International Guidelines on Human Rights and Drug Policy

6. Freedom from torture, cruel, inhuman, or degrading treatment or punishment

Torture and other cruel, inhuman, or degrading treatment or punishment are absolutely prohibited, in all circumstances. This includes during the arrest, questioning, and detention of persons alleged to have committed drug-related crimes or otherwise implicated during an investigation. The withholding of drugs from those who need them for medical purposes, including for drug dependence treatment and pain relief, is considered a form of torture.

In accordance with this right, States shall:

i. Take effective legislative, administrative, judicial, and other measures to prohibit, prevent, and redress all acts of torture and ill-treatment in their jurisdiction and in all settings under their custody or control, including in the context of drug dependence treatment, whether administered in public or private facilities.

ii. Promptly investigate allegations of torture and cruel, inhuman, or degrading treatment or punishment by State agents, as well as acts that occur in their territory or under their jurisdiction (whether carried out by State or non-State actors), and prosecute and punish those responsible, including when victims are persons alleged to have committed drug-related offences or who are dependent on drugs.

iii. Avoid extraditing or otherwise forcibly returning or transferring individuals to another State where there are substantial grounds to believe that they are at risk of subjection to torture or cruel, inhuman, or degrading treatment or punishment, including by non-State actors over which the receiving State has no or only partial control or whose acts the receiving State cannot prevent, or because they risk expulsion to a third State where they may be in danger of subjection to torture or other prohibited ill-treatment.

iv. Abolish corporal punishment for drug offences where it is in place.

In addition, States should:

v. Ensure access to essential medicines, including for drug dependence, pain treatment, and palliative care.

vi. Ensure that access to health care for people who use or are dependent on drugs and are in places of detention is equivalent to that available in the community.

vii. Establish a national system to effectively monitor drug dependence treatment practices and to inspect drug dependence treatment centres, as well as places of detention, including migrant detention centres, police stations, and prisons.

Commentary:

The prohibition against torture and other cruel, inhuman, or degrading treatment or punishment is enshrined in numerous international and regional treaties and other instruments.355 This prohibition is absolute and non-356 The obligation to prohibit, prevent, and redress torture and ill-treatment extends to all acts by State and non-State actors357 and to all contexts of custody and control, including prisons, hospitals, ‘and other institutions as well as contexts where the failure of the State to intervene encourages and enhances the danger of privately inflicted harm’.358

Policing practices

The Committee against Torture, the Human Rights Committee, the Working Group on Arbitrary Detention, and the Special Rapporteur on torture have found that the use of violence by law enforcement officials and the withholding of opioid substitution therapy or otherwise inducing withdrawal to coerce confessions or obtain information – for example, about other people who use drugs or to reveal dealers or suppliers – constitute ill-treatment and possibly torture.359 The Committee against Torture has urged that States take ‘all measures necessary to effectively protect drug users deprived of liberty against the infliction of pain and suffering associated with withdrawal by police, including to extract confessions; ensure such confessions are not admitted by the courts; and provide drug users in detention with adequate access to necessary medical treatment’.360

The use of violence by law enforcement officials and of withdrawal to coerce confessions or obtain information also contravenes international standards for law enforcement, in particular the UN Code of Conduct for Law Enforcement Officials, which states that torture by law enforcement officials cannot be justified in any circumstance and instructs such officials to ensure the ‘full protection of persons in their custody’ and ‘take immediate action to secure medical attention whenever required’.361 Other policing practices may infringe the right to freedom from cruel, inhuman, and degrading treatment. For example, the European Court of Human Rights has found that forcing regurgitation – which causes physical pain and mental suffering – to retrieve evidence of a drug offence that could have been obtained by less intrusive methods constitutes inhuman and degrading treatment.362

Pretrial detention

The Committee against Torture and the Special Rapporteur on torture have raised concerns about criminal laws on narcotics that provide that people arrested under such laws can be held for lengthy periods without being brought before a judge and without having access to legal counsel. They have found that such regimes leave the accused vulnerable to a high risk of torture and ill-treatment. They have thus recommended that such laws be amended and that States otherwise ensure judicial procedure guarantees as part of efforts to prevent torture.363

Prison and other closed settings

Abuse among prisoners, from subtle forms of harassment to intimidation and serious physical and sexual attacks, are common.364 People who use drugs and other vulnerable populations might face heightened risk of violence by other detainees, especially where States have delegated detainees with the authority to maintain discipline.365 The employment of detainees in such disciplinary capacity violates international standards.366 Moreover, States have a positive obligation to exercise due diligence to prevent violence among those in their custody. Inter-prisoner violence may amount to torture or ill-treatment if States fail to act with due diligence to prevent it.367

Extradition and other forcible return or transfer

Prohibition of the extradition and other forcible return or transfer of an individual to a country where there are substantial grounds for believing that they may face torture or cruel, inhuman, or degrading treatment or punishment by State or non-State actors is enshrined in international and regional human rights instruments. For example, the Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment expressly provides that ‘[n]o State Party shall expel, return (“refouler”) or extradite a person to another State where there are substantial grounds for believing that he would be in danger of being subjected to torture’.368

Limits on extradition and other forms of forcible transfer under the Convention against Torture also apply where there are substantial grounds for believing that the person in question would be in danger of subjection to torture or ill-treatment at the hands of non-State actors over whom the receiving State has no or only partial de facto control, whose acts the State is unable to prevent, or who otherwise operate with impunity in the receiving State.369 The International Covenant on Civil and Political Rights370 and regional human rights instruments likewise protect individuals from extradition and other forms of transfer in cases of torture and cruel, inhuman, or degrading treatment or punishment.371 The Committee against Torture has raised specific concerns that a government expelling foreigners convicted of drug trafficking and banning them from the country for a period seriously risks violating the principle of non-refoulement.372

Health services and cruel, inhuman, or degrading treatment

UN human rights mechanisms have concluded that the denial, removal, or discontinuation of effective drug dependence treatment, such as opioid substitution therapy, including in custodial settings, may violate the prohibition against cruel, inhuman, or degrading treatment or punishment.373 Government failure to ensure access to controlled medicines for pain relief may also constitute cruel, inhuman, or degrading treatment or punishment, where, for example, a person’s suffering is severe and meets the minimum level of severity under the prohibition against torture and ill-treatment; where the State is, or should be, aware of the person’s suffering, including when no appropriate treatment was offered; and where the State failed to take all reasonable steps to protect the person’s physical and mental integrity.374 Withholding antiretroviral treatment from people living with HIV who use drugs – based on the assumption that they will not be able to adhere to said treatment – has been deemed cruel and inhuman treatment in light of the physical and psychological suffering it causes.375

In addition, States have an obligation to ensure that incarcerated individuals have access to the same level of health care available in the general community, including services related to drug use and drug dependence.376 Failure to do so may amount to cruel, inhuman, or degrading treatment or punishment.377

Independent oversight of places of deprivation of liberty

The Optional Protocol to the Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment defines ‘deprivation of liberty’ as ‘any form of detention or imprisonment or the placement of a person in a public or private custodial setting which that person is not permitted to leave at will by order of any judicial, administrative or other authority’.378

International norms on the treatment of people deprived of liberty require that regular inspections of places of deprivation of liberty be performed by the administration of the institution and a body independent of it. The Optional Protocol to the Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment requires that States Parties ‘set up, designate or maintain at the domestic level one or several visiting bodies for the prevention of torture and other cruel, inhuman or degrading treatment or punishment’, called ‘national preventive mechanisms’,379 and guarantee the functional independence and independence of the personnel of these mechanisms.380 The Special Rapporteur on torture has recommended that States ‘ensure that all places of detention are subjected to effective oversight and inspection and unannounced visits by independent bodies established in conformity with the Optional Protocol to the Convention against Torture as well as by civil society monitors; and ensure the inclusion of women and lesbian, gay, bisexual and transgender persons and other minority representation on monitoring bodies’.381 The Special Rapporteur has also recommended that States monitor places of detention in a gender-sensitive manner382 and ‘set up operational protocols, codes of conduct, regulations and training modules for the ongoing monitoring and analysis of discrimination against women, girls, and lesbian, gay, bisexual and transgender persons with regard to access to all services and rehabilitation programmes in detention; and document, investigate, sanction and redress complaints of imbalance and direct or indirect discrimination in accessing services and complaint mechanisms’.383

The UN Standard Minimum Rules for the Treatment of Prisoners (also known as the Mandela Rules) and the UN Rules for the Treatment of Women Prisoners and Non-custodial Measures for Women Offenders (also known as the Bangkok Rules) also provide guidance on the conducting of such inspections,384 specifying, among other things, that bodies tasked with monitoring, inspection, and supervision should include women members.385

Drug detention centres

In some countries, people who are suspected of drug use are held in compulsory drug detention centres, often without medical evaluation, judicial review, or right of appeal and undergo detention, physical disciplinary exercises (such as military-style drills), and forced labour as ‘treatment’, in plain disregard of medical evidence and in violation of international human rights protections, including against torture and ill-treatment. The Committee against Torture, the Committee on the Rights of the Child, the Committee on Economic, Social and Cultural Rights, the Human Rights Committee, the Special Rapporteurs on torture and on the right to health, and the Working Group on Arbitrary Detention have raised concerns about torture and ill-treatment in compulsory drug detention centres, calling for their immediate closure; an end to financial and technical support for such centres; prompt, thorough, impartial investigations of abuses; the prosecution of alleged perpetrators and, if found guilty, punishment commensurate with the seriousness of their acts; and adequate redress for victims.386 In addition, the Committee on the Rights of the Child has urged the release, without delay, of children in drug detention centres and the establishment of an independent, child-sensitive mechanism to receive complaints against law enforcement officers and to provide victims with redress.387

The Human Rights Committee has raised concern about arbitrary arrest and detention without due process,388 as well as compulsory detoxification, forced labour, inadequate medical care, and onerous work conditions in drug detention centres.389 It has called for a comprehensive review of relevant laws, policies, and practices vis-à-vis drug-dependent individuals to ensure alignment with the International Covenant on Civil and Political Rights and for the introduction of effective mechanisms, with formal authority, to decide on complaints brought by people deprived of their liberty in compulsory drug detention centres.390

In 2012, 12 UN entities called for the immediate closure of such facilities, as well as the immediate release of those detained.391 In 2020, 13 UN entities, recalling the 2012 joint statement on compulsory drug detention centres, likewise called on States operating compulsory drug detention centres to close them permanently without delay and to implement voluntary, evidence- and rights-based health and social services in the community as part of efforts to curb the spread of COVID-19.392 Moreover, the UN General Assembly Special Session 2016 Outcome Document places an emphasis on people’s ‘voluntary participation’ in treatment programmes and the need to ‘prevent any possible acts of cruel, inhuman or degrading treatment or punishment’ in drug treatment and rehabilitation facilities.393

Solitary confinement, judicial corporal punishment, and corporal punishment as ‘treatment’

The Committee against Torture has expressed concern about the use of solitary confinement in drug treatment centres ‘when persons undergoing treatment are not “reformed through education” or do not obey discipline’, among other grounds.394 The Committee has also expressed concern about the extended use of administrative detention, such as measures of ‘compulsory isolation in drug treatment centres’. It has called for the abolition of all forms of administrative detention, ‘which confine individuals without due process and make them vulnerable to abuse’, and for the prioritisation of community-based or alternative social-care services for people with drug dependence.395

The Special Rapporteurs on health and on torture have raised concerns about State-sanctioned beatings, caning, or whipping,396 as well as ‘flogging therapy’ 397in the guise of ‘treatment’, at compulsory drug detention centres. The UN Working Group on Arbitrary Detention has received reports of the caning of prisoners found guilty of drug trafficking or drug possession.398 The Human Rights Committee, the Committee against Torture, the Committee on Economic, Social and Cultural Rights, and the Committee on the Rights of the Child have called for the abolition of corporal punishment, whether imposed under criminal or administrative proceedings.399 The Human Rights Committee has stated that corporal punishment constitutes ill-treatment or punishment contrary to article 7 of the Covenant, irrespective of the nature of the crime being punished or the permissibility of corporal punishment under domestic law.400 The Committee has also recognised that the imposition of a sentence of corporal punishment violates prohibitions against torture and ill-treatment, regardless of whether the sentence is carried out.401 The Special Rapporteur on torture has also concluded that ‘without exception’, corporal punishment amounts to cruel, inhuman, or degrading punishment or torture and is absolutely prohibited in international law.402

Private actors

The obligation to prohibit, prevent, and redress torture applies to acts by State and non-State actors alike403 and to all contexts of custody and control, including prisons, hospitals, ‘and other institutions as well as contexts where the failure of the State to intervene encourages and enhances the danger of privately inflicted harm’.404 The obligation therefore extends to private facilities.

The Committee against Torture has raised concern about poor conditions in private drug treatment centres and ill-treatment inflicted upon persons admitted to them. The Committee calls for the taking of all steps necessary to prevent and punish ill-treatment in such centres and for the prompt, thorough, and effective investigation of all complaints of ill-treatment in these centres, ensuring that the persons responsible are brought to trial and, if found guilty, receive penalties commensurate with the seriousness of their acts.405

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