A new one and a big one from Lieven J concerning the deprivation of liberty of severely disabled children.
The child, SM, is 12 years' old and has significant diagnoses which impact her mobility, cognition and functioning. She is non-mobile and non-verbal.
The local authority applied for authorisation to deprive SM of her liberty. She resides in a foster care placement pursuant to a care order. The measures which the local authority submitted amount to restrictions on SM's liberty included 1:1 supervision at home, being moved by carers, feeding and the administration of medicine by carers, bed bars to prevent falling, 2:1 supervision in the community and locked doors.
The court refused the application to authorise SM's deprivation of liberty on the basis that the court found there to be no deprivation of liberty present.
Lieven J made two important points.
Firstly, that a number of the measures submitted as 'restrictions' were in fact part of SM's care provision and were not actions taken to deprive her of her liberty. This included moving her, feeding her, supervising her at home and undertaking personal care. The judge distinguished these elements as 'aspects of care which may intrude on an individual's privacy and autonomy... but are not interferences with the right to liberty'.
Secondly, the court considered the process of establishing if a deprivation of liberty is present for a child with such significant disabilities, taking into account the Cheshire West principles. Lieven J was concerned with the comparative approach that is adopted for children and the appropriateness of that when a child's biological age may be very different from the age at which they are functioning or presenting. For SM, the court found that a comparative approach to a non-disabled 12 year old would be an 'unreal exercise, and one that leads to a nonsensical result.' Underpinning that analysis was an appreciation of the fact that, owing to her disabilities, SM was not free to leave her placement and the measures in place that resulted in SM being under close supervision and control were not intended to prevent her leaving (or, it appears, to physically restrict her).
A thoughtful and logical decision which may have a significant impact for local authorities considering whether or not the criteria is met for a deprivation of liberty.
https://lnkd.in/eUK3D6_y
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