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13. 01. 2015.

NPМ оn the Rights of Persons With Mental Disabilities: The New Act is a Step Forward, Its Implementation a Challenge






Protector of Citizens - Ombudsman of Autonomous Province of Vojvodina

NPМ оn the Rights of Persons With Mental Disabilities: The New Act is a Step Forward, Its Implementation a Challenge


Round table: 'The Role of the National Torture Prevention Mechanism (NPM) in Combating Torture, Inhuman or Cruel Handling of PMDs'Involvement of all relevant instances in proceedings concerning the rights of persons with mental disabilities (PMDs), esp. that of the systemic human rights protection mechanisms, is of utmost significance in protection of their rights, particularly of people facing institutionalization or already using services of a specialized healthcare or welfare facility. In their address at the opening of the round table entitled 'The Role of the National Torture Prevention Mechanism (NPM) in Combating Torture, Inhuman or Cruel Handling of PMDs' the Deputy Serbian Ombudsman Milos Jankovic and Deputy Provincial Citizens' Protector - Ombudsman Stevan Arambasic agreed that, over the course of the last four years, the relationship of the institutions and facilities providing services to PMDs and the NPM developed from initial antagonism into collaboration focusing on a common goal.

Today's event in Novi Sad brought together representatives of specialized psychiatric hospitals, psychiatry departments of general hospitals, ambulance services, two national Ministries (that of healthcare and the police), as well as the NPM member institutions and organizations monitoring the operation of healthcare and welfare facilities providing services and care to PMDs.

According to Natasa Novakovic from the Human Rights and Rule of Law Department with the OSCE Mission to Serbia, meetings like this are significant because even depriving PMDs of their civil capacity in extra-judicial proceedings can end so that a person practically loses everything.

'If such a person has additionally been deprived of his or her freedom, it is as if he or she has vanished from the face of the Earth,' concluded Novakovic.

The round table was a chance to discuss some of the provisions of the PMD Protection Act relevant for the NPM operation presented by the Deputy Serbian Ombudsman Milos Jankovic. The Deputy Provincial Citizens' Protector - Ombudsman Stevan Arambasic talked about the detainment and placement of PMDs into a psychiatric facility without their consent, their physical restraining and isolation, while the role of NPM in the process of deinstitutionalization of psychiatric facilities from the prevention aspect of this mechanism was presented by Vladimir Jovic, MD from the International Aid Network (IAN).

The event participants also shared their experience concerning implementation of certain provisions of the regulations in force in order to provide suggestions for improvement of harmonization and coordination of procedures concerning PMDs. Most remarks during the discussion concerned the issue of practical implementation of these provisions in the light of the best interest of both PMDs, esp. as related to the security of individuals being deprived of freedom, and the employees in the institutions actually carrying out such procedures physically. Cooperation of the institutions into which PMDs are (to be) placed and the police is of special importance, but still more efficient systemic solutions and education of employees in all institutions involved are absolutely necessary. This would provide a major impetus for provision of efficient and purposeful crisis intervention and action of these institutions, as well as a long-term prevention, so the security related risks concerning all individuals involved in this process, along with the possible human rights violation of people being deprived of their freedom, would be minimalized. It was also estimated that deinstitutionalization of such institutions would not take root unless systemic preconditions had been provided for, along with devising specific, effective solutions both for beneficiaries of and employees in the system of providing services to PMDs.

The host of today's round table was the Provincial Protector of Citizens - Ombudsman institution in collaboration with the Protector of Citizens of the Republic of Serbia and the OSCE Mission in Serbia.





NPM o postupanju sa licima sa mentalnim smetnjama: Novi zakon je pomak, praksa još uvek izazov


onlineimageresize com DSCI0575Za zaštitu prava osoba sa mentalnim smetnjama, naročito onima koje su smeštene u ustanove zatvorenog tipa, najvažnija je uključenost svih relevantnih instanci, naročito sistemskih mehanizama za zaštitu ljudskih prava, u postupke ostvarivanja njihovih prava. U svojim uvodnim izlaganjima prilikom otvaranja okruglog stola „Uloga Nacionalnog mehanizma za prevenciju torture u sprečavanju torture, nehumanog i nečovečnog postupanja prema licima sa mentalnim smetnjama” zamenik zaštitnika građana Republike Srbije Miloš Janković i zamenik pokrajinskog zaštitnika građana - ombudsmana Stevan Arambašić složili su se da se tokom protekle četiri godine odnos institucija i ustanova koje se bave osobama sa mentalnim smetnjama i Nacionalnog preventivnog mehanizma (NPM-a) razvio od početnog antagonizma do saradnje budući da imaju zajednički cilj.

Današnji skup u Novom Sadu okupio je predstavnike i predstavnice specijalnih psihijatrijskih bolnica, odeljenja psihijatrije u opštim bolnicama, službi hitne pomoći, ministarstava zdravlja i unutrašnjih poslova, kao i institucija i organizacija NPM-a koji vrše nadzor u ustanovama za zbrinjavanje i smeštaj osobama sa mentalnim smetnjama. Po rečima Nataše Novaković, rukovoditeljice programa za ljudska prava i krivičnopravni sistem Misije OEBS u Srbiji, ovakvi skupovi značajni su i zbog toga što lišavanje poslovne sposobnosti osoba sa mentalnim smetnjama u vanparničnom postupku može praktično dovesti i do toga da ta osoba izgubi sve. „Ukoliko je ta osoba uz to još i lišena slobode, to je kao da je izbrisana sa lica zemlje,“ zaključila je Novaković.

Ovaj okrugli sto bio je prilika da se razmotre pojedine odredbe Zakona o zaštiti lica sa mentalnim smetnjama značajne za rad NPM-a, a na koje se kao uvod u diskusiju osvrnuo zamenik zaštitnika građana Republike Srbije Miloš Janković. Zamenik pokrajinskog zaštitnika građana - ombudsmana Stevan Arambašić govorio je o zadržavanju i smeštaju lica sa mentalnim smetnjama u psihijatrijsku ustanovu bez njihovog pristanka, njihovom fizičkom sputavanju i izolaciji, dok je o ulozi NPM-a u procesu deinstitucionalizacije psihijatrijskih ustanova sa aspekta preventivnog delovanja ovog mehanizma govorio dr Vladimir Jović iz organizacije „Međunarodna mreža pomoći” (IAN).

Učesnice i učesnici skupa razmenili su i svoja iskustva u vezi sa primenom pojedinih odredbi postojećih propisa kako bi svojim sugestijama doprineli usaglašavanju procedura u postupanju prema licima sa mentalnim smetnjama. Preovlađujuća zapažanja tokom diskusije odnosila su se na pitanja praktične primene odredbi važećih propisa u najboljem interesu ovih osoba, naročito u kontekstu bezbednosti onih osoba koje bivaju lišene slobode, kao i zaposlenih u ustanovama koji ovaj postupak fizički sprovode. Naročito značajnom ocenjena je saradnja ustanova za smeštaj osoba sa mentalnim smetnjama i policije, ali su neophodna i efikasnija sistemska rešenja i edukacija osoba zaposlenih u svim institucijama koje postupaju u ovakvim slučajevima. Time bi se učinio značajan korak ka obezbeđivanju efikasnog i svrsishodnog delovanja institucija u kriznim situacijama, ali i dugoročnom preventivnom delovanju kako bi se rizik po bezbednost svih učesnika ovakvog postupka, ali i eventualno kršenje prava osoba koje se lišavaju slobode, sveo na najmanju moguću meru. Ocenjeno je i da deinstitucionalizacija ovih ustanova neće zaživeti dok god se ne obezbede sistemska uslovi i osmisle konkretna rešenja kako za sve njihove korisnike i korisnice, tako i za zaposlene u sistemu pružanja usluga osobama sa mentalnim smetnjama.

Organizator današnjeg okruglog stola bila je institucija Pokrajinskog zaštitnika građana - ombudsmana u saradnji sa Zaštitnikom građana Republike Srbije i Misijom OEBS u Srbiji.


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