AS. In prison, there is no specific treatment provided for people with drug dependence, even when they suffer severe withdrawal symptoms. The Prisons Department claims to run rehabilitation programmes at certain prisons, but the treatment is not scientific or evidence based, but relies mainly on abstinence. It is also ad-hoc and not part of a comprehensive national treatment plan or strategy. Prisoners who have a dependency are deemed to be unworthy of medical attention and are often denied medical care. Doctors are frequently reported verbally taunting or abusing these persons.
In state run drug rehabilitation centres, people are usually held for one year, first in Kandakadu (North central province) and then transferred to Senapura (North central province). These two rehabilitation centres are managed by the military and have no medical staff. The people concerned therefore do not have easy access to medical care. In addition, the programme in these centres is not evidence-based but revolves around abstinence, and people are denied medical care even when they are suffering severe withdrawal symptoms. The officers believe that people will overcome their dependency by engaging in physical activities. They force them to do physical labour, even when they are experiencing withdrawal symptoms, which can have serious consequences for their health.
Rehabilitation centres are plagued by violence. For instance, two people died at Kandarkadu in 2022. This year, when a young man at the centre attempted suicide, he was sent to a public hospital where he spent a month. He was then returned to the centre despite his mental health issues being exacerbated by his detention at the centre.