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A/HRC/WGAD/2018/70

Opinion no. 70/2018 concerning Ms. H (whose name is known by the Working Group) (Japan)

UNO-Arbeitsgruppe über willkürliche Inhaftierung (WGAD) · 2018-11-23 · en UN

Opinion; Subjects: JAPAN, ARBITRARY DETENTION; [WGAD: UNO-Arbeitsgruppe über willkürliche Inhaftierung, willkürliche Haft; Groupe de travail sur la détention arbitraire; Gruppo di lavoro sulla detenzione arbitraria]

Volltext (verifizierbarer Originaltext)

GE.19-00686(E)



Human Rights Council

Working Group on Arbitrary Detention

Opinions adopted by the Working Group on Arbitrary

Detention at its eighty-third session, 19–23 November 2018

Opinion No. 70/2018 concerning Ms. H (whose name is known by the

Working Group) (Japan)

1.

The Working Group on Arbitrary Detention was established in resolution 1991/42 of

the Commission on Human Rights. In its resolution 1997/50, the Commission extended and

clarified the mandate of the Working Group. Pursuant to General Assembly resolution 60/251

and Human Rights Council decision 1/102, the Council assumed the mandate of the

Commission. The Council most recently extended mandate of the Working Group for a three-

year period in Council resolution 33/30.

2.

In accordance with its methods of work (A/HRC/36/38), on 23 July 2018, the Working

Group transmitted to the Government of Japan a communication concerning Ms. H. The

Government replied to the communication on 19 October 2018. The State is a party to the

International Covenant on Civil and Political Rights.

3.

The Working Group regards deprivation of liberty as arbitrary in the following cases:

(a)

When it is clearly impossible to invoke any legal basis justifying the

deprivation of liberty (as when a person is kept in detention after the completion of his or her

sentence or despite an amnesty law applicable to him or her) (category I);

(b)

When the deprivation of liberty results from the exercise of the rights or

freedoms guaranteed by articles 7, 13, 14, 18, 19, 20 and 21 of the Universal Declaration of

Human Rights and, insofar as States parties are concerned, by articles 12, 18, 19, 21, 22, 25,

26 and 27 of the Covenant (category II);

(c)

When the total or partial non-observance of the international norms relating to

the right to a fair trial, established in the Universal Declaration of Human Rights and in the

relevant international instruments accepted by the States concerned, is of such gravity as to

give the deprivation of liberty an arbitrary character (category III);

(d)

When asylum seekers, immigrants or refugees are subjected to prolonged

administrative custody without the possibility of administrative or judicial review or remedy

(category IV);

(e)

When the deprivation of liberty constitutes a violation of international law on

the grounds of discrimination based on birth, national, ethnic or social origin, language,

religion, economic condition, political or other opinion, gender, sexual orientation, disability,

or any other status, that aims towards or can result in ignoring the equality of human beings

(category V).

United Nations

A/HRC/WGAD/2018/70

General Assembly

Distr.: General

16 January 2019

Original: English

A/HRC/WGAD/2018/70

2

Submissions

Communication from the source

4.

Ms. H, born in1949, is a citizen of Japan residing in Tokyo. The source reports that

prior to her compulsory hospitalization, Ms. H had lived in various hotels for about 10 years.

It is reported that she started doing so after a burglar had entered her apartment.

5.

According to the source, Ms. H had been staying at the Shinjuku Washington Hotel

for about four months when, on 1 or 2 August 2016, she accidentally soiled her bed. Ms. H

informed the hotel’s cleaning staff of this accident, but left the hotel without telling the front

desk clerk about it.

6.

The source further reports that when Ms. H returned to the hotel in the evening of the

same day, two police officers were waiting for her. They took Ms. H to the Shinjuku police

station in a police vehicle. From the Shinjuku police station, Ms. H was again taken by police

to Matsuzawa Hospital. After being examined by a doctor, she was forcibly admitted to the

hospital.

7.

Ms. H stayed at Matsuzawa Hospital from August 2016 until March 2018, when she

was transferred to Sankei Hospital where she reportedly remains to date, without the prospect

of discharge.

8.

The source notes that initially, Ms. H’s hospitalization was classified as an

“involuntary admission”. The source specifies that according to article 29 of the Act on

Mental Health and Welfare for the Mentally Disabled (Act No. 123 of 1950), a person is

involuntarily admitted to a designated hospital by the authority of the prefectural governor

after more than two qualified psychiatrists have examined the person and determined that he

or she is mentally impaired and dangerous to him or herself or to others. The same article

stipulates that the prefectural governor shall inform the person of the fact that the order for

involuntary admission would be done in writing.

9.

According to the source, after Ms. H’s guardian agreed to her hospitalization, the type

of hospitalization was changed to “hospitalization for medical care and protection”. The

source explains that this type of hospitalization is used in situations when a person with a

psychosocial disability is involuntarily admitted based on an examination by psychiatrists

and with the consent of a close family member or a guardian. Relevant provisions are

contained in paragraph 1 of article 33 of the Act on Mental Health and Welfare for the

Mentally Disabled.

10.

The source maintains that the reason for the initial deprivation of liberty of Ms. H by

the authority of the prefectural governor was not disclosed. The source states that it is

currently making inquiries to determine the diagnosis arrived at by doctors at the time of the

hospitalization. The source further maintains that Ms. H soiled the bed in the hotel because

of a health condition and because of her advanced age, and that her psychosocial disability

was not the cause of the accident.

11.

According to the source, Ms. H has had difficulty walking from the very beginning of

her hospitalization. Considering her physical condition, the source argues that the hospital

administration does not have to keep her in a closed environment. The source maintains that

the authorities should provide her with nursing care, using social welfare services rather than

compulsory hospitalization.

12.

The source further notes that under the Japanese legal system, Ms. H cannot

participate in judicial proceedings and her adult guardian must act as her legal representative

in lawsuits. However, the adult guardian of Ms. H consented to her compulsory

hospitalization. There is thus a conflict of interest between Ms. H and her adult guardian. In

the present case, Ms. H is unable to initiate judicial proceedings to challenge the decision to

hospitalize her involuntarily.

13.

The source submits that no matter what diagnosis was made by the designated doctors,

there was no causal link between her psychosocial disability and the risk that Ms. H would

harm herself or others. It is argued that this case therefore does not fulfil the requirement of

article 29 of the Act on Mental Health and Welfare for the Mentally Disabled. Consequently,

A/HRC/WGAD/2018/70

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the involuntary admission of Ms. H has no legal basis and amounts to arbitrary detention.

The source concludes that the deprivation of liberty of Ms. H falls within category I of the

categories applicable to the consideration of cases submitted to the Working Group.

14.

The source also argues that the decision to hospitalize Ms. H was based on the fact

that she had a psychosocial disability. She had no prior criminal record. According to the

source, her hospitalization therefore amounts to discrimination based on her psychosocial

disability. The source concludes that the deprivation of liberty of Ms. H thus falls within

category V of the categories applicable to the consideration of cases submitted to the Working

Group.

Response from the Government

15.

On 23 July 2018, the Working Group transmitted the allegations from the source to

the Government of Japan under its regular communications procedure. The Working Group

requested the Government to provide, by 21 September 2018, detailed information about the

current situation of Ms. H and to clarify the legal provisions justifying her continued

detention, as well as its compatibility with Japan’s obligations under international human

rights law and, in particular, with regard to the treaties ratified by the State. Moreover, the

Working Group called upon the Government to ensure her physical and mental integrity.

16.

On 30 August 2018 the Government of Japan requested an extension of two months

for its reply. In accordance with paragraph 16 of its methods of work, the Working Group

granted an extension of one month, with the new deadline of 21 October 2018.

17.

On 19 October 2018, the Government submitted a reply to the Working Group. In its

reply the Government explains that it has investigated facts related to the allegations referred

to by the Working Group in its request for information, and confirmed that Ms. H was always

treated in a proper manner in line with both the Police Duties Execution Act and the Act on

Mental Health and Welfare for the Mentally Disabled.

18.

The Government argues that, in accordance with the relevant provision of article 8 of

the Act on the Protection of Personal Information Held by Administrative Organs, it is not

possible for it to submit further details. However, the Government confirms that the

protection and hospitalization of the said person were conducted in an appropriate manner in

line with the relevant domestic laws, and that these actions do not constitute arbitrary

detention.

19.

The Government submitted the explanation and excerpts of the national legislation

reflected below, noting that the English text is an unofficial translation and requesting the

Working Group to refer to the original Japanese version for accuracy.

Overview of protection by a police official for a person with mental derangement

20.

The Police Duties Execution Act stipulates as follows:

Article 3 (1). In the event that a police official identifies a person who clearly falls

under any of the following items, judging reasonably on the basis of unusual

behaviour and other surrounding circumstances, and moreover has reasonable

grounds to believe that such person needs emergency aid and protection, the police

official shall provide such person immediate protection at any appropriate place, such

as a police station, hospital, shelter, etc.

(i)

A person who is likely to endanger his/her own life or those of others,

or inflict injury on his/her own body or property or those of others, due to

mental derangement or drunkenness; or

(ii)

(omitted).

Overview of involuntary hospitalization system in Japan under the Act on Mental Health

and Welfare for the Mentally Disabled

21.

In Japan, the Act on Mental Health and Welfare for the Mentally Disabled stipulates

“involuntary hospitalization by administrative order”, “hospitalization for medical care and

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protection” and other types of hospitalization as means of involuntary hospitalization of a

mentally disabled patient.

(i)

“Involuntary hospitalization by administrative order” is carried out when a

prefectural governor, based on a police officer’s report or notification, has a

designated physician of mental health conduct evaluations of a person, and as a result

it is found that the person has mental disorders and that the person may commit self-

harm or harm others (art. 29);

(ii)

“Urgent involuntary hospitalization” is carried out in a pressing situation when

the procedures for “involuntary hospitalization by administrative order” cannot be

taken for a person, and as a result of evaluations by a designated physician of mental

health, if it is found that the person has a high risk of committing self-harm or harming

others if not hospitalized immediately. The hospitalization period shall be for up to a

maximum of 72 hours (art. 29-2);

(iii)

“Hospitalization for medical care and protection” is carried out when it is found

as a result of evaluations by a designated physician of mental health that a person has

mental disorders requiring hospitalization for medical care and protection. When the

person is not in a condition to decide his/her voluntarily hospitalization, the person

concerned can be hospitalized with the consent of the person’s family members (or

legal representatives), even without the consent of the person in question. If such a

person has no family members (or legal representatives) or if his/her family members

(or legal representatives) cannot express his/her will, the person is hospitalized based

on the consent of the head of the municipality to which the person belongs (art. 33);

(iv)

Each of the hospitalizations as mentioned above is carried out by the due

process of law. They cannot be carried out simply because a person has mental

disorders but are carried out only when certain requirements are fulfilled, such as in

cases where the person concerned may commit self-harm or harm others or where the

person cannot be voluntarily hospitalized.

22.

In addition, a request to the prefectural governor to discharge a person hospitalized in

a mental hospital, or a request to the prefectural governor to order the administrator of the

mental hospital to discharge the hospitalized person or improve his/her treatment, may be

made by the hospitalized person him/herself or his/her family members (or legal

representatives) (art. 38-4). When such a request is made, the prefectural governor shall

request a psychiatric review board (an independent third party) to review the patient and,

based on the review results of the psychiatric review board, the governor shall discharge the

patient who has been recognized as not requiring the hospitalization, or shall order the

administrator of the mental hospital to discharge the patient or take necessary measures for

improving his/her treatment (art. 38-5). A psychiatric review board shall be established in

every prefecture in order to review the requests from inpatients or their family members (or

legal representatives) to discharge the patient and to decide whether such requests are

acceptable or not (art. 12). Persons who are dissatisfied with “involuntary hospitalization by

administrative order” may request the Minister of Health, Labour and Welfare to review the

case.

Conflict of interest between the statutory agent and the adult ward

23.

According to the Civil Code and the Code of Civil Procedure, in general, an adult

ward may not perform any procedural acts except through a statutory agent (a guardian of an

adult). However, if there is a conflict of interest between the statutory agent and the adult

ward, the statutory agent may be unable to exercise the authority of representation. If an act

involves a conflict of interest between a guardian and a ward, a guardian shall apply to the

family court to have a special representative for the ward appointed (Civil Code, arts. 860

and 820 (1)). A special representative can be appointed at the request of a ward or his/her

relative, or a guardian, or ex officio.

24.

The family court may appoint a supervisor of a guardian, when it finds this necessary,

at the request of a ward or his/her relative, or a guardian, or ex officio. A supervisor of a

guardian represents the ward in conduct where there is a conflict of interest between the ward

and the guardian (Civil Code, arts. 849 and 851 (4)).

A/HRC/WGAD/2018/70

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Protection of personal information in Japan.

25.

In Japan, the Act on the Protection of Personal Information Held by Administrative

Organs has been enacted. According to this law, restrictions are imposed on the provision of

personal information retained by an administrative organ. The provisions of the relevant

article are shown below.

Article 8

26.

The head of an administrative organ must not, except as otherwise provided by laws

and regulations, use or provide another person with retained personal information for

purposes other than the purpose of use.

27.

Notwithstanding the provisions of the preceding paragraph, when the head of an

administrative organ finds that a case falls under circumstances specified by any of the

following items, the head of that administrative organ may use or provide another person

with retained personal information for purposes other than the purpose of use; however, this

does not apply if it is found that the use by the head or provision to another person of the

retained personal information for purposes other than the purpose of use is likely to cause

unjust harm to the rights or interests of the relevant individual or a third party:

(i)

If the retained personal information is used or provided with the consent of the

relevant individual, or if it is provided to the relevant individual;

(ii)

If an administrative organ uses retained personal information within the organ

only to the extent necessary for executing processes under its jurisdiction provided by

laws and regulations, and there are reasonable grounds for the use of that retained

personal information;

(iii)

If the retained personal information is provided to another administrative

organ, incorporated administrative agency, etc., local public entity or local

incorporated administrative agency in which the person who receives the information

uses it only to the extent necessary for executing processes or business under its

jurisdiction as provided for by laws and regulations, and there are reasonable grounds

for the use of that retained personal information; or

(iv)

If, beyond the cases listed in the preceding three items, the retained personal

information is provided exclusively for statistical purposes or academic research

purposes, provision of the information to other persons is obviously beneficial to the

relevant individual, or there are other special grounds for providing the retained

personal information.

28.

The Government’s reply was sent to the source for further comments on 21 October

2018.

Discussion

29.

The Working Group thanks the source and the Government for their submissions and

appreciates the cooperation and engagement of both parties in this matter.

30.

The source has submitted that the involuntary hospitalization of Ms. H does not fulfil

the requirement of article 29 of the Act on Mental Health and Welfare for the Mentally

Disabled, as there was no causal link between any psychosocial disability which Ms. H may

have been diagnosed with and the risk of her harming herself and/or others. Consequently,

the involuntary admission of Ms. H has no legal basis and amounts to arbitrary detention,

falling under category I of the Working Group. The Government denies these allegations by

asserting that Ms. H was always treated in a proper manner in line with both the Police Duties

Execution Act and the Act on Mental Health and Welfare for the Mentally Disabled. The

Government has argued that it is not able to submit further details, in accordance with the

relevant provision of article 8 of the Act on the Protection of Personal Information Held by

Administrative Organs.

31.

The Working Group firstly reiterates its long-standing practice that, if the source has

established a prima facie case for breach of international requirements constituting arbitrary

detention, the burden of proof should be understood to rest upon the Government if it wishes

A/HRC/WGAD/2018/70

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to refute the allegations. Mere assertions by the Government that lawful procedures have

been followed are not sufficient to rebut the source’s allegations.1

32.

Moreover, it is also not sufficient for the Government to argue that its national

legislation prevents it from providing a detailed explanation of the actions of the national

authorities. Given that the Working Group was created to serve the needs of victims of

arbitrary arrests and detention worldwide and for Member States to hold each other

accountable, Member States must have intended for the mechanism to resolve the disputes

brought by the victims. That was also the motivation of the Human Rights Council when it

reminded States to cooperate fully with the Working Group, as it did most recently in its

resolution 33/30.

33.

Therefore, a reply from the Government is normally expected by the Working Group

within 60 days, during which appropriate inquiries may be carried out by the Government so

as to furnish the Working Group with the fullest possible information.2 The contention by the

Government that its national legislation prevents it from providing detailed information is

incompatible with this requirement.

34.

Turning to the allegations made by the source, the Working Group notes that Ms. H

was taken from the hotel where she was staying on either 1 or 2 August 2016 by two police

officers who took her to the Shinjuku police station in a police vehicle. The Working Group

particularly notes that this initial arrest by the police was not preceded by allegations of any

crime committed by Ms. H or her being violent towards others or a danger to herself. Indeed,

it was preceded by an unfortunate event of alleged bed soiling which, the Working Group

observes, is not a crime. The Government has provided no explanation as to why police

escorted Ms. H from the hotel where she was staying as a paying guest, and has thus failed

to invoke a legal basis for the initial detention of Ms. H. Article 9 of the Covenant protects

the right of Ms. H to be informed of the reasons for her arrest, a right which was violated in

the present case.

35.

From the police station, Ms. H was then taken from the police station to Matsuzawa

Hospital where, after being examined by doctors, she was involuntary admitted until March

2018. She was then transferred to Sankei Hospital, where she remains. The Government has

not contested these allegations.

36.

The initial involuntary hospitalization of Ms. H took place, according to the source,

in accordance with article 29 of the Act on Mental Health and Welfare for the Mentally

Disabled (Act No. 123 of 1950). However, the legal guardian of Ms. H later agreed to the

hospitalization, which changed the type of hospitalization to “hospitalization for medical care

and protection”, as per article 33 (1) of the same Act. Once again, the Government has not

contested these allegations.

37.

The Working Group observes that arbitrary detention can occur not only in criminal

justice settings but also in health-care settings, such as psychiatric hospitals and other

institutions where individuals may be deprived of their liberty. As the Working Group stated

in its 2016 annual report, the deprivation of personal liberty occurs when a person is being

held without his or her free consent.3 In the present case, Ms. H has been unable to leave the

hospital, initially due to the involuntary nature of her hospitalization and then due to

“hospitalization for medical care and protection”, to which her legal guardian consented.

38.

The Working Group notes that according to article 9 of the Covenant, a person may

be deprived of liberty only when it is prescribed expressly by the national legislation and in

accordance with the procedure set out in that legislation. In the present case, the Working

Group observes that article 29 of the Act on Mental Health and Welfare for the Mentally

Disabled (Act No. 123 of 1950) permits hospitalization only when two or more designated

mental health doctors have arrived at the same judgment that the person in question has a

psychosocial disability and that the person could harm him/herself or others due to his/her

psychosocial disability unless he/she is hospitalized for medical care and protection. In such

1 A/HRC/19/57, para. 68. See also, for example, opinions No. 15/2017, No. 51/2017 and No. 43/2018.

2 A/HRC/36/38, para. 15.

3 A/HRC/36/37, para. 51. See also A/HRC/30/37, para. 9; and opinions No. 68/2017 and No. 8/2018.

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a case, the prefectural governor shall inform the person, in writing, of the fact that he/she

shall be subjected to involuntary admission.

39.

Without making any assessment of the compatibility of the above provisions of that

national law with the international human rights obligations undertaken by Japan, it appears

obvious to the Working Group that those provisions were not followed during the involuntary

hospitalization of Ms. H. First, the initial detention of Ms. H was carried out by the police,

most likely following an unfortunate incident of Ms. H allegedly soiling her hotel bed and

not on the basis of a decision made by a designated doctor who had made an assessment of

the health of Ms. H. The Working Group is mindful that there is no indication that Ms. H was

violent or posed a danger to herself or others prior to or during her detention.

40.

Second, when Ms. H was transferred to Matsuzawa Hospital, she was not examined

by at least two designated doctors who confirmed the need for the hospitalization, as clearly

required by the national legislation. As claimed by the source, and not contested by the

Government, Ms. H was involuntary hospitalized by the decision of a single doctor. Third,

Ms. H was not notified in writing of the need for her involuntary admission. Consequently,

the involuntary admission of Ms. H to Tokyo Metropolitan Matsuzawa Hospital disregarded

all the prescriptions of article 29 of the Act on Mental Health and Welfare for the Mentally

Disabled (Act No. 123 of 1950).

41.

The Working Group recalls that it is not sufficient that a law exists which may justify

the detention of persons; the authorities must invoke that law in the individual circumstances

and do so in compliance with the procedure prescribed by the said law.4 In the present case,

while article 29 of the Act on Mental Health and Welfare for the Mentally Disabled (Act No.

123 of 1950) may have justified the deprivation of liberty of Ms. H, the failure of Japanese

authorities to follow the procedure prescribed in that law means that they cannot rely on the

provisions of this Act as the legal basis justifying the deprivation of liberty. In other words,

the Working Group concludes that the authorities of Japan failed to respect their own national

legal provisions in relation to the involuntary hospitalization of Ms. H and thus also breached

article 9 of the Covenant, which specifically requires that any detention must be carried out

in accordance with the law.5

42.

The Working Group wishes to further underline that any instance of deprivation of

liberty, including internment in psychiatric hospitals, must meet the standards set out in

article 9 of the Covenant. The Working Group, in the United Nations Basic Principles and

Guidelines on Remedies and Procedures on the Rights of Anyone Deprived of Their Liberty

to Bring Proceedings before a Court, has stated that, where a person with a disability is

deprived of his or her liberty through any process, that person is, on an equal basis with

others, entitled to guarantees in accordance with international human rights law, necessarily

including the right to liberty and security of person, reasonable accommodation and humane

treatment in accordance with the objectives and principles of the highest standards of

international law pertaining to the rights of persons with disabilities. A mechanism, complete

with due process of law guarantees, shall be established to review cases of placement in any

situation of deprivation of liberty without specific, free and informed consent. Such reviews

are to include the possibility of appeal.6

43.

The Working Group observes that all such due process guarantees were absent in

relation to the involuntary hospitalization of Ms. H, in a further breach of article 9 of the

Covenant.

44.

The Working Group further recalls that according to the Basic Principles and

Guidelines, the right to challenge the lawfulness of detention before a court is a self-standing

human right, which is essential to preserve legality in a democratic society.7 That right, which

is in fact a peremptory norm of international law, applies to all forms of deprivation of

4 See, for example, opinions No. 46/2017, No. 66/2017 and No. 75/2017.

5 See opinion No. 68/2017.

6 A/HRC/30/37, annex, paras. 104–105.

7 Ibid., paras. 2–3.

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liberty,8 as well as to all situations of deprivation of liberty, not only to detention for purposes

of criminal proceedings but also to situations of detention under administrative and other

fields of law, including military detention, security detention, detention under counter-

terrorism measures, involuntary confinement in medical or psychiatric facilities, migration

detention, detention for extradition, arbitrary arrest, house arrest, solitary confinement,

detention for vagrancy or drug addiction, and detention of children for educational purposes.9

Moreover, it also applies irrespective of the place of detention or the legal terminology used

in the legislation. Any form of deprivation of liberty on any ground must be subject to

effective oversight and control by the judiciary.10

45.

The Working Group notes that those provisions were clearly ignored in the case of

Ms. H, as she was unable to challenge the legality of her involuntary admission to Tokyo

Metropolitan Matsuzawa Hospital. Moreover, the Working Group notes that during the

involuntary hospitalization, Ms. H was not the subject of any reviews of her case by an

independent authority that would ascertain whether involuntary hospitalization was

necessary, appropriate and proportionate in the individual circumstances of the case. This is

a clear further breach of article 9 (4) of the Covenant.

46.

The Working Group notes that at some point the type of hospitalization of Ms. H was

changed to “hospitalization for medical care and protection”, with the consent of her legal

guardian. The source submits that there is no mechanism for Ms. H to challenge this consent

as, in accordance with the Japanese legal system, she cannot participate in judicial

proceedings.

47.

The Working Group notes that, according to the information submitted by the

Government, in instances when there is a conflict of interest between a guardian and a ward,

a guardian shall apply to the family court to have a special representative for the ward

appointed (Civil Code, arts. 860 and 820 (1)), and such special representative can be

appointed at the request of a ward or his/her relative, a guardian, or ex officio by the family

court. In such instances, a guardian’s supervisor is appointed to represent the ward where

there is a conflict of interest between the ward and the guardian (Civil Code, arts. 849 and

851 (4)).

48.

The Working Group observes, however, that the application of this procedure rests

entirely upon the action of the guardian, who has to come forward and declare his/her conflict

of interest. There appears to be no possibility for the ward him/herself to challenge the

appointed guardian, which is contrary to the provisions of article 9 (4) of the Covenant.11

49.

Moreover, the Working Group also observes that during the period of Ms. H’s

“hospitalization for medical care and protection” with the consent of her legal guardian, her

case was not subject to any reviews by an independent authority that would ascertain whether

that was necessary, appropriate and proportionate in the individual circumstances of the case.

This is yet a further breach of article 9 (4) of the Covenant.

50.

The Working Group therefore concludes that both the involuntary hospitalization and

the “hospitalization for medical care and protection” with the consent of her legal guardian

of Ms. H since 1 or 2 August 2016 are arbitrary and fall under category I, as they were not

carried out in accordance with the procedure established by national law and therefore lacked

the requisite legal basis and did not provide for the requisite due process guarantees, as Ms.

H was not able to challenge the legality of her detention.12 In arriving at this finding, the

Working Group is mindful of the 2014 concluding observations on Japan of the Human

Rights Committee, in which it expressed concerns over the frequent use of involuntary

hospitalization on very broad terms of people with psychosocial disabilities for lengthy

8 Ibid., para. 11.

9 Ibid., para. 47 (a).

10 Ibid., para. 47 (b).

11 See paragraph 23 above.

12 See also opinions No. 68/2017 and No. 8/2018.

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periods of time and without access to an effective remedy to challenge violations of their

rights.13

51.

The source has also submitted that the detention of Ms. H falls under category V, since

her involuntary hospitalization was discriminatory, as it was carried out on the basis of her

psychosocial disability. The Working Group notes the response of the Government

summarized in paragraph 27 above.

52.

The Working Group notes that Japan has been a party to the Convention on the Rights

of Persons with Disabilities since 20 January 2014. The Working Group reiterates14 that it is

contrary to the provisions of that Convention to deprive a person of his or her liberty on the

basis of disability (art. 14).15 Moreover, as the Working Group stated in the Basic Principles

and Guidelines, the involuntary committal or internment of persons on the grounds of the

existence of an impairment or perceived impairment is prohibited.16

53.

The Working Group once again wishes to emphasize that Ms. H was initially detained

due to an allegation that she had soiled a bed in the hotel where she was staying, an

unfortunate event but not one that could be described as violent or dangerous to herself or

others. The Working Group is especially mindful that the Government has not contested the

circumstances leading up to the detention of Ms. H.

54.

Neither at the time of her detention nor prior to it was there any evidence of Ms. H

being violent or otherwise presenting a danger to herself and/or others. Her subsequent

transfer to Tokyo Metropolitan Matsuzawa Hospital appears to have had no connection to

the initial event of the alleged bed soiling, which, as noted earlier, is neither a crime nor a

violent act in itself.

55.

It appears to the Working Group that Ms. H may have become somewhat of a nuisance

to the hotel where she was staying as a paying guest, and that the hotel used the alleged

incident as an excuse to be rid of her with the full support of the police and the medical

authorities. The Working Group is disconcerted at the treatment of Ms. H by the Japanese

authorities and considers that the deprivation of liberty of Ms. H was conducted purely on

the basis of her psychosocial disability, and was thus discriminatory. The Working Group

therefore concludes that the detention of Ms. H and her subsequent internment in Tokyo

Metropolitan Matsuzawa Hospital and Sankei Hospital were discriminatory and fall under

category V. In arriving at this finding, the Working Group is mindful of the 2013 concluding

observations of the Committee against Torture on Japan, in which the Committee expressed

its concerns over the frequent use of involuntary hospitalization of people with psychosocial

disabilities for lengthy periods of time.17 The Working Group also notes that these concerns

were echoed by the Human Rights Committee in its 2014 concluding observations on Japan.

56.

The Working Group also refers the present case for further consideration to the

Special Rapporteur on the rights of persons with disabilities, the Special Rapporteur on the

right of everyone to the enjoyment of the highest attainable standard of physical and mental

health and the Special Rapporteur on the enjoyment of all human rights by older persons.

57.

The Working Group would welcome the opportunity to work constructively with the

Government of Japan to address its serious concerns relating to arbitrary deprivation of

liberty. On 30 November 2016, the Working Group sent a request to the Government to

undertake a country visit and welcomes the engagement of the Government through the

meetings the Working Group has held with the Permanent Mission of Japan to the United

Nations Office at Geneva to discuss further the possibility of such a visit. On 2 February

2018, the Working Group reiterated its request to the Government to undertake a country

visit and hopes that it will receive a positive response from the Government as a sign of its

13 CCPR/C/JPN/CO/6, para. 17.

14 A/HRC/36/37, para. 55; see also opinion No. 68/2017.

15 See also Human Rights Committee, general comment No. 35 (2014) on liberty and security of person,

para. 19.

16 A/HRC/30/37, annex, para. 103.

17 CAT/C/JPN/CO/2, para. 22.

A/HRC/WGAD/2018/70

10

willingness to enhance its cooperation with the special procedures of the Human Rights

Council.

Disposition

58.

In the light of the foregoing, the Working Group renders the following opinion:

The deprivation of liberty of Ms. H, being in contravention of articles 2, 3, 6, 7, 8 and

9 of the Universal Declaration of Human Rights and of articles 2, 9, 16 and 26 of the

International Covenant on Civil and Political Rights, is arbitrary and falls within

categories I and V.

59.

The Working Group requests the Government of Japan to take the steps necessary to

remedy the situation of Ms. H without delay and bring it into conformity with the relevant

international norms, including those set out in the Universal Declaration of Human Rights

and the International Covenant on Civil and Political Rights.

60.

The Working Group considers that, taking into account all the circumstances of the

case, the appropriate remedy would be to release Ms. H immediately and accord her an

enforceable right to compensation and other reparations, in accordance with international

law.

61.

The Working Group urges the Government to ensure a full and independent

investigation of the circumstances surrounding the arbitrary deprivation of liberty of Ms. H

and to take appropriate measures against those responsible for the violation of her rights.

62.

In accordance with paragraph 33 (a) of its methods of work, the Working Group refers

the present case to the Special Rapporteur on the rights of persons with disabilities, the

Special Rapporteur on the right of everyone to the enjoyment of the highest attainable

standard of physical and mental health and the Special Rapporteur on the enjoyment of all

human rights by older persons.

63.

The Working Group requests the Government to disseminate the present opinion

through all available means and as widely as possible.

Follow-up procedure

64.

In accordance with paragraph 20 of its methods of work, the Working Group requests

the source and the Government to provide it with information on action taken in follow-up

to the recommendations made in the present opinion, including:

(a)

Whether Ms. H has been released and, if so, on what date;

(b)

Whether compensation or other reparations have been made to Ms. H;

(c)

Whether an investigation has been conducted into the violation of Ms. H’s

rights and, if so, the outcome of the investigation;

(d)

Whether any legislative amendments or changes in practice have been made to

harmonize the laws and practices of Japan with its international obligations in line with the

present opinion;

(e)

Whether any other action has been taken to implement the present opinion.

65.

The Government is invited to inform the Working Group of any difficulties it may

have encountered in implementing the recommendations made in the present opinion and

whether further technical assistance is required, for example through a visit by the Working

Group.

66.

The Working Group requests the source and the Government to provide the above-

mentioned information within six months of the date of transmission of the present opinion.

However, the Working Group reserves the right to take its own action in follow-up to the

opinion if new concerns in relation to the case are brought to its attention. Such action would

enable the Working Group to inform the Human Rights Council of progress made in

implementing its recommendations, as well as any failure to take action.

A/HRC/WGAD/2018/70

11

67.

The Working Group recalls that the Human Rights Council has encouraged all States

to cooperate with the Working Group and has requested them to take account of its views

and, where necessary, to take appropriate steps to remedy the situation of persons arbitrarily

deprived of their liberty, and to inform the Working Group of the steps they have taken.18

[Adopted on 20 November 2018]

18 See Human Rights Council resolution 33/30, paras. 3 and 7.