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Pexels - Zachary DeBottis. The war on drugs waged by our government for over 30 years has had disastrous consequences, as shown by the over-incarceration rate in prisons and detention centres, including those in the guise of 'drug rehabilitation centres'. Thailand has the highest share of people in prison for drug offences in the world. We lock up so many people who use or sell drugs, young and old but mostly poor, in places where we cannot see them suffer. To make matters worse, we lock them up in overcrowded facilities with poor conditions and call it a 'drug rehabilitation' programme. People who are seeking drug dependence treatment should not be coerced into any programme, nor detained. People should not be punished and incarcerated for using drugs or being dependent on drugs. It will also reflect on its impacts by outlining the experiences of some people who have completed drug rehab programmes in recent years. Since then, further problems have arisen with there being too many people in the drug rehabilitation system: in , people were in the rehabilitation system. In some centres, especially those under the supervision of the police and military, patients don't even get any form of treatment from doctors or public health officers. Instead, patients are merely put under the supervision of an assigned warden, where they are treated as if they are punished with a term of imprisonment. In some centres, there is only 1 trained health care worker amongst the staff. According to Prachathai, there are 90 rehabilitation centres funded by the government: 57 are supervised by military and police officers. Only 20 centres are run by the Ministry of Public Health MPH , which are supervised by specialists in drug dependence treatment. The methods adopted in the military and police-run drug rehab centres are based solely on abstinence and discipline. Also, the Department of Corrections only has 29 psychologists serving people in prisons around Thailand. Drug rehab or treatment programmes that solely focus on abstinence of drug use result in limited effectiveness. While the numbers of people enrolled in drug rehabilitation programmes are high, relapse rates have remained high, motivation to access drug treatment remained low, and discrimination and abuse are a frequent occurrence. Compulsory detention in the name of treatment has been identified by UN agencies and experts from across Asia as ineffective, unsafe for clients, and costly. Centres run by the military will only focus on discipline. Furthermore, people who use drugs can become more involved in illegal drug markets when they are detained with people already involved in the market. This happened to Kanin who quickly doubled his drug trade business after he went through the juvenile drug rehabilitation programme in Klong Prem Central Prison read more about his experiences below. In an interview with Prachathai in , Dr. Lumpsum shared his research findings showing that about up to , patients are in the drug rehab system each year. At that time, Kanin was 18 years old, and using cannabis and MDMA to cope with his underlying family issues. His family reported him to the police for selling cannabis and he ended up being ordered into the drug rehab programme. In the drug rehab centre, he experienced the corruption of the warden in exchange for privileges and received no medication for his withdrawal symptoms, nor any sessions with a psychiatrist or counsellor. After his experience, Kanin believes that forcing people into prison for 42 days does not lead to a commitment to change, but instead a vicious cycle of repeated arrests. He could beat us however he liked. But if we bribe him, then we would get better treatment from him and also be protected from other patients in there. We still had to share our stuff with other inmates though. The warden would then use the rest of the money for his own use, usually soccer gambling. There was no guidance or instruction, just mere imprisonment. Kanin has been cynical about government rehab centres since then. His experience has only taught him to be more careful not to get caught a second time; to the point of isolating himself in a tiny room, away from everyone, especially the police. In , there was a surge in the numbers of people entering drug rehabilitation centres after the annual military conscription process began to drug test people for tetrahydrocannabinol THC , the psychoactive substance found in cannabis. Leo not his real name was one of them. Even though Leo was categorized as entering voluntary drug rehabilitation under the 'kor sor chor' legal process, it was not genuinely voluntary because the only other option was criminal prosecution and imprisonment. People who enter drug rehab under the 'kor sor chor' process are usually in centres that are run by the police or military. People have preconceptions about people who use drugs as being poor and unemployed. He had been using cannabis on a recreational basis to cope with his depression and loneliness. What choice do I have? I was lucky that there was a space for me in the drug rehab centre in Bangkok, because the centres in the countryside are notorious for physical abuse. Leo recalls the first day he stepped into the centre. He went through a screening process, and was asked where he bought his drugs and for how much. Each day we would have a session led by a teacher that taught us how to string beads. They thought we could sell them when we left the centre. They also lectured us about drugs, with cliche information about drugs being bad. Nobody listens to them though. It was just part of their routine to ask. He mentioned that the soldiers inside were kind and treated him with respect, because they themselves were drafted years before in the same process as Leo and were able to empathise. He also said that the soldiers were less susceptible to bribes however patients were still treated poorly by the supervisor. He would usually use us as buyers for his gift shop. Usually, when it comes to physical abuse, it would be the patients fighting among themselves. I heard through the grapevine that the soldiers in my camp possessed and used drugs as well. We were counting down the days every single day. The people in charge need to realise that people who use drugs are not always unemployed. People who use drugs are capable of having steady jobs. Sending them to a private rehab centre with a competent health care worker could be a better solution. After his rehab experience, Leo graduated from one of the most prestigious colleges in Thailand and is currently working at a tech company as an application and website developer. He still uses cannabis to wind down after a long day of hard work. Maya Piyapan is a producer at a company known as Bang Baht and the founder of Warp Gang, a YouTube channel covering hip-hop-related news. He has always been open about his drug use and mental health issues. When his music started to attract attention, he decided it was time for him to try to overcome his drug dependence. He chose to enter an in-patient drug rehabilitation programme at the Phra Mongkut Drug Rehabilitation Centre. Which is why I decided to go into a drug rehab programme. They work with a university to develop and implement the programme. At the end of each day, a psychiatrist would come to talk to us for half an hour or an hour. It was helpful. I was lucky that the doctor and nurse were very understanding. Unlike those government drug rehab centres that my friend went through, those centres would turn off their surveillance camera and beat patients. When I was in there, there was a guy in my ward who had a major crush on me. He was too aggressive toward me, so I decided to leave one week later. The only thing I would like to change is that there needs to be more staff or they would not be able to take care of all the patients. As a result, only a minority of people who use drugs may need or benefit from drug treatment or rehabilitation. It is the decision of people who use drugs whether they want to stop using or not, whether they need some type of drug rehabilitation or other service. For Maya, it was his own decision to resolve his drug dependence; the decision to stop using drugs should be made by the user, not by anybody else. The experiences of Leo and Kanin shows that forced rehabilitation is simply another form of incarceration, and ineffective in helping them address their drug dependence. As a matter of fact, they would have been better off without it as Kanin subsequently went further into his drug trade business from the connection he made inside, and Leo never had any issues with his drug use, he used it recreationally after a long day of programming and studying so it was a waste of our tax money and his time. When drug use and possession for personal use are criminalised, large amounts of taxpayer money go into supporting the criminal justice system and law enforcement interventions, even though those methods have repeatedly proven ineffective in preventing the use and supply of drugs. The International Drug Policy Consortium recommends that drug policy should be based on the strongest evidence available. As a result, the government of Thailand should base its decisions on an objective assessment of the evidence of the impact of laws and policies and practices, by considering factors such as the relative cost and cost-effectiveness of different approaches to drug control, the distinction between the needs of people dependent on drugs compared to those who use drugs occasionally and recreationally, the need to offer a range of drug dependence treatment options including detoxification, rehabilitation, psychological care and peer support. As discussed by government stakeholders including the then Minister of Justice in , Thailand needs to consider decriminalising the use and possession of drugs. It reduces government waste of taxpayer money and the damaging impacts of criminal justice systems, especially law enforcement, on people. The cost savings can be invested in ensuring adequate provision of drug treatment, harm reduction and other health and social services for people who use drugs and their communities. This is what we truly need in Thailand, and would benefit everyone in the society. Open menu. By Jirapart Limaksorn, IDPC volunteer The war on drugs waged by our government for over 30 years has had disastrous consequences, as shown by the over-incarceration rate in prisons and detention centres, including those in the guise of 'drug rehabilitation centres'. In the same year, Kittipong Kittayarak, then director of the Thailand Institute of Justice said: 'Although Thailand has the largest number of inmates among ASEAN countries, this does not mean it has the highest crime rate. Instead, this reflects some problems in the justice procedure. The increase in the number of inmates stems from the amendment to the drug law, which has become so strict that anybody with any relation to methamphetamine is landed in jail. The patients subjected to the Kor Sor Chor process are usually admitted into a centre in the compulsory rehab system. Compulsory rehab is where people detained and arrested under the Rehabilitation Act are held after being forced into a drug rehabilitation programme, following prosecution and court order, without receiving a criminal record. Prison rehab is where people who use drugs end up being arrested, taken into legal custody and sentenced with a term of imprisonment together with an order to enter a drug rehabilitation programme in prison. After completing the programme, the person may have his or her prison sentence reduced. Maya: A positive experience with rehab in a medical setting Maya Piyapan is a producer at a company known as Bang Baht and the founder of Warp Gang, a YouTube channel covering hip-hop-related news. Regions East and South East Asia.

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