Tracking People: Disability and Human Rights

Slides:



Advertisements
Similar presentations
2005. Why is it necessary When person lacks capacity physicians have power and influence over them which could be abused 30% pts on acute medical wards.
Advertisements

Good Medical Practice in Action
The Mental Capacity Act Presented by Jane Appleby, Patient Experience and Safeguarding Manager, NHS England East Midlands SCN.
THE DEPRIVATION OF LIBERTY SAFEGUARDS
The right to a fair hearing before the Mental Health Review Board – what it means and how to ensure it Catherine Leslie Lawyer / Pro Bono Coordinator Mental.
Listening to you, working for you The Deprivation of Liberty Safeguards (DOLS) The Deprivation of Liberty Safeguards (DOLS) are part.
Mental Capacity Act and Deprivation of Liberty Safeguards Mark Crawford - MCA Advisor MCA Team County Hall.
SAFEGUARDING CONFERENCE
Chelmsford Medical Centre.  Since the introduction of the Human Rights Act 1998 and the Mental Capacity Act 2005, there has been more clarity around.
© Weightmans LLP BOURNEWOOD – What does it mean for Local Authorities? Key contact: Gerard Hanratty Partner
Restraint and deprivation of liberty: ethical considerations Anne Slowther.
Including The Deprivation of Liberty Safeguards Practitioner Level.
1 MCA Learning Pack – Session 4 Mental Capacity Act 2005: a practice-based course Supporting older people in care homes and the community as they would.
Benevolence – How does this fit in to the Test for Liberty?
ADASS Spring Seminar 2015 The Law Commission’s review of the Deprivation of Liberty Safeguards Nicholas Paines QC Law Commissioner.
Treatment for Mental Disorders and Protection of Patients’ Rights Mary Donnelly Law Faculty, University College Cork Centre for Criminal Justice and Human.
Deprivation of Liberty Training For Care Providers Gary Underhill Spearman Consultancy
Main title Subheading Human rights and healthcare Ellie Keen 6 th October 2011.
HUMAN RIGHTS BASED APPROACH See Me Brewing Lab Cathy Asante.
ECHR: CASE LAW PERTAINING TO FREEDOM OF ASSOCIATON Dragan Golubovic Nessebar,
Deprivation of Liberty Safeguards Project
The Deprivation of Liberty Safeguards post Cheshire West Simon Cheverst – 12 February 2015.
Deprivation of Liberty Safeguards David Thornicroft St Thomas Training
Deprivation of Liberty Safeguards MQNF Events 2014.
The Mental Capacity Act 2005
GENERAL PRINCIPLES OF MCA 2005 & DEPRIVATION OF LIBERTY Dr Brijesh Desai, Consultant Psychiatrist Northwestern School of Psychiatry MRCPsych Course.
Development of DoL jurisprudence in NI via Guardianship caselaw Presentation to Joint MHC/ RQIA Conference Seán Mc Parland: Law Centre (NI) –
Mental Capacity Act and the Deprivation of Liberty Safeguards Andrea Gray Mental Health Legislation Manager Welsh Government.
Deprivation of Liberty Safeguards Dr Sunita Sahu Consultant Old Age Psychiatrist Memorial Hospital Greenwich.
The review of the deprivation of liberty safeguards Tim Spencer-Lane.
Including Deprivation of Liberty Safeguards Practitioner Level.
Seminar on Migration Legislation Ministry of Foreign Affairs of Guatemala 15 – 16 February 2007.
Understanding housing’s legal obligations Tim Spencer-Lane Capita conferences: Housing’s role in safeguarding vulnerable adults 23 February 2015.
NHS North Yorkshire and York1 The MCA & The MHA The main features GP Registrars 12 December 2012 Chris Brace.
Project title 2014 Law Commission’s Consultation Richard Copson 25 September 2015.
Who is the MCA for? Anyone aged 16 or over who is unable to make a decision for themselves due to an impairment, or disturbance, in the functioning of.
FEBRUARY Mental Capacity Act and Deprivation of Liberty Safeguards.
Article 5 of the Convention: right to liberty and security 1. Everyone has the right to liberty and security of person. No one shall be deprived of his.
Criminal Law Lecture 5 Sources  Criminal Code (CAP 154) – Includes all major offences and criminal responsibility  Criminal Procedure Law (CAP 155)
RIGHT TO LIBERTY AND SECURITY Art. 5 ECHR Elizabeta Ivičević Karas Faculty of Law, University of Zagrebu.
Mental Capacity Act (MCA) 2005
Including The Deprivation of Liberty Safeguards Practitioner Level.
Mental Capacity Act and DoLS. Aim – Mental Capacity Act You will: Know what is covered by the MCA Understand the principles of the Act Understand what.
John Taylor Hospice Mental Capacity Act Skills Study Session Session 2 of 2: The Deprivation of Liberty Safeguards Mental Capacity Act Project Team.
Deprivation of Liberty Social Work Scotland Annual Conference 2015 Dr Jill Stavert Director, Centre for Mental Health and Incapacity Law, Rights and Policy.
Health and Social Care Mental Health Act 2007 Deprivation of Liberty Safeguards (MCA / DoLS) What is Depriving a Person’s Liberty?
Health and Social Care Deprivation of Liberty Safeguards.
Deprivation of liberty screening tool
Brief Guide to The Mental Capacity Act and Deprivation of Liberty Safeguards.
The Mental Capacity Act Learning Objectives   What is the Mental Capacity Act, including the Deprivation of Liberty Safeguards   Awareness of.
Deprivation of Liberty Safeguards Jim Dean Audit Manager – Cheshire West and Chester Council 17 June
13ZA - Fit for purpose?.
Medico-Legal Aspects In Delirium
Seeking Asylum BA International Relations Yang Ha Lim
MCA DoLS requirements for Managing Authorities
Mental Capacity Act & Deprivation of Liberty
Consent, Capacity and Confidentiality
The importance of a paradigm shift in European mental health care
Mental Capacity Act 2005 and Deprivation of Liberty Safeguards
Alex Rook Partner, Public Law Department Irwin Mitchell LLP
Liberty Protection Safeguards - the replacement for DoLS
The review of the deprivation of liberty safeguards Tim Spencer-Lane
Mental Capacity Act 2005 and Deprivation of Liberty Safeguards
A place for EM? Pragmatic, humane and personal reflections 150 Years of Campaigning Anita Dockley, Research Director @TheHowardLeague.
Joanie Callaghan, Best Interests Assessor, Isle of Wight Council
The New Liberty Protection Safeguards and its implications for social workers Tim Spencer-Lane.
Developing normative element: Autonomy and independence
The importance of a paradigm shift in European mental health care
Dr Abby Seltzer Consultant Psychiatrist
Deprivation of Liberty Safeguards (DOLS)
Presentation transcript:

Tracking People: Disability and Human Rights Dr Amanda Keeling Centre for Law and Social Justice School of Law, University of Leeds cc: sanjitbakshi - https://www.flickr.com/photos/28946792@N00

Deprivation of Liberty and Tracking People What is ‘deprivation of liberty’? How does it go beyond the idea of a classic prison cell? Domestic law – the Deprivation of Liberty Safeguards The implications of international human rights law – particularly the UN Convention on the Rights of Persons with Disabilities (CRPD). cc: mikecogh - https://www.flickr.com/photos/89165847@N00

Article 5 ECHR 1. Everyone has the right to liberty and security of the person. No one shall be deprived of their right to liberty save in the following cases and in accordance with a procedure prescribed by law: […] (e) the lawful detention of persons for the prevention of the spreading of infectious diseases, of persons of unsound mind, alcoholics or drug addicts or vagrants;

HL v United Kingdom Facts HL was admitted as an ‘informal patient’ at Bournewood hospital do to appearing ‘quite compliant’, despite not giving his consent. Carers prevented from visiting, and hospital staff given instructions to detain him formally if he tried to leave. ECHR Judgment The European Court of Human Rights considered that HL was ‘deprived of his liberty’ under Article 5 of the Convention. Key to their decision was that he was under the ‘complete and effective control’ of the hospital staff. That the ward was unlocked and he could walk through the door was not a factor in mitigation, as he would be detained should he try to leave. This deprivation of liberty was in contravention of the law because it was found to be arbitrary and without following lawful procedure.

Subjective element, that P has not given valid consent The ECHR has identified three elements to a deprivation of liberty (Storck v Germany): Objective element of confinement in a restricted space for a non-negligible period of time. Subjective element, that P has not given valid consent That the detention is imputable to the State cc: Jose Carlos Figueiredo - https://www.flickr.com/photos/38823999@N05

The Objective Element More than just a restriction of liberty, or limitations on freedom of movement. A ‘case by case’ examination, focused on the ‘degree and intensity, not the nature or substance’. It is clear that it extends beyond the classic idea of deprivation of liberty – the prison cell.

Domestic Response to HL v UK The Deprivation of Liberty Safeguards – a legal process for determining cases which fell into the ‘Bournewood Gap’. Individuals who were not ‘detainable’ under the Mental Health Act 1983, but who were deprived of their liberty in hospitals and care homes.

Number of Applications for DoLS Authorisation

Domestic Case Law before Cheshire West Several prominent Court of Appeal judgments had found that where restrictions were ‘needed’ or ‘necessary’, there was no deprivation of liberty. The restrictions were assessed on the basis of ‘relative normality’ – if such restrictions were ‘normal’ for individuals with similar impairments, then the restrictions could not be considered a deprivation of liberty.

Cheshire West [2014] UKSC 19 – ‘A gilded cage is still a cage’ 45. In my view, it is axiomatic that people with disabilities, both mental and physical, have the same human rights as the rest of the human race. It may be that those rights have sometimes to be limited or restricted because of their disabilities, but the starting point should be the same as that for everyone else. […] 46. Those rights include the right to physical liberty, which is guaranteed by article 5 of the European Convention.[...] But, as it seems to me, what it means to be deprived of liberty must be the same for everyone, whether or not they have physical or mental disabilities. If it would be a deprivation of my liberty to be obliged to live in a particular place, subject to constant monitoring and control, only allowed out with close supervision, and unable to move away without permission even if such an opportunity became available, then it must also be a deprivation of the liberty of a disabled person. The fact that my living arrangements are comfortable, and indeed make my life as enjoyable as it could possibly be, should make no difference. A gilded cage is still a cage. per Baroness Hale

Deprivation of Liberty: the ‘acid test’ Under continuous supervision and control AND Not free to leave. This simple test, combined with the removal of the restriction of ‘relative normality’ significantly expanded the scope of application for the DoLS.

Back to tracking… Tagging fairly easily can be ‘continuous supervision or control’ – particularly if it is not possible for the individual themselves to remove it. What about ‘free to leave’? Is the point of the tag not to give someone more freedom, rather than less? cc: Nokton - https://www.flickr.com/photos/25616401@N03

Is this oversight such a bad thing? Tagging presents the opportunity for significant control over someone’s life and liberty. Is it not right that such potential power should have oversight?

The Subjective Element and Capacity The subjective element of the test at Strasbourg focuses on consent – you can only deprive someone of their liberty without their consent if they are considered unable to consent. Thus, mental capacity assessments feature prominently in the DoLS, and proposed legislative reforms. cc: Cle0patra - https://www.flickr.com/photos/91842374@N00

The problem of the CRPD Such assessments are argued to be discriminatory against people with mental disabilities. Mental ability should be seen as just another variation in human difference. Such restrictions shouldn’t be permitted for disabled people, if they would not be permitted for non-disabled people. cc: mind on fire - https://www.flickr.com/photos/51799074@N00

Back to Tracking (again) Cheshire West did not say that deprivation of liberty itself was impermissible – simply that it must be subject to oversight to ensure that it is both necessary and proportionate. But the stance of the CRPD challenges this perspective, calling for a ‘disability neutral’ response.

Statement on article 14 of the Convention on the Rights of People with Disabilities (Geneva, Sept. 2014) ‘…the Committee has established that article 14 does not permit any exceptions whereby persons may be detained on the grounds of their actual or perceived disability…legislation of several states party, including mental health laws, still provide instances in which persons may be detained on the grounds of their actual or perceived disability, provided there are other reasons for their detention, including that they are dangers to themselves or to others. This practice is incompatible with article 14 as interpreted by the jurisprudence of the CRPD committee.’

HRC General Comment no. 35 on Article 9 ‘the existence of a disability shall not in itself justify a deprivation of liberty but rather any deprivation of liberty must be necessary and proportionate, for the purpose of protecting the individual in question from serious harm or preventing injury to others’ (paragraph 19)