Federal immigration officials, over the past year, have dramatically curtailed the controversial practice of sedating deportees with powerful anti-psychotic medication. The move followed court challenges and a public outcry over the practice, which often involved the use of Haldol, a drug used to treat schizophrenia. Data collected through Freedom of Information Act requests by The Dallas Morning News show that Immigration and Customs Enforcement sedated only 10 people in the past fiscal year. Haldol was used in only three cases. Over the past six years, through October, federal immigration personnel sedated 384 deportees, an average of 64 a year, the government disclosed. Of those cases, 356 involved the use of Haldol.
U.S. officials defended the sedation policy but declined to discuss it in detail, including the frequency with which sedation has been used, which led The News to request the information through the Freedom of Information Act. U.S. officials say the procedure is done on the recommendation of medical personnel and now requires a court order – a change made when the American Civil Liberties Union began opposing the procedure and after Julie L. Myers, then assistant homeland security secretary, learned of the cases. “When we do ask the court to involuntarily sedate, it is both necessary to effectuate removal and medically appropriate,” said Pat Reilly, a spokeswoman for Immigration and Customs Enforcement, an agency within the Department of Homeland Security.
Critics said there had been no effective oversight of the process, and some continue to say that the policy violates medical ethics. They praised the use of the court order and sedation restrictions. “What you are seeing here is that the courts have proven once again that sunshine is the best disinfectant,” said Wade Henderson, a lawyer and the president and chief executive officer of the Leadership Conference on Civil Rights in Washington, D.C.
Though the agency has dramatically reduced its use of Haldol to sedate deportees, the practice remains controversial. Haldol is used to treat schizophrenia and such psychotic symptoms as hallucinations, delusions and hostility. It is sometimes used in hospital emergency rooms to manage acute agitation and psychosis. Medical authorities say the use of Haldol carries potential complications. The drug can trigger such adverse reactions as muscular spasms and a condition known as neuroleptic malignant syndrome that can result in a coma and even death if left untreated.
Scott Allen, an internist and co-founder of the Center for Prisoner Health and Human Rights in Providence, R.I., said he opposes sedation except for deportees with schizophrenia or other mental illness. “The medical community needs to assert itself and make clear the medical ethics of involuntary chemical restraint: It is not acceptable,” he said. As for its decline in use, Dr. Allen said, “That is certainly encouraging, but it enforces the impression they were overusing forced medication in the past.”
New policy: ICE established the policy of requiring a court order for involuntary sedation of detainees during removal with “no exceptions” in January. ICE said it restated a policy from June 2007. Ms. Myers, who resigned as assistant homeland security secretary last month, said she moved toward a policy of “getting a court order so only in the narrowest of circumstances would we proceed like this.” She defined the narrow circumstances in which sedation would be used as those in which the agency believes that “based on the advice of medical professional, that this is the only way to have a safe and secure deportation, and a court agrees with that.” The policy went into effect in June 2007 after the Los Angeles Daily News reported that two detainees had been forcibly drugged in an effort to sedate them for a deportation flight.
Last year, the ACLU sued the U.S. government on behalf of the two immigrants, one from Senegal and another from Indonesia. Attorneys for the men believe both were given Haldol. The case was settled for $55,000 in total for the two, and the government admitted no wrongdoing or liability.
In November 2007, the federal government attempted to get a court order to sedate an Albanian man who resisted deportation and boarding from Dallas/Fort Worth International Airport, screaming he would be killed if he were sent back to Albania. The man, a political-asylum seeker, was aided by U.S. Rep. Louie Gohmert, R-Tyler, who wrote a private bill that effectively stalled the Albanian’s deportation until early 2009….
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