Sunday Times (Sri Lanka)

Community-based rehabilita­tion centres the way forward

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No anti-narcotics operation will succeed unless there is a concerted effort at demand reduction, and rehabilita­ting drug-addicted people is a key part of the Yukthiya operation, Acting IGP Tennakoon said.

Police have been heavily criticised since the start of the Yukthiya operation for forcibly sending drug-addicted people for rehabilita­tion. The move to refer hundreds of such persons for mandatory rehabilita­tion has also resulted in overcrowdi­ng at existing centres. This has caused issues at places such as the Kandakadu Rehabilita­tion Centre, which has seen repeated clashes between inmates and mass breakouts in recent weeks.

Mr. Tennakoon said police believe there are more than 100,000 drugaddict­ed people in the country. “If they aren’t successful­ly rehabilita­ted and convinced to stay off drugs, there will continue to be an attractive market for narcotics in the country. As long as the demand is there, someone will always step in no matter who we arrest.”

Instead of sending drug-addicted persons for forcible rehabilita­tion, authoritie­s are now attempting to begin a voluntary community-based rehabilita­tion project, set to begin next week with the assistance of the NDDCB, civil society organisati­ons, and religious leaders. The plan is to open 250 new community-based rehabilita­tion centres around the country. Each centre will have room for 50 people, meaning 12,500 people can be rehabilita­ted at these centres at one time. This will be a marked improvemen­t from the situation at present, where only 30 rehabilita­tion centres are in operation islandwide, with an annual capacity of 4700 persons. If the programme is successful, it will lead to a significan­t demand reduction, authoritie­s noted.

Research has shown that results from forcible rehabilita­tion in an institutio­nal setting are low, with as much as 75% of those undergoing such rehabilita­tion relapsing into drug use after release, said Amaranath Tenna, Programme Director at the Alcohol and Drug Informatio­n Centre (ADIC). “Such persons are being forcibly rehabilita­ted in an artificial setting. In contrast, community-based rehabilita­tion in areas where drugaddict­ed persons reside and using such methods as peer-to-peer interventi­on have shown to have far better results.”

He said there were also shortcomin­gs in aftercare for rehabilita­ted inmates. They can become shunned by the community, which labels them as “kudu kaarayas.” As such, they need support from the authoritie­s on how to live their lives in such a setting, said Mr. Tenna. “It should go beyond checking whether the person has relapsed and focus on helping them to live in such an environmen­t. Such issues will be addressed in a community-based programme,” he said, adding that the new programme, if properly implemente­d, is the way forward.

He said the current government-run rehabilita­tion centres can be improved too if significan­t changes are made. Firstly, the current period of one-year mandatory rehabilita­tion is too long and should be reduced. The centres should also be places where people would want to go voluntaril­y, rather than being sent against their will, he stressed.

Mr. Tenna emphasised that prevention is the most important method when tackling drugs. “Since it is youths who are most at risk of becoming addicted to drugs, more drug preventive programmes at the school level should be implemente­d while existing legislatio­n should be empowered, he said. “This is like falling into a waterfall. It’s always better to prevent people from falling in rather than try to rescue them at the bottom,” he observed.

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