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Implementing Legal Capacity Under Article 12 of the UN Convention on the Rights of Persons with Disabilities: The Difficult Road From Guardianship to Supported Decision-Making

Robert Dinerstein
- 01 Jan 2012 - 
- Vol. 19, Iss: 2, pp 2
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TLDR
In this paper, the authors propose a paradigm shift from substituted to supported decision-making, which represents nothing less than a “paradigm shift away from well-established butincreasingly discredited notions of substituted decision making.
Abstract
In deceptively simple language, Article 12 of the United Nations Convention on the Rights of Persons with Disabilities (“CRPD”), Equal Recognition before the law, provides that “States Parties shall recognize that persons with disabilities enjoy legal capacity on an equal basis with others in all aspects of life.” If, as is clear from the deliberations that produced this article, Article 12’s use of the term “legal capacity” includes not simply the capacity to have rights (or passive capacity) but also the capacity to act or exercise one’s rights, an important question that arises is how to address the circumstances of individuals with disabilities who may not be able to exercise their legal capacity without some kind of assistance or intervention. Article 12(3) addresses this question in language that once again seems straightforward and uncontroversial: “States Parties shall take appropriate measures to provide access by persons with disabilities to the support they may require in exercising their legal capacity.” Yet this use of the word “support,” and the related concept of supported decision making, represents nothing less than a “paradigm shift” away from well-established but increasingly discredited notions of substituted decision making. Rhetorical identification of the shift from substituted to supported decision making, however, is one thing; understanding what these terms mean, and fully implementing a regime truly oriented toward supporting rather than supplanting the decision making rights of people with disabilities, is quite another matter.

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Journal ArticleDOI

Supported Decision Making: Understanding How its Conceptual Link to Legal Capacity is Influencing the Development of Practice

TL;DR: In this article, the conceptual link between supported decision making and legal capacity is explored by outlining three conceptualisations that are influencing the development of practice and the difference between support with decision-making and support without decision making.
Journal ArticleDOI

Adverse consequences of article 12 of the UN Convention on the Rights of Persons with Disabilities for persons with mental disabilities and an alternative way forward.

TL;DR: Six adverse consequences of CRPD article 12 for persons with mental disabilities are explicate and an alternative way forward is proposed that combines the strengths of the competence model and supported decision-making is proposed.
Journal ArticleDOI

Supported Decision-Making for Persons with Mental Illness: A Review

TL;DR: The aim of this paper is to comprehensively review the evidence on supported decision making for PWMI, both in legislation and research globally, with a focus on low- and middle-income countries (LMICs).
Journal ArticleDOI

“The Right to Make Choices”: The National Resource Center for Supported Decision‐Making

TL;DR: The National Resource Center for Supported Decision-making (NRCNDM) as discussed by the authors was created as a means to advance the use of SDM and increase self-determination for older adults and people with disabilities.
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