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Inside Institutions: Institutional Standards and Institutional Controls

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Chapter Summary

This chapter considers a variety of human rights issues that may arise in institutions for people with mental disabilities. Psychiatric hospitals are the most obvious of these institutions, but the issues in the chapter can also arise in other less obviously medical places where people with mental disabilities may be institutionalised, such as social care homes (institutions for people with intellectual disabilities) and homes for the elderly. A second category of issue relevant in the chapter concerns institutional policies that are over-controlling. The chapter discusses the issue of overall standards of care in institutions, and also discusses issues of restraint or control, or of privacy. The most directly relevant guidelines regarding institutional standards for psychiatric and related institutions are those of the CPT. The chapter also talks about the control of people in psychiatric and related institutions, including their restraint and their removal to solitary confinement.

Keywords: CPT; homes for the elderly; human rights; institutional controls; institutional standards; intellectual disabilities; mental disabilities; privacy; psychiatric hospitals; social care homes



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