Restoring Voice to

People

Exploring the Right to Legal Capacity and Supported Decision-Making

Prader-Willi Syndrome Association

Ireland (PWSAI) Conference

Dublin, Ireland

April 19, 2013

Anna Arstein-Kerslake

Centre for Disability Law and Policy

National University of Ireland, Galway

Anna Arstein-Kerslake, Esq.

Family member

Community support service provider

 B.A. in Sociology

 J.D. in Law

Barred to practice in New York

 Marie Curie Research Fellow

Disability Rights Expanding Accessible Markets (DREAM)

Today’s Presentation

Human Rights Protections

Article 12 of the Convention on the Rights of Persons with

Disabilities (CRPD)

 The right to legal capacity

 The right to support for exercising legal capacity

 Supported Decision-Making in Practice

Legal Capacity Law: Legislating

Personhood

Legal capacity = the law recognizing an individual as a decision-maker

What is legal capacity?

Definition:

Capacity to act (enter into K, marriage, vote, etc.)

Capacity to be a holder of rights

Mental Capacity vs.

Legal Capacity

 Mental Capacity = decision-making skills

 Legal Capacity = holder of rights and actor under the law

 Traditional capacity regimes

Functional approach

 Mental Capacity Act 2005 (England and Wales)

Status approach

Ward of Court (Ireland)

 Outcome approach

Mental Health Law

Human Rights

United Nations Convention on the Rights of Persons with Disabilities (CRPD)

Article 12 – the Right to Equal Recognition

Right to Legal Capacity

Right to Supported Decision-Making

CRPD, Article 12(1-3)

1. States Parties reaffirm that persons with disabilities have the right to recognition everywhere as persons before the law.

 2. States Parties shall recognize that persons with disabilities enjoy legal capacity on an equal basis with others in all aspects of life.

 3. States Parties shall take appropriate measures to provide access by persons with disabilities to the support they may require in exercising their legal

capacity.

CRPD, Article 12(4)

4. States Parties shall ensure that all measures that relate to the exercise of legal capacity provide for appropriate and effective safeguards to prevent abuse in accordance

with international human rights law. Such safeguards shall ensure that measures relating to the exercise of legal capacity respect the rights, will and preferences of the person , are free of conflict of interest and undue influence, are proportional and tailored to the person's circumstances, apply for the shortest time possible and are subject to regular review by a competent, independent and impartial authority or judicial body. The safeguards shall be proportional to the degree to which such measures affect the person's rights and interests.

CRPD, Article 12

 Requirements of Article 12

 NO denials of legal capacity (“Universal Legal Capacity”)

REPLACE substituted decision making with supported decision making

 Substituted decision making =

 “Best Interest” paradigm

 Supported decision making =

 “Will and Preference” paradigm

Ensure adequate safeguards

Support Paradigm

Everyone is presumed to be legally independent and no one can be forced into a supported or representative arrangement

 Every individual is supported through enabling conditions to exercise his/her legal capacity

Support Paradigm

Support for Exercising Legal Capacity

 Support for interactions and potential interactions with the legal system

E.g. voting, entering into contracts, financial transactions, access to justice, etc.

Supported Decision-Making Generally

 Often interacts with support for exercising legal capacity

 E.g. support for making healthy decisions so your mind and body are healthy for other kinds of decision-making

E.g. sex education and capacity to consent to sex

 E.g. Daily living decision-making, sex education, support in employment, support in education, etc.

Support for Exercising Legal

Capacity

 Access to informal supports

Accessible information

Accessible buildings

Support circles

 Formal supported decision making arrangements

Representation agreements

Supported decision-making personnel

Facilitated decision making (last resort)

Will and preference cannot be determined

Imagined will and preference / sole benefit

New Irish Capacity Legislation

 Heads of Bill (2008)

 NUIG campaigning with Amnesty Ireland for CRPD compliant legislation

Upcoming conference on April 29, 2013

 Supported decision-making in theory & practice: Ireland’s capacity bill

 Hopeful that the new draft will include supported decision-making mechanisms

Supported Decision-

Making Generally and

Prader-Willi

Providing Support

 Meet the individual “where s/he is”

No preconceived notions

Be patient

Listen!

 “I make good decisions!”

Trust each other

Empower each other

Listen

 Hopes and desires

 Lifestyle choices

Where to live

Who to live with

Friends

Family

Work

Education

 Preferences for support?

Who?

How?

When?

Nutrition

Trust each other

Develop healthy habits

Dialogue about what is healthy

 Portion sizes

 Calories

 Eating out

Responsibility

 Forgive each other

Exercise

Have fun!

Develop healthy habits

Dialogue about exercise and health

 Building strength

 Being safe

Responsibility

 Have fun!

Community Life

Listen!

Trust

 Lean on others

 Build circle of support

Its not always easy

Conflict is OK – its part of the process

Everyday is a new day

 Let go and have fun together

 Trust each other

Conclusion

 Human rights norms require:

 Respecting the right to be recognized as a person before the law and the right to exercise legal capacity

Fulfilling the right to support in exercising legal capacity

 Listening and empowering

 New support paradigm may be formalized in the new capacity legislation, but informally we can all do it!