关键词: Autism Draft Mental Health Bill Intellectual disabilities Legislative reforms Transforming care Unintended consequences

Mesh : Humans Intellectual Disability Mental Health Wales Institutionalization England

来  源:   DOI:10.1016/j.ijlp.2023.101868

Abstract:
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.
摘要:
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。一个重要的建议是在除有限数量的情况外的所有情况下,将智力障碍和自闭症从立法范围中删除。这一拟议变化的基础尚不清楚,也没有计划为智障人士和自闭症人士引入现行立法的替代方案,他们的行为具有挑战性,对自己或他人构成重大风险。本文探讨了这些建议对智障人士的影响。它认为新西兰的经验是实施类似立法变更的唯一其他普通法管辖权。探索了与政府的“转型护理”非机构化计划和相关政策的链接,并呼吁对这种方法进行审查。
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