The Convention on the Rights of Persons with Disabilities (2006) (CRPD) has been instrumental for initiating and shaping the reform of mental health legislation in many countries, including the eight Australian jurisdictions. Multiple approaches have been proposed to assess and monitor the compliance of States Parties' mental health legislation with the CRPD, and to evaluate its success in protecting and promoting the human rights of people with disabilities. This article reports an effort to index the impact of legislation on human rights by measuring changes in the prevalence of compulsory treatment orders applied to people with mental illness after the introduction of CRPD influenced mental health legislation in the Australian state of Queensland. We found that despite reforms intended to enhance patient autonomy, the prevalence of compulsory treatment orders increased after implementation of the new legislation. Possible reasons behind this unintended consequence of the legislative reform may include a lack of systematized voluntary alternatives to compulsory treatment, a paternalistic and restrictive culture in mental health services and risk aversion in clinicians and society. We recommend that the reforms in mental health policy as well as legislation need to go further in order to achieve the goals embodied in the human rights framework of the CRPD.

中文翻译：

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在澳大利亚昆士兰州，评估经修订的精神卫生法规对人权的影响。

《残疾人权利公约》（2006年）（CRPD）在许多国家，包括澳大利亚的八个司法管辖区，对启动和制定精神卫生立法的改革起到了重要作用。已经提出了多种方法来评估和监测缔约国的心理健康立法与《残疾人权利公约》的遵守情况，并评估其在保护和促进残疾人人权方面的成功。本文报告了一项工作，旨在通过在澳大利亚昆士兰州引入受CRPD影响的精神健康立法后，对适用于精神疾病患者的强制治疗令的流行程度进行衡量，从而对立法对人权的影响进行索引。我们发现，尽管进行了旨在增强患者自主性的改革，新法规实施后，强制治疗令的普及率有所提高。立法改革的这种意想不到的结果背后的可能原因可能包括缺乏强制治疗的系统化自愿替代方案，精神卫生服务中的家长式和限制性文化以及临床医生和社会中的风险规避。我们建议，精神保健政策和立法方面的改革应进一步推进，以实现《残疾人权利公约》人权框架所载的目标。心理健康服务中的家长式和限制性文化，以及临床医生和社会中的风险规避。我们建议，精神保健政策和立法方面的改革应进一步推进，以实现《残疾人权利公约》人权框架所体现的目标。心理健康服务中的家长式和限制性文化，以及临床医生和社会中的风险规避。我们建议，精神保健政策和立法方面的改革应进一步推进，以实现《残疾人权利公约》人权框架所体现的目标。