The United Nations Convention on the Rights of Persons with Disabilities: A New Approach to Decision-Making in Mental Health Law

in European Journal of Health Law
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The UN Convention on the Rights of Persons with Disabilities (CRPD) requires us to engage in new approaches to decision-making in mental health law. The reclassification of mental health rights to the realm of disability rights is an important step towards equal treatment for persons with psychosocial disabilities. Law reformers worldwide are beginning to consider the implications of the provisions. Legislators will be required to understand the underlying philosophy of the CRPD to realise the rights set out in it. The CRPD possesses a number of innovative provisions which can transform decision-making in the mental health context. Article 12 provides a new conceptualisation of persons with disabilities and their capacity to participate by requiring support to exercise legal capacity. While good practice exists, the provision has yet to be fully implemented by many State Parties. This article discusses the impact of the CRPD on mental health law, legal capacity law and describes examples of supported decision-making models for mental health care.

The United Nations Convention on the Rights of Persons with Disabilities: A New Approach to Decision-Making in Mental Health Law

in European Journal of Health Law



  • 2 )

    P. Deegan“The Independent Living Movement and People with Psychiatric Disabilities: Taking back Control over our own Lives”Psychosocial Rehabilitation Journal 15 (1992) 3-19.

  • 4 )

    T. Minkowitz“The United Nations Convention on the Rights of Persons with Disabilities and the Right to be Free from Non-Consensual Psychiatric Interventions”Syracuse Journal of International Law and Commerce 34 (2) (2007) 405-428.

  • 8 )

    P. Bartlett“Mental Health Law after the Convention” in Honouring the Past Shaping the FuturePsychiatric Patient Advocate Office (PPAO) 25th Anniversary Report 1983-2008 (Canada: PPAO 2008).

  • 14)

    P. Bartlett“The United Nations Convention on the Rights of Persons with Disabilities and the Future of Mental Health Law”Psychiatry 8 (12) (2009) 496-498.

  • 17)

    H. Kaiser Archibald“Canadian Mental Health Law: The Slow Process of Redirecting the Ship of State”Health Law Journal 17 (2009) 139-194.

  • 26)

    J. Clifford“Promoting a Paradigm Shift — ERT talks with Gábor Gombos and Gerard Quinn about the UN CRPD on the Rights of Persons with Disabilities and its Optional Protocol”The Equal Rights Review 2 (2008) 11-23. Retrieved 29 June 2011

  • 32)

    T. Hammarberg“Rights-based Approach needed in New Law on Legal Capacity.”Irish Times1 March 2012 p. 14.

  • 33)

    P. AppelbaumAlmost a Revolution: Mental Health Law and the Limits of Change (New York: Oxford University Press1994).

  • 34)

    P. Longmore“Medical Decision Making and People with Disabilities: A Clash of Cultures”Journal of Law Medicine and Ethics 23 (1) (March 1995) 82-87.

  • 35)

    The Roeher InstituteSocial Well-Being (Toronto: Roeher Institute1993).

  • 36)

    B. Winick“The Side Effects of Incompetency Labelling and the Implications for Mental Health”Psychology Public Policy and Law 1 (1995) 6-42.

  • 40)

    M. Bach J. Anweiler and C. CrawfordComing Home — Staying Home Legal Research: Supported Decision Making and the Restriction of Guardianship (Toronto: The Roeher Institute1994).

  • 41)

    T. StaintonAutonomy and Social Policy (Brookfield: Ashgate1994); Roeher Institute Harm’s Way: The Many Faces of Violence and Abuse against Persons with Disabilities (Toronto: Roeher Institute 1995).

  • 42)

    P. Appelbaum and T. Grisso“The MacArthur Treatment Competence Study I: Mental Illness and Competence to Consent to Treatment”Law and Human Behaviour 19 (1995) 105-126; P. Appelbaum et al. “The MacArthur Treatment Competence Study II: Measure of Abilities Related to Competence to Consent to Treatment” Law and Behaviour 19 (1995) 127-148; P. Appelbaum and T. Grisso “The MacArthur Treatment Competence Study III: Abilities of Patients to Consent to Psychiatric and Medical Treatments” Law and Human Behaviour 19 (1995) 149-174.

  • 43)

    D. Okai et al.“Mental Capacity in Psychiatric Patients Systematic Review”British Journal of Psychiatry 191 (2007) 291-297.

  • 44)

    M. Gunn et al.“Decision-Making Capacity”Medical Law Review 7 (1999) 269-306.

  • 49)

    J. Clifford“The European Disability Convention and Its Impact on European Disability Law”Equal Rights Review 6 (2011) 11-15.

  • 57)

    ECHR Application No. 44009/05 27 March 2008.

  • 71)

    K. Glass“Redefining Definitions and Devising Instruments: Two Decades of Assessing Mental Incompetence”International Journal of Psychiatry and the Law (1997) (20) 5-33.

  • 76)

    A. Dhanda“Constructing a New Human Rights Lexicon: Convention on the Rights of Persons with Disabilities”International Journal of Human Rights 8 (2008) 43-59.

  • 87)

    K. Blankman“Guardianship Models in the Netherlands and Western Europe”International Journal of Law and Psychiatry 20 (1997) 47-57.

  • 91)

    R. Gordon“The Emergence of Assisted (Supported Decision-Making in the Canadian Law of Adult Guardianship and Substitute Decision-Making”International Journal of Law and Psychiatry 23 (1) (2000) 61-77.

  • 97)

    Substitute Decisions Act 1992S.O. 1992 c. 30.

  • 105)

    J. Atkinson“The Content of Mental Health Advance Directives: Advance Statements in Scotland”International Journal of Law and Psychiatry 33(2) (2010) 116-121.

  • 106)

    P. Weller“Supported Decision-Making and Non-Discrimination”Law in Context 26(2) (2008) 85-110.

  • 107)

    A. Dhanda“Legal Capacity in the Disability Rights Convention: Strangehold of the Past or Lodestar for the Future”Syracuse Journal of International Law 34 (2006-2007) 429-462.

  • 108)

    T. Peto et al.“Support Needed to Create Psychiatric Advance Directives”Administration and Policy in Mental Health 31 (5) (2004) 409-419.

  • 110)

    J. Rogers and J. Centifanti“Beyond ‘Self-Paternalism’: Response to Rosenson and Kasten”Schizophrenia Bulletin 17 (1) (1991) 9-14.

  • 111)

    E. Howe“Lessons from advance directives for PADs”Psychiatry 63 (2000) 173-177; J. Swanson et al. “Psychiatric Advance Directives: An Alternative to Coercive Treatment?” Psychiatry 63(2) (2000) 160-172.

  • 117)

    Virginia Code Annotated (2010) s. 54.1-2981

  • 127)

    J. Swanson et al.“Facilitated Psychiatric Advance Directives: A Randomized Trial of an Intervention to Foster Advance Treatment Planning among Persons with Severe Mental Illness”American Journal of Psychiatry 163 (2006) 1943-1951.

  • 128)

    A. Scheyett“Psychiatric Advance Directives: Benefits and Barriers”Current Psychiatry Reviews 4 (2008) 137-144.

  • 130)

    European CommissionEuropean Disability Strategy 2010-2020: A Renewed Commitment to a Barrier-Free Europe (Brussels: European Commission2010). November 2010 online at: retrieved 1 Mar 2012.

  • 131)

    Council of Europe Recommendation (2006) 5 of the Council of Ministers to Member States on the Council of Europe Action Plan to Promote the Rights and Full Participation of People with Disabilities in Society: Improving the Quality of Life of People with Disabilities in Europe 2006-2015 Article 2.7; United Nations Convention on the Rights of Persons with Disabilities Article 3; Charter of Fundamental Rights in the European Union C364/1 Article 21 26.

  • 134)

    P. Weller“Psychiatric Advance Directives and Human Rights”Psychiatry Psychology and Law 17 (2) (2010) 218-229.

  • 135)

    World Health OrganisationMental Health and Development: Targeting People with Mental Health Conditions as a Vulnerable Group (Geneva: World Health Organisation2010) p. xix.

  • 138)

    R.E. Kogstad“Protecting Mental Health Client’s Dignity: The Importance of Legal Control” International Journal of Law and Psychiatry 32 (2009) 383-391.


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