Cargando…
Facilitating a transition from compulsory detention of people who use drugs towards voluntary community-based drug dependence treatment and support services in Asia
Evidence indicates that detention of people who use drugs in compulsory centers in the name of treatment is common in Cambodia, China, Indonesia, Lao PDR, Malaysia, Myanmar, Philippines, Thailand, and Vietnam. The expansion of such practices has been costly, has not generated positive health outcome...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4608322/ https://www.ncbi.nlm.nih.gov/pubmed/26470779 http://dx.doi.org/10.1186/s12954-015-0071-0 |
_version_ | 1782395652927389696 |
---|---|
author | Tanguay, Pascal Kamarulzaman, Adeeba Aramrattana, Apinun Wodak, Alex Thomson, Nicholas Ali, Robert Vumbaca, Gino Lai, Gloria Chabungbam, Anand |
author_facet | Tanguay, Pascal Kamarulzaman, Adeeba Aramrattana, Apinun Wodak, Alex Thomson, Nicholas Ali, Robert Vumbaca, Gino Lai, Gloria Chabungbam, Anand |
author_sort | Tanguay, Pascal |
collection | PubMed |
description | Evidence indicates that detention of people who use drugs in compulsory centers in the name of treatment is common in Cambodia, China, Indonesia, Lao PDR, Malaysia, Myanmar, Philippines, Thailand, and Vietnam. The expansion of such practices has been costly, has not generated positive health outcomes, and has not reduced supply or demand for illicit drugs. United Nations agencies have convened several consultations with government and civil society stakeholders in order to facilitate a transition to voluntary evidence- and community-based drug dependence treatment and support services. In an effort to support such efforts, an informal group of experts proposes a three-step process to initiate and accelerate national-level transitions. Specifically, the working group recommends the establishment of a national multisectoral decision-making committee to oversee the development of national transition plans, drug policy reform to eliminate barriers to community-based drug dependence treatment and support services, and the integration of community-based drug dependence treatment in existing national health and social service systems. In parallel, the working group recommends that national-level transitions should be guided by overarching principles, including ethics, human rights, meaningful involvement of affected communities, and client safety, as well as good governance, transparency, and accountability. The transition also represents an opportunity to review the roles and responsibilities of various agencies across the public health and public security sectors in order to balance the workload and ensure positive results. The need to accelerate national-level transitions to voluntary community-based drug dependence treatment and support services is compelling—on economic, medical, sustainable community development, and ethical grounds—as extensively documented in the literature. In this context, the expert working group fully endorses initiation of a transition towards voluntary evidence- and community-based drug dependence treatment and support services across the region, as well as the steady scale-down of compulsory centers for drug users. Components of voluntary community-based drug dependence treatment and support services are being implemented in Cambodia, China, Indonesia, Malaysia, and Thailand. However, significant technical and financial support will be required to be allocated from national budgets and by international development agencies in order to complete the transition and reduce the reliance on detention of people who use drugs in Asia. |
format | Online Article Text |
id | pubmed-4608322 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-46083222015-10-17 Facilitating a transition from compulsory detention of people who use drugs towards voluntary community-based drug dependence treatment and support services in Asia Tanguay, Pascal Kamarulzaman, Adeeba Aramrattana, Apinun Wodak, Alex Thomson, Nicholas Ali, Robert Vumbaca, Gino Lai, Gloria Chabungbam, Anand Harm Reduct J Commentary Evidence indicates that detention of people who use drugs in compulsory centers in the name of treatment is common in Cambodia, China, Indonesia, Lao PDR, Malaysia, Myanmar, Philippines, Thailand, and Vietnam. The expansion of such practices has been costly, has not generated positive health outcomes, and has not reduced supply or demand for illicit drugs. United Nations agencies have convened several consultations with government and civil society stakeholders in order to facilitate a transition to voluntary evidence- and community-based drug dependence treatment and support services. In an effort to support such efforts, an informal group of experts proposes a three-step process to initiate and accelerate national-level transitions. Specifically, the working group recommends the establishment of a national multisectoral decision-making committee to oversee the development of national transition plans, drug policy reform to eliminate barriers to community-based drug dependence treatment and support services, and the integration of community-based drug dependence treatment in existing national health and social service systems. In parallel, the working group recommends that national-level transitions should be guided by overarching principles, including ethics, human rights, meaningful involvement of affected communities, and client safety, as well as good governance, transparency, and accountability. The transition also represents an opportunity to review the roles and responsibilities of various agencies across the public health and public security sectors in order to balance the workload and ensure positive results. The need to accelerate national-level transitions to voluntary community-based drug dependence treatment and support services is compelling—on economic, medical, sustainable community development, and ethical grounds—as extensively documented in the literature. In this context, the expert working group fully endorses initiation of a transition towards voluntary evidence- and community-based drug dependence treatment and support services across the region, as well as the steady scale-down of compulsory centers for drug users. Components of voluntary community-based drug dependence treatment and support services are being implemented in Cambodia, China, Indonesia, Malaysia, and Thailand. However, significant technical and financial support will be required to be allocated from national budgets and by international development agencies in order to complete the transition and reduce the reliance on detention of people who use drugs in Asia. BioMed Central 2015-10-16 /pmc/articles/PMC4608322/ /pubmed/26470779 http://dx.doi.org/10.1186/s12954-015-0071-0 Text en © Tanguay et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Commentary Tanguay, Pascal Kamarulzaman, Adeeba Aramrattana, Apinun Wodak, Alex Thomson, Nicholas Ali, Robert Vumbaca, Gino Lai, Gloria Chabungbam, Anand Facilitating a transition from compulsory detention of people who use drugs towards voluntary community-based drug dependence treatment and support services in Asia |
title | Facilitating a transition from compulsory detention of people who use drugs towards voluntary community-based drug dependence treatment and support services in Asia |
title_full | Facilitating a transition from compulsory detention of people who use drugs towards voluntary community-based drug dependence treatment and support services in Asia |
title_fullStr | Facilitating a transition from compulsory detention of people who use drugs towards voluntary community-based drug dependence treatment and support services in Asia |
title_full_unstemmed | Facilitating a transition from compulsory detention of people who use drugs towards voluntary community-based drug dependence treatment and support services in Asia |
title_short | Facilitating a transition from compulsory detention of people who use drugs towards voluntary community-based drug dependence treatment and support services in Asia |
title_sort | facilitating a transition from compulsory detention of people who use drugs towards voluntary community-based drug dependence treatment and support services in asia |
topic | Commentary |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4608322/ https://www.ncbi.nlm.nih.gov/pubmed/26470779 http://dx.doi.org/10.1186/s12954-015-0071-0 |
work_keys_str_mv | AT tanguaypascal facilitatingatransitionfromcompulsorydetentionofpeoplewhousedrugstowardsvoluntarycommunitybaseddrugdependencetreatmentandsupportservicesinasia AT kamarulzamanadeeba facilitatingatransitionfromcompulsorydetentionofpeoplewhousedrugstowardsvoluntarycommunitybaseddrugdependencetreatmentandsupportservicesinasia AT aramrattanaapinun facilitatingatransitionfromcompulsorydetentionofpeoplewhousedrugstowardsvoluntarycommunitybaseddrugdependencetreatmentandsupportservicesinasia AT wodakalex facilitatingatransitionfromcompulsorydetentionofpeoplewhousedrugstowardsvoluntarycommunitybaseddrugdependencetreatmentandsupportservicesinasia AT thomsonnicholas facilitatingatransitionfromcompulsorydetentionofpeoplewhousedrugstowardsvoluntarycommunitybaseddrugdependencetreatmentandsupportservicesinasia AT alirobert facilitatingatransitionfromcompulsorydetentionofpeoplewhousedrugstowardsvoluntarycommunitybaseddrugdependencetreatmentandsupportservicesinasia AT vumbacagino facilitatingatransitionfromcompulsorydetentionofpeoplewhousedrugstowardsvoluntarycommunitybaseddrugdependencetreatmentandsupportservicesinasia AT laigloria facilitatingatransitionfromcompulsorydetentionofpeoplewhousedrugstowardsvoluntarycommunitybaseddrugdependencetreatmentandsupportservicesinasia AT chabungbamanand facilitatingatransitionfromcompulsorydetentionofpeoplewhousedrugstowardsvoluntarycommunitybaseddrugdependencetreatmentandsupportservicesinasia |