Brief Report: Realizing Article 19

Right to live independently and be included in communities

29th November, Lavasa, Maharashtra, India

Organized by TCI Asia

Supported by Bapu Trust, IDA, INTAR, CBM-A, DFAT, FGHR and Mariwala Health Initiative

About TCI Asia

TCI Asia (Transforming communities for Inclusion of persons with psychosocial disabilities, Asia) is an Asian Alliance of people with psychosocial disabilities, and cross-disability supporters, focussing on Article 19 and its realization in the Asian region.  Since 2012, TCI Asia has made several country visits,  annual plenary consultations, strategy development workshops, and has engaged upto 15 member countries, to enhance the pedagogy and practice of Article 19 (Right to live independently and be included in communities).

Background to the RoundTable:

Most countries worldwide have ratified the United Nations Convention on the Rights of Persons with Disabilities (CRPD). Policy is being informed by the SDGs (Sustainable Development Goals). Together they provide a human rights based international jurisprudence for Disability Inclusive Development making a concerted transition towards creating more community based services and support systems, favouring choice, consent and community inclusion of persons with disabilities. This is much necessary for persons with psychosocial disabilities, who continue to face very high level of exclusion, discrimination and human rights violations.

International jurisprudence and policy frames

The World Report on Disability by the WHO and World Bank (2011)[1]  served as a landmark in enabling a transition from institution based mental health care to Disability Inclusive Development. Other than Concluding Observations, the UN CRPD Monitoring Committee has in the past brought out several important guidance documents, such as General Comment 1 on Article 12 (Right to equal recognition before the law). Further impetus on linking mental health and psychosocial disability to community development, has come from the “Thematic Study on Article 19” (Right to live independently and be included in communities), of the Office of the High Commissioner of Human rights  [A/HRC/28/37,  December, 2014] and the Guidelines on Article 14. In2016, the CRPD Committee was in attendance at the Day of General Discussion on Article 19 towards a General Comment on Article 19. [2] Recently, the UN DESA set out a Background paper on “Promoting the rights of persons with intellectual and psychosocial disabilities”. The OHCHR adopted a Resolution on rights of persons with intellectual and psychosocial disabilities [HRC 32]. The WHO has initiated efforts within and in partnership with collaborating agencies to come out with good practice reports, promoting explicitly a de-institutionalization process and community based mental health work having outcome of mainstreaming, leading to a number of synergizing efforts worldwide (Washington, Leicester, Trieste). A number of international grant and support agencies such as IDA, DFAT, CBR, CBM-A and others have been closely involved and  issued strategy statements on community based inclusion, especially of persons with psychosocial disabilities.

INTAR India 2016 continued the global efforts on interpreting and realizing Article 19. Several important individuals and organizations were represented at INTAR, including, UN CRPD committee members and other UN officers (from the office of the SR-Health; and SR-Disabilities; the WHO; INTAR professionals; various policy makers and academic institutions; practitioners; international development agencies including CBM, CBM-A; global organizations including WNUSP, IDA, other than TCI Asia members and other civil society organizations mobilizing around the human rights of persons with psychosocial disabilities.  For the first time, each and every high profile stakeholder within the disability and allied development sectors are coming together to strengthen efforts on realizing Article 19.

The objectives of 29th November RoundTable, was to sift the gains through the INTAR conference; to think through challenges in realizing  Article19 and in establishing community mental health and inclusion services. It would be an occasion when many important experts by experience, academics, policy makers and practitioners worldwide, who have met in multiple forums in the last couple of years for mining innovations, will be together yet again, to dialogue further and break new frontiers with respect to the community inclusion of persons with psycho-social disabilities.

The day was facilitated by Alex Cote (IDA) and Alberto Vasquez (Research co-ordinator, office of the SR, Disabilities). Adapting from the Theory of Change, the facilitators asked the question, “In 2031 – where do we want to be and what would we need to do to be there?” In the morning, this question was addressed. In the afternoon,  “What do we have (CPRD, QR, OHCHR, CRPD committee etc.) and how do we make best use of these? Key actions we can use in the near future and take this back? What can we action in 6, 12 months.” The opportunities for future work to create break throughs in the mental health discourse worldwide; and the possibilities opened up by such robust global convenings was appreciated.

Learnings from INTAR

The group shared learnings from INTAR India 2016. INTAR brought in participation from 40 countries. The conference has shown that over the last decades, there is palpable evidence for non-medical alternatives towards healing and recovery. All global and regional stakeholders were in the room. In our critique of mGMH and its many emerging variants, we cannot ignore the fact that we are a global community, global voices, with concrete illustrations of support and recovery work in diverse settings around the world. We have new arguments and data to challenge the conventional, colonial ways of doing mental health ‘treatment’ or dealing with people of ‘unsound mind’. It is clear by now that methods created in the global North did not work and that its a failure. Cross cultural exchange and dialogue, and learning from the global south, is important. The CRPD is a tool that can bridge the gap between human rights advocacy and service provision, giving newer designs for service delivery. Many good practice examples exist. Worldwide, the role of peer support groups were experienced as a most needed, critical and far reaching measure. Key messaging and materials created by the WHO encourage CRPD compliance. There is a need for another kind of global alliance  spirited by the CRPD. Bridge building across stakeholders, however divergent the view, is possible and needed. There is a need for more focus and linking on intersectionality and cross cutting Development issues, particularly gender and social justice. The international development community and donors have a responsibility to support such global convenings.

Visioning for Inclusion

A ‘draw a picture’ exercise was done, using chart paper and colours to envision inclusion. Groups did rich pictures and debriefed.

As global or regional actors, we share a strong common value base, the vision is the same. Practices may be different and need to be aligned.  “It is clear that we need to remove things, not just keep adding them”. Nature metaphors, the role of nature in healing, earth, tree, stars, sun, birds and garden were evident, compelling us to connect more with people working on environment issues. The search for caring communities, importance of love, rootedness, belonging and interconnectedness was strong coming from all the groups. People agreed that we all valued diversity, our right to silliness, having a voice, participation, being able to organize ourselves. There was a common aspiration / yearning; and a search for supportive communities. The ‘tornado’ / ‘hurricane’ metaphor suggested an urgent quest for change, and everybody wants it. We recalled programs like Open Dialogue, shamanism, peer support, which build on nature, connectedness and community. Also, we need to dialogue with national governments and regional policy bodies, to see how they can support the creation of supportive communities.

Responses to the question “In 2031 – where do we want to be and what would we need to do to get there?

  • There is a difference in discussion, how do we ensure that people never become people with psychosocial disabilities, versus, disability inclusion. Policies are adapting to this difference by 2031.
  • There is no World War III and it is a peaceful world. People begin questioning what did we do these last 15 years in mental health sector? New questions continue to be created around inclusion.
  • Policy makers are connected to people’s experiences of wellbeing and disabilities. Wider, bigger narratives emerge, they are convinced by the personal stories, and the issues are linked to vote banks!
  • Research data is amply available from universities and academia worldwide on the new visions on inclusion. Research agendas are influenced to diversify and evidence base for a diversity of models will be available.
  • Model policies and laws embed good practices as per the CRPD.
  • There is breakthrough in the media, so there is global visibility to this issue; and stories are re- told in the way they are said.
  • There are state champions at the policy level (mayors, governors, municipal corporators, presidents, etc.) and celebrity ambassadors, rock stars etc. to our common cause.
  • No new mental institutions have been created; World would have learnt from past errors (like we learnt from the world war). Existing ones have been reformed as safe houses, community and independent living centers, training centers, etc., and we have CRPD compliant laws.
  • There would have been continuing conversations among key stakeholders. There is individual and community agency and better awareness of mind-body connection; We have framed the approaches we know work, into other frameworks than just community development; There are fewer crisis because people and communities are better prepared; We know how to measure what is happening in a broader way (e.g. social capital); We know how to embed this in policy and practice; We continue engaging with diversity.
  • Evidence base is available from worldwide to demonstrate the significance of social capital in health and wellbeing.
  • We are included in all development schemes. SDGs start becoming a reality worldwide, and fewer people become people with psychosocial disabilities. Basic income program guarantees a standard of life. There is inclusive education and other social security schemes. More, a top up is available for all people so people can thrive. Families are safeguarded for thriving, so they are enabled to support and care.
  • There are excellent models of supported decision making and no barriers to exercise of full legal capacity.
  • Mental health is reclaimed as an integral part of our social and personal well being.
  • Schemes exist that incentivize people to stay out of the institutions and conventional treatments.
  • Policies worldwide embed the new vision of the UNCRPD. Focus is not just on needing more things, but on not needing somethings, and on what resources already exist in communities.

Actioning the vision(s):

What do we need to do in the next year or two to do this? 5 groups were formed around the following themes:

  1. Reframing public opinion – what are the options?
  2. Movement/alliance building (internally of the movement)
  3. Strengthening evidence and research (What works, furthering evidence)
  4. Exploring new alliances (broadening the circle, gender, environment,…)
  5. Policy makers – how do we influence them?  

Group1: Changing public opinion: How do we change the narrative?

  • Literary, media, communication studies and hubs can help in a big way to change the narrative.
  • Telling story is a skill – train people on how to tell stories. Stories of different kinds of people or entities can be told, capturing diversity and roles, not just stories of persons with disabilities.
  • Tell stories of what does not work, but also give examples of what is working and demonstrate how it is improving outcomes.
  • Complex stories may not have as much punch as stories, simply told. Tell stories with people and use as case studies.
  • Stories should transcend into research and build up social and community development theory to reach policy levels.
  • How do we reach society? Bottom up story telling (in cafes, universities, reading rooms, occupying other urban spaces, etc), horizontal story telling (telling stories to mental health professionals, etc.), top down story telling (try and get stories in the big media outlets).
  1. Group: Movement building (internally)
  • Spoke about how hard it is in the global south for people to speak out. E.g. countries where people can be killed for speaking out. In some countries, forming associations is legally out of question.
  • Learn from successes and difficulties from WNUSP, INTAR etc. E.g. WNUSP had success with regards to CRPD – what can we learn from this?
  • We can all have broader ideas, but it also helps to have some unified short term goals that we can all together focus on.

3 Group: research and evidence

  • There is huge potential for research on social innovations, community based interventions, and ‘alternatives’; Opportunities for new narratives, new research questions and new methodologies.
  • Use decades long Mad Studies / survivor / community development research that is already there, using lots of different approaches– community and participatory methods.
  • Cost-benefit analyses, budget analysis: we need to show how these alternatives are cost effective.
  • Align ourselves with existing community researchers and academics, as equal partners to forging new intelligence on inclusion.
  • Open up the minds of donors and grant making agencies to invest in Inclusion research and programming.
  • Modeling using participatory research, strategies to capture what is going on ‘metaanalytical approach’, utilizing what we consider the major domains of effectiveness
  • Influence policy makers to shift in their mindset of what constitutes evidence.
  • Communicate the outcomes of research efforts, not just in academic publishing, but in other ways as well.
  • Use Mad in America as an existing forum for sharing and utilising existing resources and evidence.
  • Lancet Psychiatry are doing ‘psychiatry futures’. Publish here.
  1. Group – Exploring new alliances:

Alliance with disability movement:

  • Need to strengthen alliance between mental health activism/advocacy with the cross-disability movement. In the latter, a person with a disability is not a ‘victim to be picked on’.
  • In India: it has been important to share the disability experience with other cross disability groups, to make ourselves more understandable. Bapu Trust made alliances with deaf advocacy groups (also invisible disabilities) and multiple disability groups. This enlarged the identity by engaging with most marginalised of disability groups.
  • Find methods of dialogue and common ground for work together. Disability organisations interested in issues of inter-sectionality and linkages with Development.

Alliance with other movements (e.g. gender, indigenous, minority groups, environmental movement, farmers movements – big issue in India)

  • In Indonesia, leaders of the psychosocial disability movement from PJS worked with gender movement on legislation around sexual harassment. So also, in Philippines, PDIP worked on the topic of gender violence.
  • Need to work with trade unions, basic services sector in urban areas, indigenous groups who often live on the fringes of cities, local opinion builders and spiritual groups, people living in urban slums, people’s health movement, self help movement, and other.
  • The idea of environment is crucial. A critical issue in LMICs is those who live in rural or in more complex geographical terrains. Farmers, rural areas, managing city waste, nutritional health in rapid urbanisation, housing (shelters movements) and poverty eradication – these issues are important to people with psychosocial disability; and also as secondary prevention.
  • Participation in other movements’ activities and in creating plans together, sharing movement news, contributing to the growth of other movements by taking up those issues.

Alliances with local governments – not just national

  • India: Partnership with Local Government. Some organizations in Asia have had great cooperation through engaging with local governments, which is particularly important if they have their own budgets that they can spend.

Build alliances in the political spaces – finding allies with personal experience of disability or interest in the area.

Alliances with funding bodies for fellowships etc. where possible

  • Invite investments into innovations that are CRPD compliant.
  • Encourage organizations and networks with traditional mental health care to transition to CRPD compliance.
  • Encourage investment in emerging leaders, mentoring relationships, exposure to national, regional, global advocacy and learning situations.

Alliance with the legal field, ageing movement, artists and the media. Also need to build and strengthen alliances with those who have control of funds and are responsible for resourcing.

Build alliances with human rights activists and other UN agencies.

  1. Group: policy makers – how do we reach and influence?
  • We want to challenge MH legislation – but we need alternative policy / legal responses to what we challenge. We must prepare for this.
  • A reality check – if we don’t get into public and policy agenda with more concerted actions, this MH law won’t change.
  • We need to frame around issues of development, social justice, non discrimination, equality etc. and not just about mental health.
  • We need to involve and influence donors – many donors are funding MH legislation.
  • We need to keep politicians accountable – they are afraid of noise!
  • We need the UN agencies to collectively send out a coherent message.
  • Litigation, harm caused by psycho-tropics, for example. We need champions at international level.
  • We need to open new doors and find ways for people with psychosocial disability to be engaged in policy making.
  • We need champions, ambassadors, messengers!

Conclusion: What are the ongoing processes which we can piggy back on?

  • Quality rights (WHO) – Next year there will be a process of global consultations.
  • CRPD committee – The committee is eager to know about the way to do things so that they can give more specific recommendations.
  • General Comment on Article 19: commenting on the draft, informal advocacy with members.
  • Special rapporteur on health – This meeting is helping develop a report to the Human Rights Council on the Right to Health. SR’s office is hoping to get a draft done soon and welcome input into that draft.
  • Special rapporteur on rights of persons with disabilities is working on a report on support services (particularly those that support people to live in communities). The office is also working largely and more broadly on issues of deprivation of liberty – and psychiatry is a big part of this.
  • SDGs – if there is more interest in MH, the issue is what will be the narrative that is promoted? Use offices above to influence dialogue about the SDGs. Also, the Incheon strategy, UN housing rights
  • Work with NGOs pushing for universal health coverage – make sure they don’t get it wrong! E.g. Oxfam. Tell them to be careful and not to do more harm than good. Influencing global networks pushing medical agendas.
  • IDA influence on Thematic meeting, OECD / ILO, and other associated advocacial efforts within larger global cross disability movement.

IDA will work on a 5 page report along with Alberto, for taking next steps.

[1] http://www.who.int/disabilities/world_report/2011/en/

[2] http://www.ohchr.org/EN/HRBodies/CRPD/Pages/CallDGDtoliveindependently.aspx

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Civil Society Response to COSP Background paper “Promoting the humanrights of persons with psychosocial and intellectual disabilities”

camhjournal

Promoting the human rights of persons with psychosocial and intellectual disabilities

 

Note by Civil Society Co-ordination Mechanism

 

The present document was prepared by a small working group for the Civil Society Co-ordination Mechanism, on the basis of available information, towards the round-table discussion on the background paper, “Promoting the rights of persons with mental and intellectual disabilities”, to be held at the ninth session of the Conference of States Parties to the Convention on the Rights of Persons with Disabilities, New York.

The members of the Civil Society Co-ordination Mechanism are extremely concerned that the background paper is developed completely within the bio-medical paradigm, and not the social paradigm as framed by the CRPD. The paper, while promoting the global mental health agenda of ‘filling the treatment gap’, remains silent on the topics of forced institutionalization, coercive psychiatry, and the vexatious continued use of inhuman, degrading, cruel treatments…

View original post 4,472 more words

Reshma Valliappan on International Women’s Day 2016

Reshma Valliappan, also known as Val Resh, is an artist-activist for a number of issues related to mental health, disability, sexuality and human rights. She lives with schizophrenia without medication and is providing the early voice and leadership for persons living with mental illness to speak and advocate for their own rights. –

 

See more at: http://www.patientsengage.com/news-and-views/irrespective-mental-health-issues-family-friends-must-respect-woman#sthash.LKd5Q3OK.dpuf

Invitation to the Inclusion survey

The Bapu Trust in collaboration with TCI-Asia is compiling a Survey Report on

‘Good practices on the Inclusion of persons with psycho-social disabilities’

 covering the Asia region. The report will cover the present status of Inclusion of people with psycho-social disabilities; and  good practices that will facilitate full and effective participation and inclusion in communities.

The survey invites your views on Good Practices on the Inclusion of persons living with (or who have experienced) mental health problems/psycho-social disability. Your participation in this study is crucial to understanding the evolving state of inclusion of persons with psycho-social disabilities: What facilitates their full and effective participation in families and communities?

The survey is an online Google survey. The form is in English, and will take about 20 minutes to fill (not including any translation time that may be involved.)

A big motivation for this study is to find out, what means “Reasonable Accommodation” (RA) for persons with psycho-social disabilities. In the disability movement, implementing RA is considered as key for full and effective participation. What is RA for persons with psycho-social disabilities?

We invite you to participate in the survey. Please also share in your networks, and invite your peers to participate in the google survey.

Shikha Aleya at shikha.aleya@gmail.com is co-ordinating the survey for TCI Asia. Do get in touch with her for any clarifications or questions.

Please follow the link below to participate in this survey:-
We request you to please share this link and invitation to participate, with all members of your network who self identify as persons with psycho-social disabilities.
The survey will be open for your kind participation till the 15th of February 2016.

“Dignity must prevail” – Special Rapporteurs on World Mental Health Day

“Dignity must prevail” – Special Rapporteurs on World Mental Health Day

“Dignity must prevail” – An appeal to do away with non-consensual psychiatric treatment World Mental Health Day – Saturday 10 October 2015

GENEVA (8 October 2015) – The United Nations Special Rapporteurs on the rights of persons with disabilities, Catalina  Devandas-Aguilar, and on the right to health, Dainius Pûras, today called on States to eradicate all forms of non-consensual psychiatric treatment.

Speaking ahead of the World Mental Health Day*, the independent experts urged Governments to put an end to arbitrary detention, forced institutionalisation and forced treatment, in order to ensure that persons with developmental and psychosocial disabilities are treated with dignity and their human rights respected.

“Locked in institutions, tied down with restraints, often in solitary confinement, forcibly injected with drugs and overmedicated, are only few illustrations of the ways in which persons with disabilities, or those perceived to be so, are treated without their consent, with severe consequences for their physical and mental integrity.

Globally, persons with developmental and psychosocial disabilities face discrimination, stigma and marginalization and are subject to emotional and physical abuse in both mental health facilities and the community.  And every year, the rights and dignity of hundreds of thousands of people across the world are violated as a consequence of non-consensual psychiatry interventions.

All too often persons with developmental and psychosocial disabilities are formally or informally destitute of their legal capacity and arbitrarily deprived of their liberty in psychiatric hospitals, other specialized institutions, and other similar settings.

Dignity cannot be compatible with practices of force treatment which may amount to torture. States must halt this situation as a matter of urgency and respect each person’s autonomy, including their right to choose or refuse treatment and care.

Without freedom from violence and abuse, autonomy and self-determination, inclusion in the community and participation in decision-making, the inherent dignity of the person becomes an empty concept.  The international community needs to acknowledge the extent of these violations, which are broadly accepted and justified in the name of psychiatry as a medical practice.

The concept of ‘medical necessity’ behind non-consensual placement and treatment falls short of scientific evidence and sound criteria. The legacy of the use of force in psychiatry is against the principle ‘primum non nocere’ (first do no harm) and should no more be accepted.

The Convention on the Rights of Persons with Disabilities offers a promising occasion for a shift of paradigm in mental health policies and practices. This year’s World Mental Health Day stresses more than ever the need to elaborate new models and practices of community-based services that are respectful of the dignity and integrity of the person.

It is a good timing to take stock of the recent entering into force of the Convention on the Rights of Persons with Disabilities to open a dialogue amongst all stakeholders, including users of services, policy makers and mental health professionals to work on human rights based solutions which may provide answers to the questions brought forward by the Convention’s standards.

We call on States to end all instances of arbitrary detention, forced institutionalisation and forced treatment, to ensure that persons with developmental and psychosocial disabilities are treated with dignity and are provided their rights to have their decisions respected at all times, and to have access to the needed support and accommodation to effectively communicate such decisions.”

(*) World Mental Health Day, which is supported by the United Nations, is annually held on October 10 to raise public awareness about mental health issues worldwide. This year’s theme is: “Dignity in Mental Health.”

See more at: “Dignity must prevail” – An appeal to do away with non-consensual psychiatric treatment World Mental Health Day – Saturday 10 October 2015

Office of the High Commissioner for Human Rights

Opening Statement by Mr James Heenan at the CRPD Monitoring Committee Meeting, 14th Session

Excerpts from …

Statement by Mr James Heenan at the CRPD Monitoring Committee Meeting, 14th Session

Mr. James Heenan is Chief, Groups in Focus Section, Human Rights Treaties Division of the OHCHR, United Nations

Geneva, 17 August 2015

All opening statements to the 14th Session of the UNCRPD committee meeting can be found here…

http://tbinternet.ohchr.org/_layouts/treatybodyexternal/SessionDetails1.aspx?SessionID=995&Lang=en

” This morning I would like to share some information relating to developments in four areas of relevance to the Committee’s work:

  • the recent meeting of chairpersons of treaty bodies;
  • the elaboration of the Sustainable Development Goals;
  • developments at the Human Rights Council; and
  • recent work of OHCHR on the rights of persons with disabilities.

“… I would like to now turn to the on-going intergovernmental process on the Sustainable Development Goals for the post 2015 period. The goals, targets and indicators that are the centrepiece of this initiative have the potential to provide a new and powerful means for addressing some of the chronic human rights situations we face today, such as poverty, discrimination and the lack of access to education to name but a few. This transformative potential of the SDGs, building on the lessons of the MDG process, has been long recognized by the human rights treaty bodies. CRPD, along with other committees, has regularly sounded the call for the new framework be anchored in the internationally agreed human rights norms and standards. This message was reiterated by State parties at the 8th Conference of States parties to the Convention, held in New York in June 2015, which focused on the mainstreaming of disability in the post-2015 development agenda.  In his closing remarks,  the President of the Conference noted that the common message among States Parties identified during the Conference was that mainstreaming of disability is an imperative for the new economic and social development agenda.

On Sunday 2 August, Member States endorsed by consensus the Post-2015 Outcome Document: “Transforming Our World: The 2030 Agenda for Sustainable Development”.  The Outcome Document – which is available on the website of the President of the General Assembly – will now be submitted to the Heads of State for adoption at the UN Summit in September.  While not perfect, the text exhibits a number of very welcome human rights features. First and foremost, it is explicitly grounded in the UN Charter, the Universal Declaration of Human Rights, and the international human rights treaties. Further, throughout the preambular language, the goals and the targets, the text offers a universal, integrated and indivisible vision of sustainable development, encompassing key dimensions of all human rights related to both freedom from want as well as freedom from fear. It also puts combatting inequalities, discrimination and exclusion at its heart, and includes a very expansive list of groups to be given special focus, including – prominently – persons with disabilities. I would also note that the text specifically addresses issues of accessibility, for example in respect of transport and green spaces. Linked to the identification of groups, another noteworthy feature of the text is the call for disaggregated data as part of the global indicator framework, responding to a key lesson learned from the MDG process. And finally the text outlines an accountability architecture at national, regional and global levels.  Although there remain shortcomings in the extent to which the SGD have embraced human rights, I think all of the elements I have just mentioned should be cause for celebration among the human right community.

…            Accountability for the SDGs is grounded in the indicators that will measure progress towards the targets and goals . These indicators are currently being deliberated, and a preliminary list of indicators will be published in November 2015, after the adoption of the SDGs. Indicators provide a crucial means of ensuring that human rights lie at the heart of the post 2015 architecture by ensuring that information collected exposes – as far as possible – the reality on the ground of people’s enjoyment of their human rights. For this reason it is important that human rights voices, including those of the CRPD, are heard in this process.”

…            “On 29 April 2015, just after the conclusion of the Committee’s last session, the Working Group on Arbitrary Detention adopted the its text of the “Basic Principles and Guidelines on remedies and procedures on the right of anyone deprived of their liberty to bring proceedings before a court”. The new Guidelines contain a separate provision on specific measures for persons with disabilities. That provision, Principle 20, makes it clear that the involuntary committal or internment on the ground of the existence of an impairment or perceived impairment, particularly on the basis of psychosocial or intellectual disability or perceived psychosocial or intellectual disability, is prohibited. The Guidelines also provide that where persons with disabilities are deprived of their liberty through any process, they are, on an equal basis with others, entitled to guarantees in accordance with international human rights law, necessarily including the right to liberty and security of the person, reasonable accommodation, and humane treatment. The basic principles and guidelines will be presented to the Human Rights Council at its 30th session next month.”

Thank you

______________

CBR Congress, Tokyo Declaration on CBID 2015

Shared by Mari Yamamoto from Japan

Tokyo Declaration on Community-based Inclusive Development

We, the representatives of organizations of persons with disabilities and other non-governmental organizations on Community-based Rehabilitation (CBR)/Community-based Inclusive Development (CBID, also known as CBR), governments, development agencies, donors and the business sector from 46 countries/areas in the Asia-Pacific region and the rest of the world, in total 553 delegates, participated in the third Asia-Pacific CBR Congress on September 1-3, 2015 in Tokyo, Japan. Our special thanks are due to the organizers of the Congress: the CBR Asia-Pacific Network, the Japanese Society for Rehabilitation of Persons with Disabilities (JSRPD) and the Japan NGO Network on Disabilities (JANNET) in collaboration with the partner organizations* for their hard work to make the Congress successful.

We appreciate the efforts made by the international community to include disability explicitly in the proposed Sustainable Development Goals (SDGs) which will be adopted by the United Nations as a set of global consensus for poverty reduction in line with the principle of the United Nations Convention on the Rights of Persons with Disabilities (CRPD), the CBR Guidelines, the Incheon Strategy to Make the Right Real (2013-2022) and other international instruments.

CBID is one poverty reduction strategy in terms of the inclusion of persons with disabilities and other marginalized groups in any developmental process, regardless of their economic and social development stage. With such view in relation to the proposed SDGs, the following is recommended by the participants based on the intensive discussions during the Congress:

1) CBID to be recognized as an effective strategy for achieving the SDGs and leaving no one behind;

2) CBID to focus on inclusion, peacebuilding, poverty reduction, facilitating community empowerment, introduction and access to customized services, disaster risk reduction, justice for all, and collaboration and mobilization of community resources;

3) International cooperation on CBID to be strengthened between organizations of persons with disabilities, national and local governments, other partners and stakeholders for building the capabilities of persons with diverse disabilities, and SDGs implementation and progress monitoring at all levels in Asia and the Pacific; and,

4) The Fourth Asia-Pacific CBR Congress to be convened in Mongolia in 2019.

Presented and unanimously adopted
at the Third Asia-Pacific CBR Congress, September 3, 2015

* World Health Organization, Economic and Social Commission for Asia and the Pacific, Asia-Pacific Development Center on Disability, Japan International Cooperation Agency, Japan Disability Forum, Japan NGO Center for International Cooperation, CBM, Japanese Physical Therapy Association, The Nippon Foundation, Japanese Association of Occupational Therapists, Beyond MDGs Japan, The Kirin Foundation, Sompo Japan Nipponkoa Welfare Foundation