Nankervis Karen, Chan Jeffrey
University of Queensland St Lucia QLD Australia.
J Policy Pract Intellect Disabil. 2021 Sep;18(3):197-202. doi: 10.1111/jppi.12374. Epub 2021 Mar 5.
People with intellectual and developmental disability (IDD) are a vulnerable population in all aspects of access and participation, abuse and neglect, and being subject to the use of restrictive practices. Accordingly, they are a group whose human rights can be impacted where equal access to supports, services, and accessible information is compromised. The current COVID-19 pandemic is a global humanitarian emergency that has had a devastating impact across the world, for all people. Growing concern has been raised about the impact of the COVID-19 virus on the health of people with disabilities and there has been subsequent development of strategies and protocols to promote equal access to information, health supports, and services. People with IDD have high levels of underlying comorbidity that increases their risk of contracting COVID-19 and measures to protect them from infection are critically important. However, those measures may trigger behaviors of concern and increase the risk of being subjected to restrictive practices. While some attention has been paid to the health impacts of COVID-19 on people with disabilities, there has been less paid to the impact on the human rights of people with IDD who present with behaviors of concern. The aim of this paper is to provide a hypothetical exploration of the impacts of pandemic prevention measures on people with IDD and behaviors of concern in the context of the Convention on the Rights of Persons with Disabilities (CRPD). In the absence of available guidance for working with people with IDD with behaviors of concern during COVID-19, we suggest behavior support response plans that aim to ensure that people with IDD with behaviors of concern are supported properly in a time of significant disruption for them, thereby safeguarding their human rights.
智力和发育障碍（IDD）患者在获得服务与参与、遭受虐待和忽视以及受到限制措施影响等各方面都是弱势群体。因此，在平等获得支持、服务和无障碍信息受到损害的情况下，他们是人权可能受到影响的群体。当前的新冠疫情是一场全球人道主义紧急事件，对所有人都在全球范围内产生了毁灭性影响。人们越来越关注新冠病毒对残疾人健康的影响，随后也制定了促进平等获取信息、健康支持和服务的战略与方案。患有IDD的人存在高水平的基础合并症，这增加了他们感染新冠病毒的风险，保护他们免受感染的措施至关重要。然而，这些措施可能引发令人担忧的行为，并增加受到限制措施的风险。虽然人们对新冠疫情对残疾人健康的影响有所关注，但对患有令人担忧行为的IDD患者人权的影响关注较少。本文旨在根据《残疾人权利公约》（CRPD），对疫情防控措施对患有IDD的人和令人担忧行为的影响进行假设性探讨。在新冠疫情期间缺乏针对患有令人担忧行为的IDD患者的可用指导的情况下，我们建议制定行为支持应对计划，旨在确保在对患有令人担忧行为的IDD患者造成重大干扰的时期，他们能得到妥善支持，从而保障他们的人权。
