A/76/380
ability, capacity for “new learning” and memory. 168 In Rennie v Klein, another court
concluded that the plaintiff’s forced medication violated the “emerging right of
privacy” including the “right to protect one’s mental processes from governmental
interference”. 169
81. For people with certain mental conditions, one individual submits that treatment
for mental health is necessary for “restoring” one’s free dom of thought (e.g., if one
experiences delusions). 170 Yet, with concern, the Special Rapporteur highlights
reports that bias, prejudice and discrimination, contrary to article 2 of the
International Covenant on Civil and Political Rights, often make certain groups more
susceptible to forced treatment. In the European Union, 171 the United Kingdom 172 and
the United States, 173 racial or ethnic minorities reportedly experience
disproportionately high rates of compulsory admission, seclusion or heavy
medication. According to the World Health Organization (WHO), individuals are
mostly institutionalized because of a “serious likelihood of immediate or imminent
danger” and their “need for treatment”. 174 A former Special Rapporteur on the right
of everyone to the enjoyment of the highest attainable standard of physical and mental
health has expressed concern over subjectivity of the “dangerousness” criteria,
because those decisions are “often based on inappropriate prejudice, rather than
evidence”. 175
82. Some civil society members campaign to minimize or abolish forced treatment
for mental health conditions, while others emphasize that it remains necessary in
limited circumstances. The Human Rights Committee, in its general comment No. 35
(2014), observes that the practice may be “necessary and proportionate” to protect
“the individual […] from serious harm or preventing injury to others”, 176 but only as
“a measure of last resort”, applied for the “shortest appropriate period of time” and
accompanied by “adequate procedural and substantive [legal] safeguards”. 177 The
Subcommittee on Prevention of Torture and Other Cruel, Inhuman or Degrading
Treatment or Punishment emphasizes that forced treatment is open to abuse and may
constitute arbitrary detention, but withholding forced treatment also may amount to
cruel, inhuman or degrading treatment or punishment. 178
G.
Conversion practices
83. The Special Rapporteur acknowledges that everyone has some form of sexual
orientation or gender identity, which can be an intrinsic part of an individual’s
identity. 179 The Special Rapporteur further echoes his colleagues’ concerns regarding
conversion practices, which are not only ineffectual, but also harmful and undermine
__________________
168
169
170
171
172
173
174
175
176
177
178
179
21-14191
See https://socialchangenyu.com/wp-content/uploads/2017/12/Jay-Alexander-Gold_RLSC_
4.2.pdf, pp. 207 and 210.
See https://law.justia.com/cases/federal/district-courts/FSupp/462/1131/2142341/.
Consultation on legal framework.
See https://fra.europa.eu/sites/default/files/inequalities-discrimination-healthcare_en.pdf, pp. 61–75.
See https://www.cqc.org.uk/sites/default/files/documents/count_me_in_2010_final_tagged.pdf ,
p. 22; and thelancet.com/journals/lanpsy/article/PIIS2215-0366(19)30027-6/fulltext, p. 1.
See https://omh.ny.gov/omhweb/resources/publications/aot_program_evaluation/report.pdf,
pp. 13–16.
See https://ec.europa.eu/health/sites/default/files/mental_health/docs/who_resource_book_en.pdf ,
p. 49.
A/HRC/35/21, para. 64.
Human Rights Committee, general comment No. 35 (2014) on liberty and security of person
(CCPR/C/GC/35), para. 19.
Ibid.
CAT/OP/27/2, paras. 9 and 15.
A/HRC/35/36, para. 2.
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