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The Limits of Equivalence: Ethical Dilemmas in Providing Care in Drug Detention Centers, R. Saucier et al, International Journal of Prisoner Health, 2010

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International Journal of Prisoner Health 6(2):37-43, 2010

Abstract

This article considers the phenomenon of detention centers as a purported means of drug treatment, common throughout much of Asia. It describes the growth of the drug detention center model over the past decade – a system where people suspected of using drugs are rounded up on suspicion of drug use or a positive urine screening, and sent to closed settings without due process or means of appeal. Inside, detainees receive no effective drug treatment, little medical care, and insufficient food. Indeed, they are more likely to face what amounts to torture, cruel, inhuman, and degrading treatment. In some countries, they are forced to work or face severe punishment. This article explores the ethical dilemmas inherent in providing care within an abusive system. For organizations offering health education, food, or even lifesaving medical care inside drug detention centers, what are the limits of providing ethical care, without risking legitimizing the system or building its capacity to detain more people? We explore how organizations might weigh the risks and benefits of their engagement.

Available for download via the Open Society Institute

This article conthe phenomenon of detention centers as a purported means of drug treatment, common throughout much of
Asia. It describes the growth of the drug detention center model over the past decade – a system where people suspected of using drugs
are rounded up on suspicion of drug use or a positive urine screening, and sent to closed settings without due process or means of
appeal. Inside, detainees receive no effective drug treatment, little medical care, and insufficient food. Indeed, they are more likely to
face what amounts to torture, cruel, inhuman, and degrading treatment. In some countries, they are forced to work or face severe punishment.
This article explores the ethical dilemmas inherent in providing care within an abusive system. For organizations offering
health education, food, or even lifesaving medical care inside drug detention centers,what are the limits of providing ethical care,without
risking legitimizing the system or building its capacity to detain more people? We explore how organizations might weigh the risks

and benefits of their engagement.

Full article available for download via the Open Society Institute


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