CHINA TURNS DRUG REHAB INTO A PUNISHING ORDEAL

BEIJING -- Fu Lixin, emotionally exhausted from caring for her sick
mother, needed a little pick-me-up. A friend offered her a "special
cigarette" -- one laced with methamphetamine -- and Ms. Fu happily
inhaled.

The next day, three policemen showed up at her door.

"They asked me to urinate in a cup," she said. "My friend had been
arrested and turned me in. It was a drug test. I failed on the spot."

Although she said it was her first time smoking meth, Ms. Fu, 41, was
promptly sent to one of China's compulsory drug rehabilitation
centers. The minimum stay is two years, and life is an unremitting
gantlet of physical abuse and forced labor without any drug treatment,
according to former inmates and substance abuse professionals.

"It was a hell I'm still trying to recover from," she
said.

According to the United Nations, as many as a half million Chinese
citizens are held at these centers at any given time. Detentions are
meted out by the police without trials, judges or appeals. Created in
2008 as part of a reform effort to grapple with the country's growing
narcotics problem, the centers, lawyers and drug experts say, have
become de facto penal colonies where inmates are sent to factories and
farms, fed substandard food and denied basic medical care.

"They call them detoxification centers, but everyone knows that detox
takes a few days, not two years," said Joseph Amon, an epidemiologist
with Human Rights Watch in New York. "The basic concept is inhumane
and flawed."

On Thursday, Human Rights Watch issued a report on the drug
rehabilitation system that replaced the Communist Party's previous
approach of sending addicts to labor camps, where they would toil
alongside thieves, prostitutes and political dissidents.

The report, titled "Where Darkness Knows No Limits," calls on the
government to immediately shut down the detention centers.

Under the Anti-Drug Law of 2008, drug offenders were to be sent to
professionally staffed detox facilities and then released to
community-based rehabilitation centers for up to four years of
therapeutic follow-up.

But substance abuse experts say the legislation, part of a stated
"people centered" approach to dealing with addiction, has simply given
the old system a new name. What is worse, they say, is that it expands
the six-month compulsory detentions of old into two-year periods that
the authorities can extend by five years.

The "community-based rehabilitation" centers, treatment experts add,
have yet to be established.

Wang Xiaoguang, the vice director of Daytop, an American-affiliated
drug-treatment residence in Yunnan Province, said the government detox
centers were little more than business ventures run by the police.
Detainees, he said, spend their days working at chicken farms or shoe
factories that have contracts with the local police; drug treatment,
counseling and vocational training are almost nonexistent.

"I don't think this is the ideal situation for people trying to
recover from addiction," Mr. Wang said in a phone interview.

In its report, Human Rights Watch, which largely focused on Yunnan,
says the abuses at some of the province's 114 detention centers are
even more troubling. Those with serious illnesses, including
tuberculosis and AIDS, are often denied medical treatment. Many
inmates reported beatings, some of them fatal.

The Office of National Narcotics Control Commission, which administers
China's drug policy, did not respond to requests for comment on Thursday.

Han Wei, 38, a recovering heroin addict who was released from a
Beijing detention center in October, said the guards would use
electric prods on the recalcitrant. "At least they'd give us helmets
so we wouldn't injure our heads during convulsions," he said.

Meals consisted of steamed buns and, occasionally, cabbage-based
swill. Showers were allowed once a month. And the remedy for heroin
withdrawal symptoms was a pail of cold water in the face. "They didn't
give me a single pill or a bit of counseling," Mr. Han said.

Despite the deprivations, Mr. Han, a former nightclub owner, said his
two-year sentence achieved the desired goal: it persuaded him to kick
a habit he began in 1998. "I'm never going back," he said.

Zhang Wenjun, who runs Guiding Star, an organization that helps
recovering addicts, said such determination was most often fleeting.
At least 98 percent of those who leave the drug detention system
relapse within a few years, he said.

Mr. Zhang knows something about falling off the wagon. His own
addiction to heroin has landed him in detox centers and labor camps
six times since the mid-1990s.

"What the government doesn't realize is that this is a disease that
needs to be treated, not punished," said Mr. Zhang, 42, a tattooed man
who speaks in a growl.

In some ways, he said, the stigma of addiction is as crippling as the
lure of the next fix. Those arrested for drug offenses are branded
addicts on their national identification cards, which makes applying
for jobs and welfare benefits acts of futility. And because the local
police are automatically notified when former offenders check into
hotels, traveling often involves impromptu urine tests and the
possibility of humiliation in front of colleagues.

"In China, to be a drug addict is to be an enemy of the government,"
Mr. Zhang said.

Still, he and other drug treatment workers are quick to acknowledge
the progress that China has made in recent years. There are now eight
methadone clinics in Beijing, serving 2,000 people, and more than
1,000 needle-exchange programs have opened across the country since
2004.

Yu Jingtao, whose organization, Beijing Harm Reduction Group,
distributes 30,000 clean needles a month, said the government was
slowly moving toward the drug treatment model common in much of the
developed world. "We're just caught in a transition period," said Mr.
Yu, himself a recovering addict. "Transition periods are never very
pretty."

Zhang Jing contributed research.