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Guardianship, Substitute or Suported Decision Making监护,替代或支持决策
Guardianship, Substitute or Supported Decision Making? Family Support Network Presentation Newmarket, Ontario May 9, 2012 A Bit of History 1992: “FROM PATERNALISM TO PARTNERSHIP:DEVELOPING LEGAL APPROACHES THAT REINFORCE RATHER THAN DISREGARD THE CAPACITY OF PERSONSWITH MENTAL DISABILITIES TO MAKE CHOICES” Some Guiding Principles “There is no need to limit me” Social inclusion must mean participation in decision making If you “replace” a person, that person has lost their unique personhood “Nothing about us without us” Some undisputed realities No one is without ability; each of us has limited ability. Everyone has a will, meaning a set of preferences, intentions and wishes. Important decisions are hardly ever made by any of us in a social vacuum. You need to have choices available that are worth making so you will have meaningful practice in making decisions. Any scheme adopted for making decisions must meet the test of reducing the vulnerability of the person. Traditional “Capacity” Standards “Able to understand information that is relevant to making a decision” and “Able to appreciate the reasonably foreseeable consequences of a decision or lack of decision” Only “yes” or “no” – no room for “no, but … “yes, with support” Canadian Charter of Rights and Freedoms Section 15: “Every individual is equal before and under the law and has the right to the equal protection and equal benefit of the law without discrimination and, in particular, without discrimination based on … mental or physical disability” Section 7: “Everyone has the right to life, liberty and security of the person and the right not to be deprived thereof except in accordance with the principles of fundamental justice” UN Declaration on the Rights of Persons with DisabilitiesRatified by Canada in March 2010 Article 12: 1. “the right to recognition everywhere as persons before the law.” 2. “recognize that persons with disabilities enjoy legal capacity on an equal basis with others” 3. “take a
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