A/HRC/43/41/Add.2 Living independently in the community 98. The Special Rapporteur recommends that the Government: (a) Take immediate action to stop new admissions of persons with disabilities in all kind of institutions, including nursing homes, and establish timebound deinstitutionalization plans; (b) Adopt a rights-based approach to disability supports both in the federal and the provincial or territorial legislation and in programming to address the gaps in access to the supports that persons with disabilities require to live independently and to be included in their communities; (c) Implement comprehensive, coordinated and sustainable communitybased services and supports for persons with disabilities at the provincial and territorial level, including personal assistance; (d) Systematize and scale-up initiatives that have the potential to transform service provision and promote greater choice and control over services; (e) Increase the support available to parents to enable them to keep children with disabilities at home. Right to life 99. The Special Rapporteur recommends that the Government investigate allegations concerning persons with disabilities in institutions being pressured into seeking medical assistance in dying and establish adequate safeguards to ensure that persons with disabilities do not request assistive dying simply because there are no community-based alternatives or palliative care. Right to health 100. The Special Rapporteur recommends that the Government: (a) Improve access to health care for indigenous persons with disabilities by making comprehensive rights-based medical care available as close as possible to their homes; (b) Provide essential assistive devices and technical aids for free and progressively make all other assistive devices more affordable. Denial of legal capacity, deprivation of liberty and involuntary treatment 101. The Special Rapporteur recommends that the Government: (a) Take immediate measures to stop all coercive practices against persons with psychosocial and intellectual disabilities and autistic persons in psychiatric facilities, including forced hospitalization, forced medication and the use of restraints and seclusion; (b) Review the legal framework regarding involuntary psychiatric care to ensure that all interventions, including community treatment orders, are provided on the basis of free and informed consent; (c) Develop community-based, non-coercive services that are respectful of the rights and dignity of persons with disabilities; (d) Provide adequate financial and technical assistance to civil society organizations to support the implementation of supported decision-making initiatives; (e) Establish independent monitoring mechanisms at the provincial and territorial level for centres of deprivation of liberty, including hospitals and institutions. 20

Select target paragraph3

Connect to a paragraph
Connect to an entity
Disable highlights
Add to table of contents