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PERSSON v. SWEDEN

Doc ref: 14451/88 • ECHR ID: 001-45647

Document date: April 14, 1994

  • Inbound citations: 0
  • Cited paragraphs: 0
  • Outbound citations: 1

PERSSON v. SWEDEN

Doc ref: 14451/88 • ECHR ID: 001-45647

Document date: April 14, 1994

Cited paragraphs only



                  EUROPEAN COMMISSION OF HUMAN RIGHTS

                       Application No. 14451/88

                             Gärdh Persson

                                against

                                Sweden

                       REPORT OF THE COMMISSION

                      (adopted on 14 April 1994)

TABLE OF CONTENTS

                                                                 Page

I.    INTRODUCTION

      (paras. 1-19) . . . . . . . . . . . . . . . . . . . . . . . . 1

      A.   The application

           (paras. 2-4) . . . . . . . . . . . . . . . . . . . . . . 1

      B.   The proceedings

           (paras. 5-14). . . . . . . . . . . . . . . . . . . . . . 1

      C.   The present Report

           (paras. 15-19) . . . . . . . . . . . . . . . . . . . . . 2

II.   ESTABLISHMENT OF THE FACTS

      (paras. 20-57). . . . . . . . . . . . . . . . . . . . . . . . 4

      A.   The particular circumstances of the case

           (paras. 20-40) . . . . . . . . . . . . . . . . . . . . . 4

           1.    The compulsory care order

                 (paras. 20-25) . . . . . . . . . . . . . . . . . . 4

           2.    The conditions in the Rosenhill nursing home

                 (paras. 26-35) . . . . . . . . . . . . . . . . . . 4

           3.    The restriction on the applicant's visiting

                 rights in the Rosenhill nursing home

                 (paras. 36-37) . . . . . . . . . . . . . . . . . . 6

           4.    The restriction on the applicant's visiting

                 rights in the Björnkulla nursing home

                 (paras. 38-40) . . . . . . . . . . . . . . . . . . 6

      B.   Evidence before the Commission

           (paras. 41-50) . . . . . . . . . . . . . . . . . . . . . 6

           1.    Witnesses

                 (paras. 41-48) . . . . . . . . . . . . . . . . . . 6

           2.    Other evidence

                 (paras. 49-50) . . . . . . . . . . . . . . . . . . 8

      C.   Relevant domestic law

           (paras. 51-57) . . . . . . . . . . . . . . . . . . . . . 8

           1.    The 1967 Act on the Care of Certain Mentally

                 Handicapped Persons

                 (paras. 51-52) . . . . . . . . . . . . . . . . . . 8

           2.    Supervision of nursing homes

                 (paras. 53-54) . . . . . . . . . . . . . . . . . . 9

           3.    The 1985 Act on Special Care of Mentally

                 Handicapped Persons and Others and the

                 Transitional Act

                 (paras. 55-56) . . . . . . . . . . . . . . . . . . 9

           4.    The 1949 Parental Code

                 (paras. 57-58) . . . . . . . . . . . . . . . . . . 9

III.  OPINION OF THE COMMISSION

      (paras. 59-101) . . . . . . . . . . . . . . . . . . . . . . .11

      A.   Complaints declared admissible

           (para. 59) . . . . . . . . . . . . . . . . . . . . . . .11

      B.   Points at issue

           (para. 60) . . . . . . . . . . . . . . . . . . . . . . .11

      C.   As regards Article 8 of the Convention

           (paras. 61-80) . . . . . . . . . . . . . . . . . . . .  11

           1.    The conditions in the Rosenhill nursing home

                 during the applicant's visits

                 (paras. 62-70) . . . . . . . . . . . . . . . . . .11

                 CONCLUSION

                 (para. 71) . . . . . . . . . . . . . . . . . . . .13

           2.    The restrictions on the applicant's right to visit

                 Kjell Persson in the nursing homes

                 (paras. 72-79) . . . . . . . . . . . . . . . . . .13

                 CONCLUSION

                 (para. 80) . . . . . . . . . . . . . . . . . . . .14

      D.   As regards Article 6 para. 1 of the Convention

           (paras. 81-91) . . . . . . . . . . . . . . . . . . . . .15

           CONCLUSION

           (para. 92) . . . . . . . . . . . . . . . . . . . . . . .16

      E.   As regards Article 13 of the Convention

           (paras. 93-96) . . . . . . . . . . . . . . . . . . . . .16

           CONCLUSION

           (para. 97) . . . . . . . . . . . . . . . . . . . . . . .17

      F.   Recapitulation

           (paras. 98-101). . . . . . . . . . . . . . . . . . . . .17

APPENDIX I       : HISTORY OF THE PROCEEDINGS . . . . . . . . . . .18

APPENDIX II      : PARTIAL DECISION OF THE COMMISSION

                   AS TO THE ADMISSIBILITY OF THE APPLICATION . . .20

APPENDIX III     : FINAL DECISION OF THE COMMISSION

                   AS TO THE ADMISSIBILITY OF THE APPLICATION . . .49

I.    INTRODUCTION

1.    The following is an outline of the case as submitted to the

European Commission of Human Rights, and of the procedure before the

Commission.

A.    The application

2.    The applicant is a Swedish citizen, born in 1937 and resident

at Kista. She was represented before the Commission by

Mrs. Siv Westerberg, a lawyer in Gothenburg.

3.    The application is directed against Sweden. The respondent

Government were represented by Mr. HÃ¥kan Berglin, Ministry for Foreign

Affairs, Stockholm, succeeded by Ms. Eva Jagander of the same Ministry.

4.    The case concerns the restrictions of the applicant's right to

visit her son placed in compulsory care in two nursing homes, the

absence of a right to a court review of those restrictions as well as

the conditions in one nursing home during her visits. The applicant

invokes Articles 6, 8 and 13 of the Convention.

B.    The proceedings

5.    The application was introduced on 2 September 1988 by the

applicant and her son jointly. It was registered on 8 December 1988.

6.    On 15 April 1991 the Commission decided, pursuant to

Rule 48 para. 2 (b) of its Rules of Procedure, to give notice of the

application to the respondent Government and to invite the parties to

submit written observations on the admissibility and merits of part of

the application.

7.    The Government's observations were submitted on 29 July 1991.

The applicants replied on 22 September 1991. Additional observations

were submitted by the applicants on 11 February 1992.

8.    On 13 September 1991 the Commission granted the applicants legal

aid for the representation of their case.

9.    On 11 December 1992 the Government were invited to submit further

information. This was filed on 5 January 1993. The applicants' comments

in reply were submitted on 5 February 1993.

10.   On 3 May 1993 the Commission decided to hold a hearing of the

parties with regard to the applicants' complaints under Article 8 of

the Convention relating to the son's alleged lack of privacy at one

nursing home, their complaint relating to the restrictions of the

mother's visiting rights, their complaints under Articles 6 and 13

relating to the absence of a right to a court review of those

restrictions as well as their complaint under Article 1 of

Protocol No. 1 relating to the administration of and spending of the

son's pension income. The remainder of the application was declared

inadmissible.

11.   The hearing was held on 2 July 1993. The applicants were

represented by Mrs. Siv Westerberg and Ms. Birgitta Hellwig. The

Government were represented by Ms. Eva Jagander and Ms. Eva Hammar.

12.   On 2 July 1993 the Commission declared admissible the complaints

under Articles 6, 8 and 13 of the Convention in so far as they had been

lodged by the present applicant. It declared inadmissible the remainder

of the application.

13.   The text of the Commission's decision on admissibility was sent

to the parties on 12 July 1993 and they were invited to submit further

observations on the merits. The remaining applicant submitted such

observations on 1 September 1993 and the Government on

23 September 1993. Additional observations were submitted by the

Government on 8 October 1993 and by the applicant on 15 October 1993.

14.   After declaring the case admissible, the Commission, acting in

accordance with Article 28 para. 1 (b) of the Convention, also placed

itself at the disposal of the parties with a view to securing a

friendly settlement. In the light of the parties' reaction, the

Commission now finds that there is no basis on which such a settlement

can be effected.

C.    The present Report

15.   The present Report has been drawn up by the Commission in

pursuance of Article 31 of the Convention and after deliberations and

votes, the following members being present:

      MM.  C.A. NØRGAARD

           S. TRECHSEL

           A. WEITZEL

           F. ERMACORA

           E. BUSUTTIL

           H.G. SCHERMERS

           H. DANELIUS

      Mrs. G.H. THUNE

      Mrs. J. LIDDY

      MM.  L. LOUCAIDES

           J.-C. GEUS

           M.A. NOWICKI

           I. CABRAL BARRETO

           B. CONFORTI

16.   The text of this Report was adopted on 14 April 1994 and is now

transmitted to the Committee of Ministers of the Council of Europe, in

accordance with Article 31 para. 2 of the Convention.

17.   The purpose of the Report, pursuant to Article 31 of the

Convention, is:

      i)   to establish the facts, and

      ii)  to state an opinion as to whether the facts found disclose

      a breach by the State concerned of its obligations under the

      Convention.

18.   A schedule setting out the history of the proceedings before the

Commission is attached hereto as Appendix I. The Commission's partial

decision on the admissibility of the application is attached as

Appendix II and its final decision on admissibility as Appendix III.

19.   The full text of the parties' submissions, together with the

documents lodged as exhibits, are held in the archives of the

Commission.

II.   ESTABLISHMENT OF THE FACTS

A.    The particular circumstances of the case

      1.   The compulsory care order

20.   The applicant's only son, Mr. Kjell Persson, born on

3 November 1965, was seriously disabled from birth, both mentally and

physically. He was born, inter alia, with his tongue grown to his

palate, resulting in a lack of faculty of speech and great eating

difficulties, for which reason he needed to be fed. He was somewhat

mobile, but only with assistance.

21.   In 1983 several physicians found that Kjell Persson was extremely

underweight and that the applicant had not satisfactorily managed to

nourish him in their home. His severe mental retardation combined with

his physical disability were considered to warrant his placement in

compulsory care in accordance with the 1967 Act on the Care of Certain

Mentally Handicapped Persons (lag 1967:940 angående omsorger för vissa

psykiskt utvecklingsstörda; hereinafter "the 1967 Act").

22.   On 20 December 1983 the Chairman of the Administrative Board

(beslutsnämnden) of the County Council (landstinget) of Stockholm

provisionally placed Kjell Persson in compulsory care pursuant to

Section 35, subsection 1 (b) of the 1967 Act.

23.   On 28 December 1983 the Administrative Board confirmed the

Chairman's decision, having found that Kjell Persson was mentally

retarded, that as a consequence of his retardation he was unable to

take care of himself, and that, in view of the degree of his

retardation, care in a nursing home was absolutely necessary.

24.   On 29 December 1983 Kjell Persson was admitted to the Rosenhill

nursing home, where he stayed until 21 March 1988, when he was

provisionally discharged.

25.   On 28 June 1984 the District Court (tingsrätten) of Stockholm

appointed the applicant as Kjell Persson's guardian in accordance with

Chapter 18, Section 3 of the 1949 Parental Code (föräldrabalken).

      2.   The conditions in the Rosenhill nursing home

26.   During Kjell Persson's placement in the Rosenhill nursing home

it initially accommodated sixteen and subsequently twelve young and

severely retarded patients. The nursing home was a long narrow building

with three wards. Each ward had a living room and a kitchenette. The

patient rooms measured 8-10 square metres. Up to the summer of 1986

five patients were placed on Kjell Persson's ward and subsequently

four. In the daytime and in the evening the ward had three assistant

nurses. In the nighttime two assistant nurses supervised the whole

nursing home.

27.   Kjell Persson's room was located towards the end of the nursing

home in a shorter corridor crosswise to the main corridor. The shorter

corridor had three patient rooms. Part of the wall between Kjell

Persson's room and a corridor had a window. There was a further window

in the upper part of the door between Kjell Persson's room and the

corridor. Finally, there were windows in the wall between Kjell

Persson's room and a toilet and between the toilet and an adjacent

patient room.

28.   The nursing home had a staff dining-room. In the wall between

this room and the kitchen there was a service hatch for serving meals.

29.   The nursing home was closed in 1988 after Kjell Persson's

provisional discharge.

30.   The facts regarding the conditions of the applicant's visits to

Kjell Persson during his placement in the Rosenhill nursing home are

in dispute between the parties.

31.   According to the applicant, she normally visited Kjell Persson

inside the nursing home, either in his own room, in the day room, the

staff dining-room or in a room normally used for physical therapy. Due

to his weak state of health she could only occasionally take him

outside in his wheel-chair.

32.   The applicant alleges that none of the above described windows

in his room had any curtains. The corridor next to Kjell Persson's room

was allegedly in frequent use by staff, other patients as well as

visitors. Thus, passers-by in the corridor had a free view into his

room. Also the patient in the adjacent patient room could look into the

room.

33.   The applicant further alleges that when she visited Kjell Persson

in his room the manager of the nursing home would demonstratively enter

the room and embrace him. When she saw Kjell Persson in the staff

dining-room, staff in the kitchen would supervise the visits by

watching her and Kjell Persson through the service hatch. Sometimes

staff would enter the dining-room during her visits outside meal time

merely for supervisory purposes.

34.   The applicant further alleges that the visits which took place

in the room used for physical therapy would also be disturbed. A staff

member would be cleaning the room or staff would otherwise enter the

room in order to supervise the visits. When the applicant took Kjell

Persson outside the nursing home, they were only allowed to remain in

its immediate vicinity. Staff would then supervise them through the

windows.

35.   According to the Government, the windows in the wall and the door

between Kjell Persson's room and the corridor had curtains. Moreover,

it was not possible to see all parts of the staff dining-room through

the service hatch in the wall to the kitchen when the sliding-door was

closed. The applicant was also free to take Kjell Persson out for

walks.

      3.   The restriction on the applicant's visiting rights in the

           Rosenhill nursing home

36.   According to the applicant she was, in the beginning of

January 1984, orally notified by staff of the Rosenhill nursing home

that her visits to Kjell Persson would be restricted to two hours twice

a week. Soon thereafter her visits were allegedly restricted to two

hours once a week.

37.   By a letter of 27 June 1984 from the Director of Mental Welfare

Services (vårdchefen) of the County Council (landstinget) of Stockholm

and the Acting Head of the Department for children placed in nursing

homes the applicant was notified that, as from 2 July 1984 and

provisionally until the end of August 1984, she could visit Kjell

Persson twice a week, on Thursdays and Sundays between 1 p.m. and

3 p.m. The restriction was subsequently prolonged.

      4.   The restriction on the applicant's visiting rights in the

           Björnkulla nursing home

38.   On 27 December 1988 Kjell Persson was admitted to the Björnkulla

nursing home, where he stayed until 29 September 1989, when his

compulsory care was revoked.

39.   According to the applicant, she was immediately notified orally

by nursing staff that her visits to the nursing home were restricted

to two visits a week.

40.   According to a letter of 22 February 1989 from a representative

of the Mental Welfare Committee (styrelsen för omsorger om psykiskt

utvecklingsstörda) to the Discharge Board (utskrivningsnämnden), the

applicant's visits were restricted to four hours on Wednesdays and four

hours on Sundays.

B.    Evidence before the Commission

      1.   Witnesses

41.   On 1 September 1993 the applicant submitted affidavits by

herself, Mrs. Siv Westerberg and Mr. Karl Göran Granberg.

42.    In his affidavit of 24 August 1993 Mr. Granberg, an engineer,

states that he visited Kjell Persson on several occasions together with

the applicant, but never detected any curtains in front of the windows.

He again visited the nursing home in the summer 1993. On this occasion

the windows still had no curtains, nor were there any curtain rods or

any traces of such rods next to the windows in the wall or the door

towards the corridor.

43.   In her affidavit of 27 August 1993 the applicant states that

during none of her visits to Kjell Persson did the window between his

room and the corridor have a curtain. In the summer of 1993 she again

visited the nursing home. On this occasion neither the window in the

wall between Kjell Persson's room and the corridor nor the window in

the door had any curtain. Moreover, there were no curtain rods next to

the windows or any traces of such rods.

44.   Mrs. Westerberg is the applicant's counsel before the Commission

and was Kjell Persson's counsel during his stay in the nursing home.

In her affidavit of 31 August 1993 she states that when she visited

Kjell Persson in the nursing home she noticed that the wall between his

room and the corridor had a large window with no curtain. During one

of her visits she, the applicant and Kjell Persson could meet in the

staff dining-room. Because of the service hatch in the wall between the

dining-room and the kitchen, the latter of which would be occupied by

staff, the applicant could not meet Kjell in the dining-room without

being disturbed.

45.   On 23 September 1993 the Government submitted affidavits by

Dr. Gunnar Braathen, Ms. Pia Wickman and Ms. Irene Åkerström.

46.    Dr. Braathen, a physician specialised in paediatrics and

treatment of disabled children, served as a consulting physician in the

nursing home from 1983 to 1988 and was especially charged with physical

rehabilitation. In his affidavit of 23 August 1993 he states that he

cannot recall whether or not Kjell Persson's room had any curtains. He

has no knowledge of the conditions under which the applicant met Kjell

Persson in the nursing home. His only recollection is that sometimes

they sat together in the "coffee room". In general, Dr. Braathen did

not notice any problems with regard to personal integrity in the

nursing home.

47.   Ms. Wickman, an assistant nurse, worked in the nursing home from

1986 until it was closed in May 1988. In her affidavit of

24 August 1993 she states that the wall between Kjell Persson's room

and the corridor had no window. The door between his room and the

corridor had a window measuring about one square metre. This was

covered by curtains on the inside of the door. The curtains were only

kept open when Kjell Persson's state of health required that staff

frequently glance at him in the nighttime without disturbing him. There

was little commotion in the corridor where his room was located. His

ward as well as his room were the least disturbed in the nursing home,

since they were rather secluded.

48.   Ms. Åkerström, a nurse, served in the nursing home from 1979 to

1988 and was manager during the period of Kjell Persson's placement.

In her affidavit of 25 and 30 August 1993 she states that the window

in the door between Kjell Persson's room and the corridor had a

curtain. The curtain was only kept open in the nighttime so as to

enable staff to glance at him without disturbing him. During her visit

to the nursing home in August 1993, Ms. Åkerström detected a further

window next to the door and of the same size as the window in the door.

According to her recollection, this window used to be covered by a

drapery hanging in Kjell Persson's room. The curtain in the door window

was occasionally opened, but the drapery in the window in the wall was

always closed. The curtain and drapery were hanging on the inside of

Kjell Persson's room. According to Ms. Åkerström, Kjell Persson's room

was slightly secluded. Out of the four patients on his ward he was the

patient who required most medical attention.

      2.   Other evidence

49.   On 1 September 1993 the applicant submitted drawings and

measurements by Mr. Granberg pertaining to the layout of the nursing

home, and in particular of the room in which Kjell Persson had been

staying. These were produced on the basis of Mr. Granberg's and the

applicant's visit to the nursing home in the summer of 1993. The

applicant also submitted photographs of the nursing home taken by

Mr. Granberg during the visit in 1993 and showing various parts of the

nursing home, including Kjell Persson's room.

50.   On 23 September 1993 the Government submitted a blueprint of the

layout of the nursing home as approved by the Building Committee

(byggnadsnämnden) of Huddinge in 1966. The Government further filed

photographs taken by Ms. Åkerström during her service in the nursing

home. The photographs show various parts of the nursing home with the

exception of Kjell Persson's room and the room used for physical

therapy. The Government also invoke some of the pictures submitted by

the applicant as evidence.

C.    Relevant domestic law

      1.   The 1967 Act on the Care of Certain Mentally Handicapped

           Persons

51.   Section 35, subsection 1, reads, as far as relevant:

      (Swedish)

      "Psykiskt utvecklingsstörd som fyllt 15 år får oberoende av

      samtycke ... beredas vård i vårdhem ..., om vården är

      oundgängligen påkallad med hänsyn till utvecklingsstörningens

      grad och till att han till följd av utvecklingsstörningen

      ...

      (b) är ur stånd att taga vård om sig själv, ..."

      (Translation)

      "A mentally handicapped person who has attained the age of

      15 may be given care in a nursing home ... irrespective of

      whether ... consent ... has been obtained ..., if such care

      is absolutely necessary in view of the degree of his mental

      handicap and the fact that due to this handicap he

      ...

      (b) is incapable of taking care of himself, ..."

52.   Section 51 reads, in so far as relevant:

      (Swedish)

      "Frågan om utskrivning från ... vårdhem ... skall prövas

      fortlöpande.

      Vårdnadshavaren, förmyndaren eller den psykiskt

      utvecklingsstörde, om han fyllt 15 år, får göra ansökan om

      utskrivning. ..."

      (Translation)

      "The question of discharge from a ... nursing home ...

      shall be considered continuously.

      A request for a discharge may be lodged by the custodian or

      guardian [of the mentally handicapped] or by himself, if he

      has reached 15 years of age . ..."

      2.   Supervision of nursing homes

53.   Care provided in accordance with the 1967 Act shall be supervised

by the National Board of Education (skolöverstyrelsen) and the National

Board of Health and Welfare (socialstyrelsen) (Section 13).

54.   The authorities and officials responsible for the care are also

under supervision by the Parliamentary Ombudsman (riksdagens

justitieombudsman).

      3.   The 1985 Act on Special Care of Mentally Handicapped Persons

           and Others and the Transitional Act

55.   The 1985 Act on Special Care of Mentally Handicapped Persons and

Others (lag 1985:568 om särskilda omsorger om psykiskt

utvecklingsstörda m.fl.) and the Transitional Act to that Act

(lag 1985:569 om införande av lagen 1985:568 om särskilda omsorger om

psykiskt utvecklingsstörda m.fl.) entered into force on 1 July 1986.

56.   Upon the entry into force of the 1985 Act the 1967 Act was

repealed with certain exceptions provided for in the Transitional Act.

As regards nursing homes, Section 6 of the Transitional Act provided

that, inter alia, Sections 35 and 51 of the 1967 Act were to remain in

force.

      4.   The 1949 Parental Code

57.   Chapter 18, Section 3 of the 1949 Parental Code (as amended by

Act no. 1974:1034) read:

      (Swedish)

      "Om någon på grund av sjukdom, hämmad förståndsutveckling,

      försvagat hälsotillstånd eller liknande förhållande behöver

      bistånd med att bevaka sin rätt, förvalta sin egendom eller sörja

      för sin person, skall rätten, där så erfordras, förordna god man

      för honom. Förordnande som nu nämnts må ej givas utan samtycke

      från den för vilken god man skall utses, med mindre hans

      tillstånd medför hinder mot inhämtande av samtycke eller eljest

      särskilda skäl föreligga."

      (Translation)

      "If someone due to [his] illness, hampered intellectual

      development, weakened state of health or similar reason is in

      need of assistance in order to safeguard his right[s], administer

      his possessions or care for himself, the court shall, if

      necessary, appoint a guardian for him. This appointment shall not

      be ordered without the consent of the person for whom the

      guardian is appointed, unless his state prevents the obtaining

      of consent or other particular reasons are at hand."

58.   As from 1 January 1989 Chapter 18, Section 3 of the Parental Code

was repealed and replaced by a similar provision in Chapter 11,

Section 4 of the same Code.

III.  OPINION OF THE COMMISSION

A.    Complaints declared admissible

59.   The Commission has declared admissible the applicant's complaints

relating to the conditions in the Rosenhill nursing home during her

visits to Kjell Persson and the restrictions on her right to visit

Kjell Persson in both the Rosenhill and Björnkulla nursing homes as

well as her complaint of the absence of a right to a court review of

the restrictions on her visiting rights.

B.    Points at issue

60.   Accordingly, the issues to be determined are:

      - whether there has been a violation of Article 8 (Art. 8) of the

Convention on account of the conditions in the Rosenhill nursing home

during the applicant's visits to Kjell Persson;

      - whether there has been a violation of Article 8 (Art. 8) of the

Convention on account of the restrictions on her right to visit

Kjell Persson both in the Rosenhill and Björnkulla nursing homes;

      - whether there has been a violation of Article 6 para. 1

(Art. 6-1)of the Convention on account of the absence of a right to a

court review of the above restrictions; and

      - whether there has been a violation of Article 13 (Art. 13) of

the Convention on account of that absence.

C.    As regards Article 8 (Art. 8) of the Convention

61.   Article 8 (Art. 8) of the Convention provides:

      "1.  Everyone has the right to respect for his private and

      family life, his home and his correspondence.

      2.   There shall be no interference by a public authority with

      the exercise of this right except such as is in accordance with

      the law and is necessary in a democratic society in the interests

      of national security, public safety or the economic well-being

      of the country, for the prevention of disorder or crime, for the

      protection of health or morals, or for the protection of the

      rights and freedoms of others."

      1.   The conditions in the Rosenhill nursing home during the

           applicant's visits

62.   The applicant complains that the conditions during her visits to

Kjell Persson in the Rosenhill nursing home constituted an unjustified

interference with her private and family life. She could not associate

with Kjell Persson in private during her visits. Wherever she would

meet him in the nursing home, the visits would be disturbed by staff,

other patients or visitors. In particular, as there were no curtains

in several windows of Kjell Persson's room, passers-by in the corridor

as well as the patient in an adjacent room could look into that room

during the applicant's visits.

63.   The applicant further states she was never informed that she

could close the sliding-door in the staff dining-room. On the contrary,

she was told that she was not allowed to see Kjell Persson in private

and that staff would supervise her visits. She did not therefore dare

to close the sliding-door, fearing further restrictions on her visiting

rights or a total prohibition of visits.

64.   The Government do not dispute that the applicant's private and

family life was affected by the conditions during her visits in the

nursing home. They question, however, whether the respect ensured by

Article 8 (Art. 8) required that her visits should have taken place in

total privacy, given that the nursing staff was responsible for Kjell

Persson's care also during those visits. In any case, the applicant had

ample opportunities to meet with Kjell Persson in various parts of the

nursing home as well as in its vicinity. In the Government's view, no

conclusions can be drawn from the present state of Kjell Persson's old

room in the nursing home.

65.   The Commission has considered whether the conditions in the

nursing home during the applicant's visits amounted to a lack of

respect for her private and family life. It recalls that the notion of

"respect" enshrined in Article 8 (Art. 8) is not clear-cut. This is the

case especially where the positive obligations implicit in that concept

are concerned. Its requirements will vary considerably from case to

case according to the practices followed and the situations obtaining

in the Contracting States. When determining whether or not such an

obligation exists regard must be had to the fair balance that has to

be struck between the general interest and the interests of the

individual as well as to the margin of appreciation afforded to the

Contracting States (Eur. Court H.R., B. v. France judgment of

25 March 1992, Series A no. 232-C, pp. 47 et seq., paras. 44 et seq.).

66.   In the present case the Commission must strike a balance between,

on the one hand, the interest of the applicant and Kjell Persson in

being able to meet under acceptable conditions and, on the other hand,

the State's interest in ensuring an adequate care of the patients in

the nursing home, taking into account also the interests of other

visitors.

67.   The Commission finds it established that Kjell Persson's room was

located at the end of the nursing home in a short corridor with less

passers-by. Moreover, although the applicant's visits were restricted

to the nursing home and its vicinity, they could also take place in

various other parts of the building and occasionally outside, Kjell

Persson's state of health permitting.

68.   The Commission considers therefore that, regardless of whether

or not the windows in Kjell Persson's room facing the corridor and the

adjacent patient room had curtains, the applicant had a reasonable

opportunity to visit him in the nursing home without being

unnecessarily disturbed. Regard must also be had to the character of

the nursing home as a public institution.

69.   Taking these various elements into account, the Commission does

not find it established that the national authorities failed to make

such efforts as could reasonably be expected in order to safeguard the

interest of the applicant in meeting her son under acceptable

conditions.

70.   In view of the margin of appreciation afforded to the State the

Commission concludes that a fair balance was struck between the

conflicting interests at stake in the instant case. Accordingly, there

has been no lack of respect for the applicant's private and family life

and, thus, no violation of Article 8 (Art. 8) of the Convention.

      CONCLUSION

71.   The Commission concludes, unanimously, that there has been no

violation of Article 8 (Art. 8) of the Convention on account of the

conditions in the Rosenhill nursing home during the applicant's visits

to Kjell Persson.

      2.   The restrictions on the applicant's right to visit

           Kjell Persson in the nursing homes

72.   The applicant complains that the restrictions on her right to

visit Kjell Persson in both the Rosenhill and the Björnkulla nursing

home had no legal basis and were, in any event, unnecessary for any of

the purposes enumerated in Article 8 para. 2 (Art. 8-2) of the

Convention. His care by no means required that her visits be

supervised. On the contrary, these visits were of great importance for

his well-being.

73.   The Government do not dispute that the restrictions interfered

with the applicant's right to respect for her family life and admit the

absence of a provision in the 1967 Act explicitly allowing restrictions

on visits to a person placed in compulsory care. They consider,

however, that the restrictions on the applicant's visits were justified

under Article 8 para. 2 (Art. 8-2), given that they were part and

parcel of the implementation of the compulsory care order regarding

Kjell Persson which was based on Section 35, subsection 1 (b) of the

1967 Act. The restrictions were imposed in order to improve the

possibilities of caring for him and, thus, aimed at protecting his

health. A further aim of the restriction imposed in the Björnkulla

nursing home was to enable the staff responsible for Kjell Persson's

care to get to know him properly. The restrictions on the applicant's

visits were necessary in view of her lack of confidence in the nursing

staff and her attempts to interfere with Kjell Persson's care. As

visits were not totally prohibited, the restrictions did not prevent

the applicant from fulfilling her duties as his guardian.

74.   The Commission finds that the restrictions on the applicant's

right to visit Kjell Persson interfered with her right to respect for

her family life under Article 8 (Art. 8) of the Convention. Such an

interference must be "in accordance with the law", have one or several

aims which are legitimate under para. 2 of that provision and be

"necessary in a democratic society" (Eur. Court H.R., Rieme judgment

of 22 April 1992, Series A no. 226-B, p. 68, para. 56). An interference

cannot be held to be "in accordance with the law" unless, first of all,

it has some basis in domestic law.

75.   The expression "in accordance with the law" relates to the

quality of the law in question and implies that the law should be

accessible to the person concerned, who must moreover be able to

foresee its consequences for him. The law must be compatible with the

rule of law in the sense that the person concerned should have access

to a measure of protection under national law against arbitrary

interferences with his rights (Eur. Court H.R., Kruslin and Huvig

judgments of 24 April 1990, Series A nos. 176-A and 176-B, p. 20,

para. 27, and p. 52, para. 26, respectively, and the Herczegfalvy

judgment of 24 September 1992, Series A no. 244, p. 27-28,

paras. 88-91). The term "law" should be understood in its "substantive"

sense, not its "formal" one. It may therefore include enactments of

lower rank than statutes as well as unwritten law. In a sphere covered

by written law, the "law" is the enactment in force as the competent

courts have interpreted it (the above-mentioned Kruslin and Huvig

judgments, pp. 21-22, and para. 29, pp. 53-54, para. 28, respectively).

76.   If a law confers discretion on a public authority or a person

exercising such authority, it must indicate the scope of that

discretion. As it may not be possible to formulate a law to cover every

eventuality, the degree of precision required will depend on the

particular subject matter (cf. Eur. Court H.R., Silver and Others

judgment, Series A no. 61, p. 33, para. 88, the above-mentioned Kruslin

and Huvig judgments, pp. 22-23, para. 30, and pp. 54-55, para. 29,

respectively, and the above-mentioned Herczegfalvy judgment, p. 27,

para. 89).

77.   In the present case the Government admit the absence of a

provision in the 1967 Act explicitly allowing restrictions on the

applicant's visits. They consider, however, that the restrictions were,

nevertheless, "in accordance with the law", as they were inherent in

the compulsory care order regarding Kjell Persson issued under

Section 35, subsection 1 (b) of the 1967 Act.

78.   In the Commission's view, however, such an implied right under

the 1967 Act to restrict the applicant's visits does not meet the

requirements of foreseeability as recalled above. Thus, the applicant

did not enjoy the minimum degree of protection to which one is entitled

under the rule of law in a democratic society. Accordingly, the

interference was not carried out "in accordance with the law".

79.   In view of this finding there is no need for the Commission to

examine whether the other requirements under Article 8 para. 2

(Art. 8-2) have been complied with, i.e. whether the interference

pursued a legitimate aim and whether it was proportionate and thus

necessary in a democratic society.

      CONCLUSION

80.   The Commission concludes, unanimously, that there has been a

violation of Article 8 (Art. 8) of the Convention on the ground that

the restrictions on the applicant's visits to Kjell Persson in both

nursing homes were not "in accordance with the law".

D.    As regards Article 6 para. 1 (Art. 6-1) of the Convention

81.   Article 6 para. 1 (Art. 6-1) of the Convention reads, insofar as

it is relevant:

      "In the determination of his civil rights ... everyone is

      entitled to a fair ... hearing ... by an independent and

      impartial tribunal established by law. ..."

82.   The applicant complains that she could not obtain a court review

of the restrictions on her right to visit Kjell Persson in the

Rosenhill and Björnkulla nursing homes, neither in her capacity as

mother nor as his appointed guardian.

83.   The applicant submits that no distinction can be made between the

present case and cases where the Convention organs have considered it

necessary to provide for a court review of disputes regarding the

restriction on parents' access to their children. Neither can the

restrictions on her visits be compared with those imposed during, for

instance, emergency treatment of patients in a hospital. In the latter

case the reasons for the restrictions are strictly medical and the

patient's placement is not of a compulsory character. In view of Kjell

Persson's compulsory placement and his state of health her only means

of obtaining access to him was by paying visits to the nursing homes.

Finally, in her capacity as his guardian she had not only a right but

an obligation under the Parental Code to visit him.

84.   The Government submit that Article 6 para. 1 (Art. 6-1) is

inapplicable in the instant case, as there was no determination of the

applicant's "civil rights" within the meaning of that provision.

Firstly, the restrictions on the applicant's visits formed an inherent

part of Kjell Persson's compulsory care. The applicant could not

therefore claim any "right" under domestic law to visit him. Secondly,

the restrictions did not finally determine her right of access to him,

only her right to visit the nursing homes. Thirdly, during his

placement in compulsory care the applicant was no longer Kjell

Persson's custodian and no parental rights were therefore involved.

Should the Commission consider Article 6 (Art. 6) to be applicable, the

Government admit that the restrictions at issue could not be challenged

by the applicant before a tribunal.

85.   The Commission must first ascertain whether Article 6 para. 1

(Art. 6-1) of the Convention is applicable in the instant case and,

notably, whether there was a dispute over a "civil right" which can be

said, at least on arguable grounds, to be recognised under domestic

law. The dispute must be genuine and serious and its outcome must be

directly decisive for the right in question (e.g. Eur. Court H.R.,

Zander judgment of 25 November 1993, Series A no. 279-B, para. 22).

86.   The Commission recalls that, on the one hand, Article 6 para. 1

(Art. 6-1) is not aimed at creating new substantive rights without a

legal basis in the Contracting State, but at providing procedural

protection of rights already recognised in domestic law (Eur. Court

H.R., W. v. the United Kingdom judgment of 8 July 1987, Series A

no. 121-A, p. 32-33, para. 73; No. 14247/88, Dec. 3.7.92, D.R. 73

p. 27). On the other hand, the term "right" must be given an autonomous

interpretation under Article 6 para. 1 (Art. 6-1) of the Convention

(Eur. Court H.R., König judgment of 28 June 1986, Series A no. 27,

p. 29, para. 87).

87.   In the present case the Commission observes that Kjell Persson

reached the age of majority under domestic law prior to his placement

in the Rosenhill nursing home. Consequently, the applicant ceased to

be his custodian. However, given that she remained his appointed

guardian, the Commission does not consider it necessary to determine

whether or not she could arguably claim a "right" to visit him already

in her capacity as his parent.

88.   The Commission observes that in her capacity as Kjell Persson's

guardian the applicant had not only legal standing under domestic law

for the purpose of requesting that his compulsory care be revoked, but

an obligation under the Parental Code to safeguard his interests. Her

status as Kjell Persson's guardian could be considered to have given

her a special right to visit him which was not as such dependent on the

character of his care nor of the restrictions imposed.

89.   The Commission further considers that the applicant's "right" was

clearly of a civil character. Thus, she could, on arguable grounds,

claim a "civil right" to visit Kjell Persson in the nursing homes. The

dispute between the applicant and the nursing homes was a genuine and

serious one and its outcome was directly decisive for her possibility

of visiting the nursing homes.

90.   In the above-mentioned circumstances the Commission finds that

Article 6 para. 1 (Art. 6-1) is applicable in the instant case.

91.   It is not disputed that under domestic law the applicant had no

right to obtain a court review of the restrictions on her visiting

rights. The Commission finds that this is incompatible with Article 6

para. 1 (Art. 6-1).

      CONCLUSION

92.   The Commission concludes, unanimously, that there has been a

violation of Article 6 para. 1 (Art. 6-1) of the Convention on account

of the absence of a right to a court review of the restrictions on the

applicant's visiting rights in both nursing homes.

E.    As regards Article 13 (Art. 13) of the Convention

93.   Article 13 (Art. 13) of the Convention reads:

      "Everyone whose rights and freedoms as set forth in this

      Convention are violated shall have an effective remedy

      before a national authority notwithstanding that the

      violation has been committed by persons acting in an

      official capacity."

94.   The applicant complains of the absence of an effective remedy in

order to challenge the restrictions on her visiting rights.

95.   The Government admit that no formal procedure existed for the

purpose of challenging the restrictions on the applicant's visits. They

refer, however, to the supervision carried out by the National Board

of Education, the National Board of Health and Welfare as well as by

the Parliamentary Ombudsman and consider this aggregate of remedies to

satisfy the requirements of Article 13 (Art. 13).

96.   In view of its above finding with regard to the complaint under

Article 6 para. 1 (Art. 6-1) the Commission does not find it necessary

to examine this complaint separately.

      CONCLUSION

97.   The Commission concludes, unanimously, that it is not necessary

to examine separately the complaint under Article 13 (Art. 13) of the

Convention.

F.    Recapitulation

98.   The Commission concludes, unanimously, that there has been no

violation of Article 8 (Art. 8) of the Convention on account of the

conditions in the Rosenhill nursing home during the applicant's visits

to Kjell Persson (para. 71).

99.   The Commission concludes, unanimously, that there has been a

violation of Article 8 (Art. 8) of the Convention on the ground that

the restrictions on the applicant's visits to Kjell Persson in both

nursing homes were not "in accordance with the law" (para. 80).

100.  The Commission concludes, unanimously, that there has been a

violation of Article 6 para. 1 (Art. 6-1) of the Convention on account

of the absence of a right to a court review of the restrictions on the

applicant's visiting rights in both nursing homes (para. 92).

101.  The Commission concludes, unanimously, that it is not necessary

to examine separately the complaint under Article 13 (Art. 13) of the

Convention (para. 97).

Secretary to the Commission             President of the Commission

       (H.C. KRÜGER)                           (C.A. NØRGAARD)

                              APPENDIX I

                      HISTORY OF THE PROCEEDINGS

Date                             Item

_________________________________________________________________

2 September 1988                Introduction of application

8 December 1988                 Registration of application

Examination of admissibility

15 April 1991                    Commission's decision to communicate

                                 the case to the respondent Government

                                 and to invite the parties to submit

                                 observations on admissibility and

                                 merits

29 July 1991                     Government's observations

22 September 1991                Applicants' observations in reply

11 February 1992                 Applicants' additional observations

13 September 1992                Commission's grant of legal aid

11 December 1992                 Rapporteur's request for further

                                 information from the Government

5 January 1993                  Government's further information

5 February 1993                 Applicants' comments

3 May 1993                      Commission's decision to declare the

                                 application in part inadmissible and

                                 to hold a hearing on the remaining

                                 part

2 July 1993                     Hearing on admissibility and merits

2 July 1993                     Commission's decision to declare the

                                 remainder of the application in part

                                 admissible and in part inadmissible

9 July 1993                     Commission's adoption of text of

                                 decision on admissibility

Examination of the merits

12 July 1993                     Decision on admissibility transmitted

                                 to parties. Invitation to parties to

                                 submit further observations on the

                                 merits

1 September 1993                 Remaining applicant's observations

23 September 1993                Government's observations

8 October 1993                  Government's additional observations

15 October 1993                  Remaining applicant's additional

                                 observations

4 January 1993                  Commission's consideration of state

                                 of proceedings

5 April 1994                    Commission's deliberations on the

                                 merits, final vote and consideration

                                 of text of the Report

14 April 1994                    Adoption of Report

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