Lund University, Faculty of Law, Lilla Gråbrödersgatan 4, Box 207, 221 00 Lund, Sweden.
Int J Law Psychiatry. 2024 Mar-Apr;93:101966. doi: 10.1016/j.ijlp.2024.101966. Epub 2024 Mar 1.
The Convention on the Rights of Persons with Disabilities (CRPD) sets out a new vision for mental health care with equality and self-determination as its core standards. The CRPD fundamentally challenges long-standing practices in Sweden including the use of involuntary hospitalization, treatment without consent, and the use of restraints. This article discusses the impact of this new vision on Swedish mental health law and policy. An examination of mental health law inquiries from 2008 to 2023 reveals a notable lack of attention from policymakers towards the CRPD. Nevertheless, the Convention has emerged as a vital advocacy instrument for disability organizations and others opposing proposals that seek to broaden doctors' authority to employ coercion. In addition, the many efforts undertaken to reduce the use of coercion and to enhance the involvement of individuals with psychosocial disabilities in policy development align seamlessly with the principles of the Convention. This article concludes with a reflection on why the CRPD has not assumed a more prominent role in shaping mental health law in Sweden and calls on the government to seriously consider the CRPD's call for equality.
《残疾人权利公约》(CRPD)以平等和自决为核心标准,为精神卫生保健制定了新的愿景。《公约》从根本上挑战了瑞典长期以来的做法,包括非自愿住院、未经同意治疗和使用约束。本文探讨了这一新愿景对瑞典精神卫生法律和政策的影响。对 2008 年至 2023 年精神卫生法律调查的审查表明,决策者对《公约》明显关注不足。然而,《公约》已成为残疾组织和其他反对扩大医生实施强制权力的提案的重要宣传工具。此外,为减少使用强制手段和增强有心理社会残疾的人参与政策制定而做出的许多努力与《公约》的原则完全一致。本文最后反思了《公约》为何在塑造瑞典精神卫生法方面没有发挥更突出的作用,并呼吁政府认真考虑《公约》对平等的呼吁。