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CORAM:
JUSTICE S. MURALIDHAR
JUSTICE I.S. MEHTA
2. The report states that of the 124 de-addiction centres inspected, 28 were
found closed. The teams interacted with a total of 2,135 inmates in the 96
centres that were still functional. Of these 2,135 patients, a total of 750 were
found to be detained involuntarily. The report contains a chart showing the
number of centres inspected and the situation prevailing in each of those
centres.
3. At the outset, the Court expresses its appreciation for the remarkable work
done by the teams constituted by the DSLSA in inspecting such a large
number of centres and being able to submit fairly comprehensive reports
within a short period of time.
5. The report further notes that some of the centres did not maintain proper
records. What is most disturbing is that there are reports of ongoing physical
and sexual torture in many of these centres. In one of the centres inspected,
five patients were found to be illegally detained in a locked room and
subjected to physical torture. Doctors were not available in most centres and
emergency facilities were also found lacking. At some places, the quality of
food was poor and there was a general lack of basic amenities.
6. Individual reports for each of the centres inspected have also been
presented to the Court. The Court has perused some of these reports. In
regard to some of the centres the details of the amount charged for treatment
of the patients have been provided. In one such centre, patients complained
that no doctor ever visited the centre. Some said that one doctor visits the
centre fortnightly. The situation of the visits by counsellors is equally bad.
The reports also talk of patients not being discharged, despite being cured,
since the centre was insisting on a deposit of the fee for a minimum period
of three months and unless that fee was paid, the inmates would not be
allowed to leave the said centre. There appears to be no standard rate
charged. In many centres, inmates were not provided with beds and were
made to sleep on mattresses on the floor. It is also reported that they were
required to perform menial tasks in the centre failing which their food
rations were drastically reduced.
9. Mr. Ajay Arora, learned counsel for the North Delhi Municipal
Corporation („North DMC‟), has brought to the attention of this Court the
dilemma faced by the DMCs. He points out that many of these centres are
operating in unauthorized colonies. Many of them do not have any health
licenses and adequate facilities for offering treatment and care. In the
absence of any regulations or standards, an order for closure of many of
these centres is inevitable. However, the DMCs are conscious of the
10. The Court has perused the status report presented today to the Court by
Dr. Praveen Kumar, Additional Project Director, Delhi State AIDS Control
Society („DSACS‟). This sets out the proceedings of a meeting of the Inter-
Sectoral Co-ordination Committee („ISCC‟) held under the Chairmanship of
Principal Secretary (H&FW), GNCTD on 8th May 2018 has been set out. It
was agreed by the ISCC at that meeting that “the registration/regulation of
de-addiction centres under different systems of medicines, being Mental
Health Establishments, is mandated in the Mental Healthcare Act 2017 vide
Section 65(1)”. It was noted that even if de-addiction centres are registered
under the rules formulated under the Narcotic Drugs and Psychotropic
Substances Act 1985 („NDPS Act‟), the centre shall still be required to be
registered under Section 65(1) of Mental Healthcare Act 2017 („MHA‟) and
observe the standards prescribed by the State Mental Health Authority
(„SMHA‟).
12. At a meeting of the Core Committee on 9 th and 10th May 2018, the draft
Minimum Standards for De-addiction Centres („Minimum Standards‟) was
prepared and was presented to the ISCC. The ISCC deliberated upon the
said draft at a meeting held on 11th May 2018. Suggestions made at the
meeting, which were agreed upon, were incorporated and the revised
Minimum Standards were further discussed at an ISCC meeting on
28th May 2018. It is stated that a meeting of the SMHA is to be convened on
5th June 2018 where the Minimum Standards will be finalized.
13. At this meeting held on 28th May 2018 the ISCC decided that it would
request three more months time from this Court for framing and notifying
the Minimum Standards. It is stated that consultations will have to be held
with NGOs and private sector organizations running de-addiction centres. It
is also proposed that the inputs of all stakeholders shall be sought and
compiled which shall aid in preparing the final draft of the Minimum
Standards. It is further stated that consultations will be held with the
Ministry of Health & Family Welfare, GNCTD.
14. The Court directs that the reports submitted by the DSLSA to this Court
as well as the status report submitted by the State be scanned forthwith and
soft copies thereof be made available by the Registry to all counsel
appearing in these matters forthwith, upon them producing either a blank
CD or a pen-drive.
16. The Court must reiterate its alarm about the report of the DSLSA
pointing to several instances of patients being subjected to physical and
sexual torture. The Court is of the firm view that this has to be stopped
immediately. The Court accordingly directs that the copies of the reports
submitted by the DSLSA along with the status report submitted to the Court
by the ISCC be delivered via a special messenger to the Deputy
Commissioner of Police (Headquarters) („DCP‟), Mr. Rajesh Deol, not later
than 4th June 2018. The work of Mr. Deol will be supervised by the Special
Commissioner (Headquarters).
17. The Court expects the Delhi Police to act on the reports submitted by the
DSLSA and also visit the specific centres where it has been recorded that the
patients are being subjected to the above inhumane treatment. Wherever the
police finds an inmate has been held involuntarily and has been subjected to
inhuman treatment, they will arrange, in consultation with the family
members, if any, for the release of such inmate and, where any such inmate
is in need of treatment, contact the nearest Government health facility where
such treatment shall be provided on a priority basis. The Health Secretary,
GNCTD, will cooperate and issue instructions for the relocation of such
inmates who may be released from the centres to the Government health
facility for continuation of the treatment.
20. The parties can approach the Vacation Bench of this Court for urgent
directions.
21. To review the situation, list the matter on 12th July 2018 at 2:15 pm.
23. A copy of this order be given dasti to the parties under the signature of
S. MURALIDHAR, J.
I.S. MEHTA, J.
JUNE 01, 2018
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ORDER
% 01.06.2018
C.M.APPL. 24408/2018 & CM APPL 24962/2018
1. Allowed, subject to all just exceptions.
3. A team constituted by the order dated 3rd May 2018 of this Court, which
included a representative of the Delhi State Legal Services Authority
(‘DSLSA’) and the Deputy Health Officer (‘DHO’) of the concerned
district, visited the Door of Hope de-addiction centre. In their report
submitted today it is noted that the said centre already has twenty patients of
which 5 are voluntary and the remaining 15 are involuntary patients. It is
further noted that there is no emergency facility available.
4. In the light of the said report, this Court does not intend to permit any new
patient to be admitted to the said centre till such time the said de-addiction
centre meets the proposed minimum standards.
5. The Court is informed by Mr. Rahul Mehra, learned Standing counsel for
the State that the Institute of Human Behaviour and Allied Sciences
(‘IHBAS’) at Shahdara has the capacity to offer treatment to the Applicant’s
son. The Applicant is directed to take her son to IHBAS immediately where
the Director, Dr. Nimesh Desai, will have a senior mental health
professional/medical professional attend to the Applicant’s son immediately.
7. A copy of this order be given dasti under the signature of the Court
Master.
S. MURALIDHAR, J.
I.S. MEHTA, J.
JUNE 01, 2018/nk