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Supported Decision-Making and Paradigm Shifts

Word Play or Real Change

Bibliographic Data

ID15529938
AuthorsJill Stavert (0000-0002-1591-4601, Edinburgh Napier University, corresponding author)
Year2021
Volume11
Pages571005-571005
Publication date2021-01-11
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2020.571005
PMID33505323
OpenAlexW3118934782
LanguageEN
Citations received1
References cited26

Article 12(3) CRPD requires states parties to provide access by persons with disabilities to the support they may require in exercising their legal capacity. This is to ensure that the rights, will and preferences of persons with disabilities are enjoyed on an equal basis with others [Articles 12(1)(2) and (4) CRPD]. Moreover, the Committee on the Rights of Persons with Disabilities has made it clear that supported decision-making must replace substitute decision-making arrangements as these are discriminatory and deny equal enjoyment of the right to exercise of legal capacity for persons. At the same time, there is ongoing debate as to whether or not the absence of substitute decision-making regimes is essential for the non-discriminatory realization of an individual's rights, will and preferences to be achieved. To resolve this debate, however, specific attention needs to be paid to the CRPD message on what it actually means to give effect to the equal and non-discriminatory enjoyment of rights for all. In the context of persons with mental disabilities this requires looking beyond human rights simply in terms of limiting unwarranted interventions to the proactive removal of obstacles to full rights enjoyment and the creation of environments that respect and support such enjoyment. With this in mind this paper will therefore critically consider the use of supported decision-making within existing substitute decision-making regimes with particular reference to Scotland's mental health and capacity laws. It will consider the challenges this poses and whether it is indeed possible to adapt existing regimes to achieve CRPD compliance. In doing so, it is suggested that a full appreciation of the overarching CRPD message about equality and non-discrimination in the enjoyment of rights is required to bring about such compliance

Context (archaeology · Human rights · Law and economics · Political science · Psychiatry · Psychological intervention · Public relations · Sociology · Healthcare Decision-Making and Restraints · Healthcare innovation and challenges · Law · Mental Health and Patient Involvement · Psychology · Social Psychology

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    A Nilsson•Human Rights Law Review•2014

  • Psychiatric Advance Directives Under the Convention on the Rights of Persons With Disabilities

    Open Access•Matthé Scholten, Astrid Gieselmann et al.•Frontiers in Psychiatry•2019

  • Supported Decision Making in the Prevention of Compulsory Interventions in Mental Health Care

    Open Access•Martin Zinkler•Frontiers in Psychiatry•2019

  • CRPD and transformative equality

    Open Access•Tina Minkowitz•International Journal of Law in…•2017

  • State intervention in the lives of people with disabilities

    Open Access•Eilionóir Flynn, Anna Arstein-Kerslake•International Journal of Law in…•2017

  • Navigating the 'Flashing Amber Lights' of the Right to Legal Capacity in the United Nations Convention on the Rights of Persons with Disabilities

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Unique citing works1
Citations per year0,2
Citation span2021 - 2021 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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