The programme

Social and attitudinal factors have long combined with an inadequate legal and policy framework to entrench the marginalization of people with mental and intellectual disabilities living in Moldova. Exclusion from mainstream education, incapacitation, institutionalization and long-term deprivation of liberty are just some of the ways in which this process manifested.

The UNPRPD programme Paradigm Shift: Strategic Action Supporting CRPD Implementation was launched in 2012 to support the government in a comprehensive reform initiative intended to reverse the discrimination experienced by persons with mental and intellectual disabilities.

 Five themes were identified as priorities in the context of this project: equal recognition before the law; access to justice; the right to independent living in the community; the right to inclusive education; and independent monitoring of the CRPD.

Moldova
An evidence-based policy framework for people with disabilities was developed and implemented. This intervention includes:
Capacity building of stakeholders on issues of discrimination on grounds of psychosocial and intellectual disability and ability to identify harmful medical practices.
The creation of inclusive education services allowed children with disabilities to receive a quality education in their community school and is an efficient way to prevent new cases of child institutionalization into residential segregated schooling.
For the first time, the deinstitutionalization of adults with disabilities was set on the governmental agenda. A transition strategy and plan for phasing out institutional options and replacing them with services to achieve social inclusion was developed under the leadership of the Ministry of Labor Social Protection and Family.
Advancements on decentralization of psychiatric care and establishment of community mental health centers.
An independent and effective complaints and monitoring mechanism for securing the rights of persons in psychiatric facilities was created and in 2014 institutionalized and funded from the state budget.  
The first mobilized and officially registered organization of persons with psychosocial and intellectual impairments has been directly engaged in promoting the deinstitutionalization agenda in three major respects: (i) participation in policy formulation as official members of the National Council on Disability (ii) carrying out independent human rights monitoring in institutions (iii) and developing innovative services for supported decision making.
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