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22 May 2024

Wednesday, July 31, 2019

Nada's 'drug prison' proposals running contrary to Health Minister’s plan

The announcement, when it came, was a breath of fresh air in Malaysia’s battle against the ravages of drug addiction.
On June 27, Health Minister Dzulkefly Ahmad said that the government would work towards removing criminal penalties for the personal possession and use of drugs.
Calling the move a “significant game changer policy”, he emphasised that "decriminalisation is the removal of criminal penalties for possessing and using a small quantity of drugs for personal use, as opposed to those who are involved in trafficking of drugs. Trafficking of drugs will undoubtedly remain a crime," said Dzulkefly.
The move has also been supported by Law Minister Liew Vui Keong who on April 5, called for the government to decriminalise the use of marijuana to reduce the number of inmates in prison and cut the cost of maintaining them.
However, on July 10, a statement by the Home Ministry revealed that these plans may not have universal approval.
Chaired by Home Affairs Minister Muhyiddin Yassin, a Law Enforcement Committee meeting made a series of proposals that have alarmed members of the medical community who had been looking forward towards a more holistic treatment of addiction.
The proposal did acknowledge that offences relating to drug addiction were in the Drugs (Treatment and Rehabilitation) Act 1983 would be redefined.
However, the statement also called for a review of the powers of the director-general of the National Anti-Drug Agency (Nada) over the operations of private drug addiction recovery centres.
The proposal called for the establishment of 19 blocks of settlements for drug addicts in 14 prison institutions with an estimated capacity of 9,500 inmates at an estimated total cost of RM285 million.
Furthermore, the implementation of the Nada pilot projects would see the setting-up of 12 drug detention centres in seven states, namely Kedah, Selangor, Kuala Lumpur, Johor, Kelantan, Terengganu and Pahang.
Defeating the purpose
According to Mahsa Universiti Medical Department dean Prof Dr Mohamad Hussain Habil (photo), such proposals would defeat the purpose of the decriminalisation move.
“The medical community, for a very long time, has not been agreeable to consider addicts as criminals. We want them to be treated as patients,” Dr Hussain told Malaysiakini.
“Globally, the trend is not to incarcerate drug addicts. To put them in centres or prisons is an extra cost and not effective.
"When you incarcerate, working and studying opportunities are lost. You come out with more stigma, and studies have shown that the relapse rate is almost 90 percent. That proves that the system we have now is not working.”
“Of course, criminals should still be charged for armed robbery if they are addicts, but right now, so many lives are ruined just because of a positive urine sample test,” said Dr Hussain, a former president of the Asean Psychiatric Association.
“Medical professionals don’t understand why this Nada suggestion is so different in intent from what the Health Ministry proposed. This draconian approach will backfire,” he said.
Dr Hussain emphasised that currently, drug rehabilitation centres (pusat serenti) were known as being highly corrupt and a source for hard drugs.
“Despite our mandatory death penalty, drug addiction is a widespread social issue, although noticeably it’s the B40 group that ends up in the centres. Due to corruption there, they get into harder drugs and are worse off,” he said.
“Even treatment in the mosque have shown a much better outcome than the drug centres.”
Culture of fear
Former Federal police Internal Security and Public Order (ISPO) director Zulkifli Abdullah has been serving as director-general since last August and has a lengthy background of service in the police force as a former state police chief in Kelantan, Perak and Kuala Lumpur.
The fear among medical professionals is that due to his police background, his emphasis is too much on enforcement and not enough on healing.
“Decriminalisation is a bold step, but there is a culture of fear among the medical community.
“Nada people should speak up. They were always gagged in the past under the old government but they should speak up now. Don’t tell me just because of your career, you will be silent and allow our addicts to suffer? This is a form of moral corruption,” said Dr Hussain.
Questions which were sent to Nada via email were not answered.
Dr Hussain backed the United Nation's call for states to replace compulsory drug detention centres with voluntary treatment centres.
Malaysian Mental Health Association president Dr Andrew Mohanraj also feels this suggestion needs to be looked at.
“There needs to be an examination of why compulsory drug rehab centres have not been very successful in this country, and therefore the UN’s call may need to be considered,” he told Malaysiakini.
“The medical community has always looked at addiction as a medical issue with psychosocial implications and supported moves towards decriminalisation of addiction."
"The removal of criminal penalties for possession and use of small amounts of drugs is something that needs further in-depth studies including looking into the types of drugs in question,” he said.
Dr Mohanraj emphasised that there must be a need to compare the dangers of different drugs – marijuana vs amphetamines for example.
“The rule of law must be upheld always but in cases of an addict possessing small amounts of drugs for personal use although justice must be applied it can be tempered with mercy, with the aim of allowing the individual to repent and be rehabilitated.”
 - Mkini

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