Malaysian Medical Association voices out concern over amended Drug Dependants Bill

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Dr Azizan says the Act’s definition of ‘dependence’ is also troubling as it loosely defines the term as ‘menjejaskan kawalan kendiri’, which is incorrect.

KUCHING (July 5): The Malaysian Medical Association (MMA) has expressed its deep concern over the Drug Dependants (Treatment and Rehabilitation) (Amendment) Bill 2024, which it said appears to lack expert guidance and input.

MMA president Dr Azizan Abdul Aziz in a statement yesterday said substance dependence is a medical and health condition, and that rehabilitation officers are not doctors who are qualified to provide expert recommendations on the management of substance dependants, as stated in Section 6(2) of the Bill.

“The Magistrate must obtain recommendation from a doctor – someone with specialised training – before determining the period for treatment and rehabilitation,” she said.

According to her, the Act’s definition of ‘dependence’ is also troubling as it loosely defines the term as ‘menjejaskan kawalan kendiri’, which is incorrect.

“The accepted definition of substance dependence should come from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), where there are 11 criteria. Drug use disorder under DSM is defined as ‘a problematic pattern of drug use leading to distress or functional impairment’.

“Its criteria include unsuccessful attempt to cut down or control use, spending excessive time acquiring or using drugs, craving, neglecting responsibilities, and continued use despite social or personal consequences.

“It requires extensive assessment through taking a detailed and targeted history as well as clinical examination before doing blood or urine tests.

“Most doctors have to undergo specialised training for this. The main question is are officers and volunteers from the National Anti-Drug Agency (AADK) trained in this area?”

Dr Azizan said substance dependence must be treated by psychiatrists or psychologists with specialised training in managing addictions.

In view of this, she urged the government to halt the Bill until proper engagements have been made with stakeholders.

“We wish to state that the Home Ministry had not consulted with MMA regarding the Bill. Careful consideration and refinement by a special committee is needed before the Bill is passed,” she added.

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