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discapacidad mental ingresan a instituciones de tratamiento psiquiátrico. Esa vulnerabilidad aumentada, se da en razón del desequilibrio de poder existente entre los pacientes y el personal médico responsable por su tratamiento, y por el alto grado de intimidad que caracterizan los tratamientos de las enfermedades psiquiátricas. 130. La Corte considera que todo tratamiento de salud dirigido a personas con discapacidad mental debe tener como finalidad principal el bienestar del paciente y el respeto a su dignidad como ser humano, que se traduce en el deber de adoptar como principios orientadores del tratamiento psiquiátrico, el respeto a la intimidad y a la autonomía de las personas. El Tribunal reconoce que este último principio no es absoluto, ya que la necesidad misma del paciente puede requerir algunas veces la adopción de medidas sin contar con su consentimiento. No obstante, la discapacidad mental no debe ser entendida como una incapacidad para determinarse, y debe aplicarse la presunción de que las personas que padecen de ese tipo de discapacidades son capaces de expresar su voluntad, la que debe ser respetada por el personal médico y las autoridades. Cuando sea comprobada la imposibilidad del enfermo para consentir, corresponderá a sus familiares, representantes legales o a la autoridad competente, emitir el consentimiento en relación con el tratamiento a ser empleado”.97 En la misma línea, en lo relacionado con procedimientos médicos y la capacidad del paciente para manifestar su consentimiento, la Corte IDH ha señalado que “el consentimiento por representación o sustitución se actualiza cuando se ha comprobado que el paciente, por su especial condición, no se encuentra en la capacidad de tomar una decisión en relación a su salud, por lo cual esta potestad le es otorgada a su representante, autoridad, persona, familiar o institución designada por ley. Sin embargo, cualquier limitación en la toma de decisiones tiene que tener en cuenta las capacidades evolutivas del paciente, y su condición actual para brindar el consentimiento. Esta Corte considera que entre los elementos necesarios para otorgar el consentimiento informado por parte de sus familiares, este también debe de ser previo, libre, pleno e informado, a menos que se trate de una situación de emergencia 97 Corte IDH. Caso Ximénes Lópes Vs. Brasil. Sentencia de 4 de julio de 2006. Serie C No. 149. Párr. 129 y 130. 68

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Sentencia C-025/21

Judgment

Question Presented: Whether Article 6 of Law 1996 of 2019, which establishes the presumption of full legal capacity for all persons with disabilities regardless of whether they use supports, is constitutional; whether Article 53 of Law 1996 of 2019, which repealed all provisions related to interdiction and inhabilitation in the Colombian legal system, is constitutional; and whether the shift from a substitute decision-making model (guardianship/interdiction) to a supported decision-making model is consistent with the Colombian Constitution and Colombia's international obligations under the UN Convention on the Rights of Persons with Disabilities (CRPD), ratified by Colombia via Act 1346 of 2009.

Alleged Acts: Law 1996 of 2019 was enacted to reform Colombia's legal capacity regime for persons with disabilities. The law eliminated the civil law mechanisms of "interdiction" (interdicción) and "inhabilitation" (inhabilitación) — forms of guardianship that historically stripped persons with disabilities of their legal capacity, including the right to vote, enter contracts, exercise parental authority, and participate in public life. Under the old regime, a judicial declaration of interdiction resulted in the automatic loss of legal capacity and civil rights, including political rights. Law 1996 of 2019 replaced this substitute decision-making model with a supported decision-making framework, establishing a legal presumption of full capacity for all persons with disabilities and creating mechanisms for "support agreements" (acuerdos de apoyos) and judicial adjudication of supports (adjudicación judicial de apoyos). Several citizens filed constitutional challenges (demandas de inconstitucionalidad) against various articles of Law 1996 of 2019, arguing that the elimination of interdiction and the presumption of full legal capacity for persons with disabilities was unconstitutional. The challengers contended that removing the traditional guardianship framework left vulnerable individuals without adequate protection and that the presumption of capacity could expose persons with disabilities to exploitation or harm.

Procedural history: The constitutional challenges were filed with the Colombian Constitutional Court, which has exclusive jurisdiction over abstract constitutional review of legislation. A companion decision, Sentencia C-022/21 (February 4, 2021), addressed a preliminary procedural challenge regarding whether Law 1996 of 2019 should have been enacted as a statutory law (ley estatutaria) requiring special procedural requirements, rather than an ordinary law. The Constitutional Court resolved that procedural issue, allowing the substantive review to proceed in Sentencia C-025/21.

Summary: Sentencia C-025/21 is a landmark Colombian Constitutional Court decision that upheld the constitutionality of Law 1996 of 2019, which abolished the centuries-old interdiction (guardianship) regime and replaced it with a modern supported decision-making framework. The Court ruled that the presumption of full legal capacity for all persons with disabilities is constitutional, that the prior interdiction system violated human rights — including the right to vote — and that even persons with severe intellectual disabilities must be provided with all reasonable accommodations to express their will and preferences. This ruling aligns Colombian law with the UN Convention on the Rights of Persons with Disabilities (CRPD) and represents one of the most significant constitutional reforms in Latin America regarding the legal capacity and political rights of persons with disabilities. The decision is particularly significant for disability voting rights because it eliminates the legal framework that automatically disenfranchised persons under guardianship and establishes an affirmative constitutional obligation to provide accommodations to facilitate political participation.

Conclusion: The Constitutional Court declared Articles 6 and 53 of Law 1996 of 2019 constitutional (exequible). The Court inhibited itself from ruling on certain other challenged articles but addressed the core provisions. The Court held that Article 6, establishing the presumption of full legal capacity for all persons with disabilities, is consistent with the Constitution's principles and with the provisions of Act 1346 of 2009 (CRPD). The Court affirmed that persons with disabilities are subjects of rights with full legal capacity on equal terms with others. The Court concluded that the prior interdiction regime violated the human rights of persons with disabilities. The denial of legal capacity prevented persons with disabilities from accessing other fundamental rights, including the right to vote, parental authority, and contractual autonomy. As stated in the Court's reasoning: "La negación de la capacidad jurídica de las personas con discapacidad les impide acceder a otros derechos, como el voto, la patria potestad..." (The denial of legal capacity prevents persons with disabilities from accessing other rights, such as voting, parental authority...). The Court declared Article 53 constitutional, affirming that the repeal of all interdiction and inhabilitation mechanisms was a necessary step to comply with Colombia's constitutional and international human rights obligations. The law expressly ordered the repeal of all mechanisms that substitute the legal capacity of persons with disabilities. The Court established that the presumption of legal capacity has a material effect requiring accommodations. As stated: "El efecto de la presunción del ejercicio de la capacidad legal se materializa en que, aún en un caso en el que la persona tiene una discapacidad intelectual y que se encuentra imposibilitada para manifestar su voluntad, debe garantizarse por todos los medios y los ajustes razonables que requiera, la manifestación de su voluntad y preferencias." (The effect of the presumption of the exercise of legal capacity materializes in that, even in a case where the person has an intellectual disability and is unable to manifest their will, their will and preferences must be guaranteed through all means and reasonable adjustments required.). The Court concluded that the recognition of legal capacity for adult persons with disabilities, provided they are given appropriate support and information, is in accordance with the Constitution's principles and with the provisions of Act 1346 of 2009 (approval of the CRPD). The law aligns Colombian jurisprudence with Article 12 of the CRPD, which requires states to recognize persons with disabilities as persons before the law with equal legal capacity in all aspects of life.

Legal Issue(s)

Accessibility
Voters' Rights

Applicable Law(s): Law 1996 of 2019, Colombia Constitution, Act 1346 of 2019, and the Convention on the Right of Disabled Persons

Region: Americas

Country: Colombia

Language of Decision

Spanish

Court: Constitutional Court

Election Type: General

Date of decision: Feb 4, 2021

Geolocation

Latitude: 4.599

Longitude: -74.0755

: Geolocation

Link: https://www.corteconstitucional.gov.co/relatoria/2021/c-025-21.htm

Primary Documents

C-025-21.pdf
Spanish
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