedication and harmful
practices during deprivation of liberty
33.
Many practices within mental health institutions also contravene articles 15, 16 and
17 of the Convention on the Rights of Persons with Disabilities. Forced treatment and other
harmful practices, such as solitary confinement, forced sterilization, the use of restraints,
forced medication and overmedication (including medication administered under false
pretences and without disclosure of risks) not only violate the right to free and informed
consent, but constitute ill-treatment and may amount to torture. 45 Accordingly, the
Committee on the Rights of Persons with Disabilities has called for the abolition of all
involuntary treatment and the adoption of measures to ensure that health services, including
all mental health services, are based on the free and informed consent of the person
concerned. 46 The Committee has also urged the elimination of the use of seclusion and
restraints, both physical and pharmacological. 47
VI. Charting the way forward
34.
Mental health is not merely a health or medical concern, it is very much a matter of
human rights, dignity and social justice. The overview of the challenges facing persons with
mental health conditions and those with psychosocial disabilities indicates that fundamental
42
43
44
45
46
47
See Human Rights Committee, general comment No. 35 (2014) on liberty and security of person,
para. 3.
See A/63/175, paras. 47 and 65.
See, for example, CRPD/C/CZE/CO/1, para. 33; CRPD/C/DEU/CO/1, para. 34 (c);
CRPD/C/KOR/CO/1, para. 32 and A/HRC/30/37, para. 107 (f).
See Committee on Economic, Social and Cultural Rights, general comment No. 14, para. 50,
Committee on the Rights of Persons with Disabilities, general comment No. 1, paras. 37 and 41 and
A/HRC/22/53, para. 63.
See, for example, CRPD/C/ESP/CO/1, para. 36; CRPD/C/HUN/CO/1, para. 28 and
CRPD/C/AUT/CO/1, para. 31.
See, for example, CRPD/C/AUT/CO/1, para. 33; CRPD/C/MEX/CO/1, para. 32; and
CRPD/C/DNK/CO/1, para. 39.
11
Select target paragraph3
Connect to a paragraph
Connect to an entity
Disable highlights
Add to table of contents