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《联合国残疾人权利公约》对维多利亚州监护实践的影响。

The impact of the United Nations Convention on the Rights of Persons with Disabilities (CRPD) on Victorian guardianship practice.

机构信息

School of Health and Social Development, Deakin University, Burwood, VIC, Australia.

Faculty of Business and Law, Swinburne University, Hawthorn, VIC, Australia.

出版信息

Disabil Rehabil. 2022 Jun;44(12):2806-2814. doi: 10.1080/09638288.2020.1836680. Epub 2020 Oct 23.

Abstract

PURPOSE

Article 12 of the United Nations Convention on the Rights of Persons with Disabilities (CRPD) emphasises full and equal legal capacity of all citizens to participate in decisions. This paper examines whether the principles of Article 12, also reflected in other reform documents, were evident within 12 guardianship hearings conducted in Victoria, Australia from 2001 to 2016 involving adults with cognitive disability. The issues this study raises resonate loudly across the globe as multiple signatory nations to the CRPD grapple with the complexities of implementing Article 12.

METHODS

Reports of VCAT decisions with written reasons of Guardianship List hearings from 2001 to 2016 were selected from the Australasian Legal Information Institute site and analysed thematically.

RESULTS

Thematic analysis of proceedings revealed three consistent trends. Firstly, a presumption of incapacity based on disability excluded Proposed Represented Persons (PRP) from involvement in decision-making. Secondly, external perceptions of PRPs best interest were dominated by safeguarding concerns and conflict between supporters. Finally, in multiple cases, although a PRP's preference had been established, it was considered immaterial to the final decision.

CONCLUSIONS

The paper concludes with a promising discussion of the new Guardianship and Administration Act 2019 (Vic), which came into force on 1 March 2020, and recommendations for guardianship practice both locally and internationally.IMPLICATIONS FOR REHABILITATIONLegal capacity should be recognised as inherent in all people, and therefore decision making incapacity should not be assumed based on a person's cognitive and/or communication disability;The supported decision making mechanisms, born from Article 12 of the CRPD, that facilitate acknowledgment, interpretation and acting upon a person's expression of will and preference need to be recognised and promoted within the context of Guardianship proceedings and by health professionals when assessing decision making capacity of people with cognitive disability;Significant knowledge and attitudinal changes are required within the Tribunal and incorporated into the practice of health professionals informing the Tribunal, in order to counter many conceptual underpinnings embedded within current guardianship legislation across the globe;Ascertaining the will and preference of the proposed represented person should be prioritised by Guardianship tribunal members' rather than the management of conflict between interested parties.

摘要

目的

《联合国残疾人权利公约》(CRPD)第 12 条强调所有公民都应充分和平等地享有参与决策的法律能力。本文考察了 2001 年至 2016 年期间在澳大利亚维多利亚州进行的 12 场监护听证会上,是否体现了第 12 条的原则,这些听证会涉及到认知障碍的成年人。本研究提出的问题在全球范围内引起了强烈共鸣,因为《残疾人权利公约》的多个签署国都在努力应对实施第 12 条的复杂性。

方法

从澳大利亚法律信息协会网站上选择了 2001 年至 2016 年有书面理由的 VCAT 监护听证报告,并进行了主题分析。

结果

对程序的主题分析揭示了三个一致的趋势。首先,基于残疾的无能力推定将拟议的代表(PRP)排除在决策之外。其次,对 PRP 最佳利益的外部看法主要受到保护关切和支持者之间的冲突的影响。最后,在多个案例中,尽管已经确定了 PRP 的偏好,但它被认为与最终决定无关。

结论

本文最后对 2020 年 3 月 1 日生效的《2019 年(维多利亚)监护和管理法》进行了有希望的讨论,并就当地和国际上的监护实践提出了建议。

对康复的启示

法律能力应被视为所有人固有的能力,因此不应基于个人的认知和/或沟通障碍而假定决策能力丧失;源于《残疾人权利公约》第 12 条的支持性决策机制,有助于承认、解释和根据个人表达的意愿和偏好采取行动,需要在监护程序中得到认可和推广,并需要卫生专业人员在评估认知障碍者的决策能力时得到认可和推广;在全球范围内,需要在法庭和纳入法庭的卫生专业人员中进行重大的知识和态度改变,以对抗当前全球监护立法中所包含的许多概念基础;确定拟议代表的意愿和偏好应优先于监护法庭成员管理利益相关方之间的冲突。

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