Looks nice on paper. Unfortunately, it does not reflect the reality and is not currently possible. Putting aside the political activity related detentions, Thailand does not incarcerate on a whim. There are approx. 330,000 prisoners in a system built to hold 240,000. Approx. 1/3 of prisoners are not convicted, but are on remand because they are dangerous offenders, or in most cases are unable to meet bail conditions (financial guarantee, a place to stay, family support etc.) Most of the detainees are held for drug offences. Thailand has a drug problem, specifically yaba that is directly linked to mental health. And therein is the reason why all the wonderful notions of diversion, community service, home detention are not much use. If a person does not have family support or a place to stay, how do you expect them to be released into the community? long term yaba users tend to have burnt their family links and are unwanted in their communities because of their anti social behaviour. If they are poor and cannot raise even a minimum amount of bail, what do you expect to be done. Yaba users are irrational, unmanageable and are not easily treated. More often than not, they are mentally ill. Ankle monitors, home detention does not work, nor protect the community. In an ideal world, the drug law offenders would be treated at mental health facilities, and/or be sent to rehab and treated. In the real world, it does not and cannot work that way. Yaba requires isolation from other users and intensive therapy. It also requires a desire to change. In a country of 70 million, there will always be a small group who are incapable of change or too resistant to change. Thailand has a mental health problem The only viable option is to lock them up until they are too ill to continue as criminals or they grow out of their behaviour. The likelihood of an early death for methamphetamine users is increased, the longer the person uses the drug. There's rather grim Swedish study that looked at the health problems of methamphetamine users. They die off relatively quickly. There was a study done in Thailand (see below) that followed up on yaba users. These were patients who were in hospital, which suggests that they had the means and support for an intervention, so more likely to be helped. After just 5 years, 8% of the study subjects were dead due to suicide, HIV or accident. their likelihood of cancers, cardiovascular and kidney disease was significantly greater than their non drug using age group.mThe 1000+ patients were diagnosed with various mental illnesses: psychotic disorders (15.8%), alcohol use disorders (52.1%) and suicidality (22.3%). Sometimes the illness was a result of the drug use and at other times was a motivation for the drug use. The one obvious conclusion is that mental illness was a major factor. All this to say, that until Thailand has the thousands of mental health professionals, a change in its culture that sees mental illness as a taboo and billions of baht to spend on mental health, alternatives to detention will be unlikely. In the interim, execution of the yaba cartel leaders and an absolute crackdown on the manufacture, importation and distribution is the only thing that will reduce the likelihood of new prison detainees. Reference: Kittirattanapaiboon P, Mahatnirunkul S, Booncharoen H, Thummawomg P, Dumrongchai U, Chutha W. Long-term outcomes in methamphetamine psychosis patients after first hospitalisation. Drug Alcohol Rev. 2010;29:456–61. doi: 10.1111/j.1465-3362.2010.00196.x.
Create an account or sign in to comment