Taylor John L, Burrell Carole
Northumbria Law School, Northumbria University, City Campus East, Newcastle upon Tyne, NE1 8ST, UK.
Northumbria Law School, Northumbria University, City Campus East, Newcastle upon Tyne, NE1 8ST, UK.
Int J Law Psychiatry. 2023 Mar-Apr;87:101868. doi: 10.1016/j.ijlp.2023.101868. Epub 2023 Feb 11.
The draft Mental Health Bill published by the UK Government in July 2022 aims to reform mental health legislation in England and Wales. One significant proposal is to remove intellectual disability and autism from the scope of the legislation in all but a limited number of circumstances. The basis for this proposed change is not clear and there are no plans to introduce alternatives to the current legislation for people with intellectual disabilities and autism whose behaviour is challenging and present significant risks to themselves or others. This paper examines the implications of these proposals for people with intellectual disabilities. It considers the New Zealand experience as the only other common-law jurisdiction to implement a similar legislative change. Links to the government's Transforming Care de-institutionalisation programme and associated policies are explored and calls for a review of this approach are set out.
英国政府于2022年7月发布的《精神健康法案》草案旨在改革英格兰和威尔士的精神健康立法。一项重大提议是，除了少数有限的情况外，将智力残疾和自闭症从该立法的适用范围中剔除。这一拟议变更的依据并不明确，而且对于行为具有挑战性且对自身或他人构成重大风险的智力残疾和自闭症患者，目前没有计划引入现行立法的替代方案。本文探讨了这些提议对智力残疾者的影响。文中将新西兰视为实施了类似立法变更的另一个普通法管辖区，并考量了该国的经验。文中还探讨了与政府的“转型照护”去机构化计划及相关政策的关联，并阐述了对这种做法进行审查的呼声。
