A Health-Centric Drug Policy

JRF Newsletter

A Health-Centric Drug Policy

Last edited: 2026-11-03

Lin Wei-ting / JRF Project Researcher

Common Myths in Handling Drug Issues

 

The rampant spread of drugs has always been a major concern for the Taiwanese government and society. However, several common myths surrounding drugs not only fail to resolve the problem but actually make the predicament harder to change. These common myths are as follows:

Myth 1
If someone repeatedly uses drugs, it means they are incorrigible; they must be locked up and given the heaviest possible sentence.

This myth can be illustrated by news reports regarding the late entertainer Ta-ping (大炳) and his drug use:

Repeating mistakes over and over again, entertainer Ta-ping is truly beyond saving! Ta-ping, who previously broke down in tears of remorse after being caught using drugs twice, was arrested yesterday for a third drug offense. This time, he escalated his behavior, progressing from low-priced amphetamines to high-priced heroin! When busted yesterday, he cried and begged on the spot: "Please let me go!" During police and prosecutorial interrogations, he wept, saying: "The heroin was used by my boyfriend, Hsiao-pao!" However, the public no longer sympathized with him, and some netizens even harshly criticized Ta-ping—who had once served as an anti-drug ambassador—remarking: "Using heroin? He might as well just go straight to the underworld via a séance!"

—Quoted from Apple Daily, "Beyond Saving, Ta-ping Busted for Third Drug Offense"

Myth 2
Drugs are rampant simply because penalties are too lenient, and people are unafraid of using or trafficking them.

This myth is frequently found in the appeals of legislators and is also common in the rhetoric of law enforcement personnel.

The domestic use of Category 3 drugs has surged significantly, with users showing a trend toward younger ages. Legislative Yuan member Wang Yu-min (王育敏), concerned about the rampant spread of drugs, convened a public hearing today, inviting figures from industry, government, and academia. Kuo Shou-yuan (郭守員), a specialist at the Anti-Drug Division of the Investigation Bureau under the Ministry of Justice who attended the meeting, admitted that drugs are rampant because penalties are too lenient. Wang Yu-min argued that anyone who sells Category 3 or Category 4 drugs to minors should face heavier criminal penalties.

……

Kuo Shou-yuan pointed out that, according to data, the use of ketamine is extremely rampant, with over 2,300 kilograms of drugs seized between January and May of this year; where there are drugs, there is demand. Kuo Shou-yuan stated that the main reason for the rampant spread is that possessing under 20 grams of drugs carries no criminal penalty; the second reason stems from parental negligence. Because small amounts carry no criminal penalty, offenders are merely required to pay a fine of NT$10,000 to NT$50,000 and attend counseling classes. In addition, the Narcotics Hazard Prevention Act stipulates that manufacturing, trafficking, or transporting drugs is punishable by fixed-term imprisonment of 5 years or more, but many people are released on bail after 4 years. Drug prevalence is considerably linked to overly lenient penalties.

—Quoted from Apple Daily, "Drug Abuse Skyrockets; Ministry of Justice Admits Penalties Are Too Lenient"

The underlying presuppositions behind this type of myth are:

  • People use drugs because they have weak normative awareness and disregard social norms.
  • Severe punishments can awaken people's emphasis on norms. Once an offender is severely punished, they will feel the pain and henceforth obediently follow the rules. Meanwhile, when others see rule-breakers severely punished, they will realize they must not violate norms, or else they will suffer a miserable fate.

While this myth sounds reasonable at first glance, when considered alongside the following situation, one cannot help but feel that something is amiss:

Taiwan has conducted anti-drug campaigns for many years, vigorously informing the public of the harms of drug use. If the consequences of drug use itself are already severe, why do these consequences fail to act as a deterrent, and why do people continuously keep using drugs?

Assuming that drug prevalence is due to overly lenient penalties, it would logically follow that drugs with heavier penalties should have fewer users and traffickers. However, in Taiwan, the offenses with the highest number of people prosecuted for drug manufacturing, trafficking, transportation, and transfer were originally Category 1 drugs, shifted to Category 2 drugs after 2010, while Category 3 drugs have continued to climb. Crimes related to the supply of Category 1 drugs carry the heaviest penalties, followed by Category 2, and then Category 3. In other words, on the drug supply side, a heavier penalty does not correlate with a smaller number of offenders.

 

From the perspective of drug demand, the number of users of Category 1 drugs was highest in 2006 and subsequently declined year by year. The number of Category 2 drug users jumped to the top spot in 2010, while the number of Category 3 drug users began to be counted in 2010 and increased annually, peaking in 2013 before declining again. This, too, does not scale proportionally with the severity of the legal penalties.

  1. The number of newly received suspects under investigation for pure use of Category 1 and Category 2 drugs refers to the figures handled by district prosecutors offices.
  2. The number of users of Category 3 and Category 4 drugs refers to individuals apprehended by police agencies for using or possessing less than 20 grams. On May 20, 2009, Article 11-1 of the Narcotics Hazard Prevention Act was amended and promulgated (taking effect on November 20 of the same year), prescribing administrative fines and mandatory participation in drug hazard education seminars for individuals who use or possess less than 20 grams of Category 3 or Category 4 drugs.  

Figure Number of Newly Received Suspects Apprehended and Investigated for Drug Use

 

Strictly speaking, the above explanations cannot be used to prove that increasing the penalties for ketamine necessarily lacks a deterrent effect. This is because a more rigorous verification method requires varying the penalties associated with the supply and demand sides of ketamine while holding other conditions constant, and observing changes in the number of apprehensions. Since Taiwan has not made such legal adjustments at present, this cannot be empirically tested. However, it serves as a reminder that attempting to deter drug prevalence through severe punishments may have limited effectiveness.

Deterrence Theory

According to deterrence theory, for deterrence to be effective, certainty is more important than severity. In other words, knowing that you will definitely be caught the moment you violate a rule has a stronger deterrent effect than knowing that while you might not necessarily be caught, the consequences if caught will be disastrous.

However, the control capacity of modern state apparatuses over domestic affairs cannot reach 100%, meaning rule-breakers cannot be detected every single time. For instance, Taiwan has launched multiple large-scale, comprehensive anti-gang and anti-drug sweeps with great momentum. Yet, because administrative forces cannot sustain high-intensity efforts indefinitely, once the political spotlight fades, things usually revert to how they were before—or sometimes even worsen.

Therefore, severe punishment declarations that lack certainty function more like a placebo, allowing those who emphasize norms to stop worrying and preventing them from continuing to question the systemic causes of crime.

Finally, the public's deep concern regarding ketamine abuse among juveniles is not actually a matter without legal recourse. According to Article 3 of the Juvenile Justice Act, juveniles who consume or inject psychedelic substances other than opium or narcotic drugs, and who, based on their character and environment, are at risk of violating criminal laws, are classified as "pre-delinquents" (虞犯) and should be handled by a juvenile court. Under the law, juvenile pre-delinquents may be sentenced to up to three years of reformatory education, requiring admission into a correctional school or juvenile reformatory. Judging by the length of personal liberty restriction, three years of reformatory education is not short (using Category 2 drugs also carries a fixed-term imprisonment of less than 3 years). Seeing this regulatory reality, doesn't one feel that claiming "the abuse of ketamine by juveniles is caused by a lack of severe punishments to deter crime" is an overly simplistic explanation?

In fact, not only Taiwan, but countries around the world face drug problems because drugs involve international production, transportation, and trafficking systems. International research suggests that deterring drug users and criminals with heavy sentences is not only of limited effectiveness, but may even have negative effects. The following explanations are primarily referenced from the IDPC Drug Policy Guide.

Why is the Deterrent Effect of Severe Punishments Limited?

  1. People's contact with drugs and the development of "drug dependence" stem from multiple causes.

    International research indicates that human drug use and the development of drug dependence are driven by multiple factors. Certain factors make individuals more vulnerable to drug use, known as risk factors. These include personal traits, mental health issues, parental neglect or abuse, alienation from school and community, social norms and environments that reinforce drug-using behavior, and growing up in marginalized and impoverished communities. Conversely, other factors make individuals less vulnerable, known as protective factors. These include better psychological and emotional states, superior personal and social skills, strong connections with caregiving families, accessible financial resources, and well-developed resources in schools and communities. Factors at the individual level (biological and psychological) and environmental level (family, society, school, etc.) engage in dynamic interactions with one another.

    Deterrence fails to address these root causes, rendering its effectiveness limited.

  2. Entering the path of supplying drugs involves multiple causes.

    The reasons why people supply drugs may involve socio-economic drivers. Without resolving these issues and instead focusing solely on pouring resources into cracking down on drug crimes, the result is often that after one wave of crackdowns, existing suppliers are locked up, only for new ones to emerge. For individuals who engage in petty trafficking to raise money for their own drug use, they do so precisely because they need money to buy drugs. If the government fails to directly address the problem of drug dependence, others will inevitably step up to engage in petty drug trafficking to fund their habit.

  3. Arrests of drug suppliers typically fail to reach the mid-to-upper levels of the drug supply chain.

    International research has found that the vast majority of drug suppliers actually apprehended are at the bottom of the supply chain—engaged in small-scale transactions, trafficking to raise money for their own consumption, or acting as "transporters" (also known as "drug mules," such as those recruited to travel abroad and smuggle drugs back into the country). Most so-called severe punishments are inflicted upon these individuals. Law enforcement agencies rarely manage to capture the mid-to-upper echelons of the drug supply chain, meaning that when bottom-tier individuals are arrested, the underlying drug supply chain suffers no major blow.

What Are the Negative Effects of Severe Punishments?

  1. Drug users dare not seek treatment or various forms of life- or quality-of-living-sustaining assistance out of fear of being imprisoned.

  2. When drug users are sent to prison, they become more easily stigmatized and marginalized. Their family and community ties are severed, and their employment and educational opportunities are eroded.

  3. Severe punishments actually result in unfair enforcement of penalties. Heavy sentences mostly fall upon those at the bottom of the drug supply chain. Furthermore, blanket mandatory heavy penalties leave little distinction between low-level offenders and those in the supply chain involved in violence, firearms, or organized crime.

  4. Under conditions of limited resources, the state's criminal justice system pours massive resources into bottom-tier actors in the drug supply chain, diluting resources for effectively investigating mid-to-upper-level actors and resources dedicated to health maintenance.

Moving from Severe Punishments to a Pragmatic, Health-Protective Drug Policy

Based on the aforementioned research findings, international studies suggest that drug policies should shift toward a core focus on pragmatic health protection. Pragmatic health protection means:

  1. Setting reasonable policy goals. Goals like a "drug-free society" are not only unachievable, but their implementation actually produces harmful outcomes. Therefore, governments should evaluate what harms the illegal drug market primarily inflicts on their domestic society and what issues take priority for handling.

  2. Adopting evidence-based countermeasures. Countermeasures must be scientifically evaluated, and those adopted should be scientifically proven effective, while ineffective or harmful countermeasures should be abandoned. Only thus can limited resources be utilized with maximum efficiency.

  3. Based on current scientific research, punitive policies do not help—and are even detrimental to—public health, yet public health is precisely what is most severely damaged by the illegal drug market. Consequently, the primary goal should be set as safeguarding public health.

  4. The goal of safeguarding public health must also employ evidence-based countermeasures, and practices must comply with international human rights law.

A pragmatic, health-protective drug policy can be broadly divided into two main pillars: "Health Policy" and "Reforming the Justice System."

Health Policy

 

Substance Scheduling and Control

The core of drug control involves scheduling and regulating substances based on risk and medical value. However, countries often schedule substances based on historical culture rather than evidence. For instance, independent experts consider the harms of alcohol and tobacco to actually be higher than those of cannabis and LSD (a psychedelic drug); yet in the UN's drug control scheduling, cannabis and LSD are classified under the most dangerous tiers, whereas tobacco and alcohol are not regulated at all. International research suggests that substance scheduling must consider not only risk but also medical value, and must be grounded in evidence.

Substance Scheduling in Taiwan

Taiwan's substance scheduling is primarily based on addictiveness, abuse potential, and social harm. Under this standard, tobacco, alcohol, and betel nut should also be classified as regulated substances, yet they are not. In other words, while certain substances are harmful when abused, they can be controlled through educational advocacy and supervisory management rather than necessarily through criminal law, nor is criminal law necessarily the best way to control them.

As for emerging psychoactive substances (EPS), laboratory synthesis allows new substances to be continuously churned out. Once a particular emerging psychoactive substance is scheduled and banned, an even newer and more hazardous substance appears. This makes regulation difficult, and police lack the capability to identify them. Regarding how EPS should ultimately be controlled, foreign countries have yet to reach a consensus, but when pondering countermeasures, we must face squarely the positive and side effects that criminalization may produce. After all, a comprehensive drug-free society is impossible at present. The direction should be: are there other methods for managing emerging psychoactive substances that better protect public health and are more practically viable?

Drug Prevention

With the problem of drug prevalence being severe, former Premier Chiang instructed the Ministry of Justice to comprehensively review anti-drug strategies. … The Ministry of Justice … planned the event "Fun Anti-Drug Nationwide Cosplay Competition Parade." … Since drugs have become a major social scourge and everyone can potentially be a victim, the Ministry of Justice not only encourages colleagues from relevant government agencies to bring their families to participate, but also invites civil organizations concerned about this issue to join in, warmly welcoming the public to rally friends and join enthusiastically. It is hoped that through this lively and innovative approach, anti-drug concepts will be spread to every corner of the country, driving Taiwan forward toward a safe, healthy, drug-free homeland.

It was reported that to prevent this anti-drug parade from being poorly attended, the government mobilized 5,000 people across ministries and even suggested that attending civil servants could receive overtime pay or compensatory leave, sparking dissatisfaction among various agencies. Ultimately, this parade was canceled.

International research suggests that drug prevention programs should be evidence-based and cost-effective. However, it remains entirely unclear whether Taiwan's anti-drug parade activities underwent any similar evaluation. Furthermore, international research points out that there is a lack of evidence regarding what impact generalized warnings to youth about the dangers of drugs actually have on drug-using behavior.

Currently, drug policies with a more robust research foundation are designed in response to risk factors and protective factors for drug use. Human drug use and the development of drug dependence are driven by multiple factors. Certain factors make individuals more vulnerable to drug use, known as risk factors. These include personal traits, mental health issues, parental neglect or abuse, alienation from school and community, social norms and environments that reinforce drug-using behavior, and growing up in marginalized and impoverished communities. Conversely, other factors make individuals less vulnerable, known as protective factors. These include better psychological and emotional states, superior personal and social skills, strong connections with caregiving families, accessible financial resources, and well-developed resources in schools and communities. Factors at the individual level (biological and psychological) and environmental level (family, society, school, etc.) engage in dynamic interactions with one another.

Based on this understanding, drug prevention policies encompass a remarkably broad scope. They must not only strengthen positive connections between individuals and their families, schools, workplaces, and communities, but also help individuals build essential life skills and competencies to cope with the diverse influences they encounter in life, such as social norms, peer interactions, living conditions, and their own personality traits.

International research currently categorizes drug prevention policies into the following types:

The following points must be noted when adopting drug prevention strategies:

  1. Universal Prevention

    Refers to prevention strategies targeting the entire population. Research indicates that mass media advertising campaigns are expensive yet of limited effectiveness, while easily reinforcing the stigma attached to drug users. However, effective universal prevention programs targeting school students that utilize interactive, skill-building approaches can have some impact.

    For a good universal prevention strategy, reference can be made to the European school-student-oriented Unplugged program.

  2. Selective Prevention

    Refers to prevention strategies targeting specific vulnerable groups. Research shows that certain groups are more prone to drug use and dependence, with their vulnerability often stemming from social exclusion—such as young offenders, school dropouts, and marginalized ethnic minorities—or from specific social contexts, such as youths at parties. Selective prevention strategies address social risk factors to make these groups less vulnerable to drugs. Studies show that selective prevention has modest positive effects, such as delaying the onset of drug use and enhancing cognitive abilities and self-worth.

    Example of a Good Selective Prevention Strategy: Portugal’s “Searching Family Treasure” Program

    The “Searching Family Treasure” program targets vulnerable families with children aged 6 to 12. Its goals include preventing not only drug use, but also deviant behavior, violence, and mental health issues. The program comprises parental, child, and family components, with goals including: reducing improper parental disciplinary methods; strengthening parenting skills; enhancing parental monitoring; and reducing childhood hyperactivity, attention deficits, emotional symptoms, and peer problems.

  3. Indicated Prevention

    Refers to strategies targeting individuals at high risk of drug use. Criteria for high risk may include mental illness, social failure, antisocial behavior, hyperactivity, and impulsivity. Indicated prevention may not necessarily prevent the initiation of drug use, but it can help prevent individuals from developing drug dependence. The optimal timing for implementing such prevention strategies is when these individuals begin facing and processing the social contexts and behavioral developments that lead them to use drugs.

  4. Environmental Prevention

    Refers to strategies aimed at altering the cultural, social, physical, and economic environments that currently influence people's choices to use drugs. Common environmental prevention strategies include taxation, advertising bans, and licensed distribution. Such practices are common in tobacco and alcohol control, through which governments shape legal markets. They can also be seen in regulations concerning the legalization of cannabis.

The following points must be noted when adopting drug prevention strategies:

  1. Need Assessment of Drug Use and Communities Must Be Conducted

    To formulate effective prevention strategies, there must be a detailed understanding of the drug use patterns and socio-economic and cultural contexts of both the general population and specific vulnerable groups. Risk and protective factors must be carefully studied, and other related issues of social marginalization and inequality must be understood.

  2. Resource Assessment Must Be Conducted

    It is necessary to understand what goals are realistically achievable and what resources are available, thereby formulating the type and scope of programs. Under conditions of resource scarcity, eye-catching promotional campaigns that merely demonstrate immediate action while lacking short- and long-term effects—such as mass media campaigns—must be especially avoided. Additionally, it should be noted that the success or failure of a prevention strategy heavily depends on whether the target group and stakeholders are willing and able to participate in and support the implemented program.

  3. Effectiveness and Cost-Benefit Evaluations of Prevention Strategies Must Be Conducted

    The implementation of any prevention program should include scientific monitoring and outcome evaluation to determine its efficacy and what adjustments are needed. Sometimes governments conduct localized pilot programs first, expanding implementation only after sufficient evidence demonstrates their effectiveness.

Harm Reduction

Harm reduction refers to policies or programs whose primary goal is to reduce the negative health, social, and economic consequences of using legal or illegal psychoactive drugs, rather than necessarily reducing the volume of drug use. The principles behind harm reduction include evidence-based practice, cost-effectiveness, and human rights. Considering the negative effects of criminalizing drug use (discrimination, marginalization, stigmatization), a harm reduction perspective argues that the practice of criminalization should be challenged.

In many countries, harm reduction workers are often targeted by law enforcement because law enforcement believes they make drug use worse. In some countries, law enforcement officers even utilize harm reduction services to track down and arrest drug users, ultimately causing individuals who might otherwise have obtained services to lose out on potential health benefits. Therefore, the provision of harm reduction services requires the understanding and cooperation of law enforcement.

Several possible harm reduction interventions include: needle and syringe exchange programs; opioid substitution therapy and drug dependence treatment; HIV testing, counseling, and antiretroviral therapy; Hepatitis B vaccination, diagnosis, and treatment; provision of safe drug use knowledge; basic health services, including overdose prevention and management; psychosocial support and economic empowerment; legal services to prevent abuses of power by law enforcement; and drug checking to help users verify the contents of the substances they consume.

Drug Dependence Treatment

International research indicates that evidence-based drug dependence treatment has been proven effective in controlling drug dependence, reducing drug-induced harms, and lowering social and crime costs. Data shows that opioid substitution therapy helps maintain users in treatment and reduces illicit opioid use, thereby lowering the risk of exposure to HIV and Hepatitis C from injecting illicit opioids. Furthermore, judging from the experiences of the UK and the US, investing resources in drug dependence treatment is also a more economical choice because it can substantially cut down health, social, and crime costs.

There is no single approach to drug dependence treatment. Different types of drugs cannot apply the same substitution therapies. For example, methadone substitution therapy is suitable for heroin, but not for treating stimulant-type substances (such as methamphetamine). Because the impact of drugs on an individual relates to the pharmacological components of the substance, personal traits, and the surrounding environment, the treatment system should encompass social and psychological services alongside medical components, and these services need to be tailored according to individual circumstances.

Johann Hari’s TED Talk “Everything You Think You Know About Addiction Is Wrong”—Easily Misunderstood Claims

British journalist Johann Hari argued at TED that addiction should be understood through "connection," asserting that addiction actually stems from a lack of social connection and that solving addiction requires rebuilding relationships. This video has widely circulated on social media. This perspective helps the public understand the social dimension of addiction and aids in de-stigmatization; however, recognizing that people's journey from drug contact to dependence has multiple causes makes it clear that understanding addiction solely through a social lens is insufficient.

In fact, once drug dependence develops, the physiological changes produced cannot be handled solely by rebuilding relationships; one must even acknowledge a degree of lifelong dependence on drugs. Under such circumstances, overemphasizing the rebuilding of relationships can produce side effects such as: "I have accepted you and given you a chance, why are you still incorrigible?" or blaming the drug user's family: "Is it because you didn't try hard enough to accept them that your family member keeps using drugs?"

From the perspective of the multiple causes of drug dependence and the emphasis on addressing those multiple causes, social connection is important, but it cannot be understood as the sole solution.

It is noteworthy that so-called "successful treatment and recovery" is not limited solely to successful abstinence. Recovery includes improvements across various dimensions, such as enhancing individual health, well-being, and overall quality of life. Therefore, "recovery" also involves how individuals determine their desired "recovery" goals within their treatment programs.

Heroin-Assisted Treatment—The UK Example

Approximately 5% of opioid users do not respond well to methadone substitution therapy. Consequently, drawing on the experiences of other European countries, particularly Switzerland, the UK adopted heroin-assisted treatment—namely, the controlled injection of heroin in clean and safe environments under the monitoring and support of medical personnel. Many clients reported that this greatly improved their lives and reduced many criminal activities associated with illicit drug use. Moreover, this program provided hard-to-reach and hard-to-treat populations with an opportunity to access healthcare and support services.

Taiwan's current design places excessive emphasis on "addiction cessation treatment." However, from the perspective of addiction, once addicted, an individual may need to rely on drugs to some degree for life. Therefore, some compare addiction to a "chronic illness," much like hypertension, which may require lifelong medication for control. From this perspective, failing to see how drug users can maintain a certain level of health and quality of life under conditional drug use, and instead emphasizing that failing to quit leads to imprisonment, easily drives people away from healthcare and traps them in a cycle of drug use and incarceration.

Yeh Yu-chuan, The Reporter, “Drug Addiction is a Chronic Illness (Part 2): Human Willpower Is Not Always Fully Charged” (August 30, 2016).

 

Reforming the Justice System

 

Decriminalization of Drug-Related Offenses and Alternatives to Incarceration

International research suggests that drug use, the possession of drugs and drug paraphernalia for personal use, and the cultivation and purchase of drugs for personal use should be decriminalized. The rationale for decriminalization is the concern that fear of imprisonment deters drug users from accessing health and harm-reduction services that could save their lives; furthermore, actually locking drug users up disrupts their family and community ties and erodes their employment and educational opportunities, potentially worsening their plight.

The optimal practice of decriminalization is to remove all criminal penalties for drug use while simultaneously providing health and social services to those willing to accept help. Although international research most strongly recommends full decriminalization—meaning no punishment whatsoever for personal drug use—the implementation of decriminalization is typically accompanied by referrals and administrative sanctions. Referral means that if law enforcement agencies discover drug use or minor possession, the offender is diverted out of the criminal justice system and handed over to other entities within the framework of health and social services to be handled according to their condition and needs. The advantage of this approach is that judicial authorities lack the capacity to formulate and implement programs that help improve offenders' health and quality of life, and are thus better off leaving it to units equipped with such capabilities. Meanwhile, the deterrent effect of administrative sanctions must also be viewed within a health-promotion framework, meaning care must be taken that their effects do not repeat the sequelae produced by criminalization.

Portugal’s Model of Referring Drug Users to Medical Services

The country most frequently cited by Taiwan regarding drug decriminalization is Portugal, but few people know that Portugal's decriminalization is actually accompanied by the establishment of an administrative sanction and medical referral process. In Portugal, if someone possesses an amount of drugs deemed to be a 10-day personal supply, although they are exempt from criminal punishment, they incur an administrative penalty.

If the police arrest a drug possessor, they refer them to the Commissions for the Dissuasion of Drug Addiction. This commission is composed of three experts: a social worker, a legal advisor, and a medical professional, and is supported by an expert team. The commission can impose administrative sanctions such as community service, fines, temporary suspension of professional licenses, and bans from entering specific venues, while simultaneously recommending that drug users accept harm reduction, treatment, or educational programs, and providing social assistance to the impoverished. In 2009, the proceedings for the majority of cases (68%) were suspended because the offenders did not use drugs again. 14% of cases ultimately received administrative fines, and 15% were suspended because the offenders agreed to undergo treatment.

International research also suggests that for non-violent drug-related offenses—such as acting as a transporter (i.e., the lowest-tier drug mules responsible for smuggling drugs across national borders), engaging in small-scale drug transactions at the bottom tier due to drug dependence, and committing economic crimes out of drug dependence (such as theft)—dispositions other than imprisonment should be adopted. Doing so ensures the health and well-being of these individuals while more effectively deploying judicial resources toward large-scale, violent drug trafficking and higher-level crime.

Some countries may not necessarily decriminalize drug use, but may instead adopt other alternatives to incarceration.

Alternatives to incarceration can be broadly divided into three major categories: 1. diversion at the pre-arrest and pre-prosecution stages; 2. diversion at the prosecution stage; 3. post-conviction alternatives to imprisonment, such as probation, conditional suspended sentences, and the like.

International research suggests that diversion should take place at the earliest possible stage to effectively reduce the burden on the criminal justice system and spare individuals from enduring lengthy and cumbersome criminal procedures. Diversion is best implemented at the police stage, though concerns exist regarding police abuse of power. International research suggests establishing a robust prosecutorial guidance mechanism, including supervising and reviewing police actions, and training police to understand how to approach drug use from a health and social perspective. Incorporating representatives of drug users into the design of decriminalization or diversion procedures also helps strengthen trust between communities and prosecutors.

Example of a Police Referral Program: The LEAD (Law Enforcement Assisted Diversion) Program in Seattle, USA

The LEAD program heavily emphasizes community policing and strengthening connections between communities and law enforcement. It presupposes that the police have the best understanding of the community, thereby granting them substantial discretion during stops to decide not to arrest an individual and instead refer them to appropriate services.

If someone is referred to the LEAD program, they are assigned a case manager who arranges services and monitors suitability. If the individual complies with the program, they will not be prosecuted. Notably, this program imposes no punishment for non-compliance, and if caught committing the same offense a second time, the individual can re-enter the program. In fact, this program was proposed by the police precisely because they noticed the same individuals cycling in and out of the criminal justice system and desired a better way to handle this situation.

Drug courts are also a common diversion mechanism, primarily utilized in the US and some Latin American countries. They involve placing the offender into the criminal justice system while suspending criminal proceedings, with the offender undergoing drug dependence treatment or a series of social interventions under a judge's supervision. If the offender fails to comply with agreed conditions, criminal proceedings may be resumed. This model currently faces the following criticisms: 1. drug courts in some countries focus exclusively on individuals committing pure drug use offenses, ignoring others who break the law due to drug dependence; 2. determinations of whether an individual has drug dependence are not made by health experts; 3. some individuals without drug dependence problems undergo treatment simply to avoid imprisonment, which constitutes a waste of resources; 4. individuals must plead guilty to enter treatment programs; 5. failing to complete treatment results in punishments that are sometimes harsher than those in the regular criminal justice system.

Diversion Mechanisms for Drug Use Offenses in Taiwan

Taiwan's current diversion mechanisms do not revolve around drug dependence, but rather around the pure offense of drug use. The existing diversion mechanism is the "suspension of prosecution conditioned upon the completion of addiction treatment" under Article 24 of the Narcotics Hazard Prevention Act. Simply put, if someone commits a drug use offense, the prosecutor may issue a suspension of prosecution, with the conditional requirement that the offender complete addiction treatment. If treatment cannot be completed, the prosecutor revokes the suspension of prosecution and prosecutes the offender.

Compared to imprisonment, this approach places greater emphasis on health preservation; however, compared to decriminalization-style referrals, it still exhibits the following shortcomings: determinations of drug dependence are not made by health experts; individuals who use drugs but lack drug dependence may undergo treatment simply to avoid imprisonment; and guilt must be admitted to obtain a suspension of prosecution. Finally, from the perspective of addiction, some individuals may simply be unable to "quit." Consequently, making "abstinence" the sole condition for treatment completion prevents treatment programs from being pragmatically adjusted to the drug user's condition.

In addition, former Legislator Ku Li-hsiung (顧立雄) held a "Public Hearing and Minutes on Amending the Law to 'Frontload Medical Treatment for Drug Use Offenses'" in 2016. Some members of the public mistakenly believed that "frontloading medical treatment for drug use offenses" meant decriminalizing drug use offenses, when it was actually an expansion of the "suspension of prosecution conditioned upon the completion of addiction treatment." That is, prior to imprisonment, all individuals committing drug use offenses would be referred at the pre-prosecution stage to medical institutions for addiction treatment; those who completed treatment would receive a non-prosecution disposition from the prosecutor. For those unable to complete it, prosecutors could discretionarily order continued treatment or pursue original criminal proceedings in accordance with the law.

Reasonable Distinctions and Penalties for Offenses

International research indicates that, regardless of whether decriminalization is adopted, offenses related to personal drug use should be handled differently from offenses involving the intent to supply drugs.

  1. Offenses Related to Personal Drug Use

    Personal drug use, along with related possession, cultivation, or purchase, is recommended for decriminalization, replaced by measures such as harm reduction and treatment.

    User-dealer offenses (individuals involved in low-level drug trafficking primarily to fund their own drug use). Common scenarios involve individuals who are themselves drug-dependent, concurrently using and engaging in small-scale sales of the drugs they consume to sustain their habit. Alternatives to incarceration are recommended, replacing them with harm reduction and treatment measures to eradicate the root causes of their offenses.

    Criminal justice systems often encounter difficulties in distinguishing between personal use and intent to supply drugs. Some countries adopt quantity thresholds, where possessing a certain amount of drugs constitutes intent to supply. If drug quantities are used to distinguish personal use from intent to supply, the specified amounts should properly reflect market reality—accounting for the consumption patterns, potential daily consumption, and purchasing patterns of users within the community, and such amounts should be merely indicative. To establish intent to supply, other factors beyond quantity should be weighed in individual cases, such as the number of mobile phones carried, packaging materials, cash, weapons, and history of drug dependence.

    Difficulties in Distinguishing Between Personal Use and Drug Supply in Taiwan's Criminal Justice Practice

    Taiwan's Narcotics Hazard Prevention Act separately prescribes the offenses of drug use, drug possession, possession of drugs with intent to sell, drug transfer, and drug trafficking, carrying varying penalties. For Category 1 drugs, the statutory minimum penalty for being an accomplice to drug use (aiding consumption) is 6 months, whereas for drug trafficking, the statutory minimum penalty is life imprisonment.

    At first glance, these offenses appear clearly distinguishable. In practice, however, a series of behaviors often makes it exceedingly difficult to determine which offense applies.

    • I didn't sell drugs to anyone else; a friend wanted to buy drugs, gave me money in advance, and I simply went to pick up the goods for him. —Distinction between trafficking and aiding consumption?
    • Buying drugs in larger quantities is cheaper; I organized a group buy as the coordinator, purchasing together with others rather than selling drugs to them. —Distinction between trafficking and aiding consumption?
    • Buying drugs in larger quantities is cheaper; I bought them upfront to consume slowly, not because I intended to sell to others. —Distinction between possession and possession with intent to sell?
    • I bought the drugs for my own use; a friend had a need, so I sold it to them at cost/purchase price. —Distinction between transfer and trafficking?

    Currently, the evidence in practice most capable of objectively proving the process is wiretap transcripts. Yet, from wiretap transcripts, it is rarely easy to determine whether a person engaging in a small-scale drug transaction is trafficking, transferring, or aiding consumption, as wiretap transcripts often feature coded language or rendezvous appointments. Relying on testimonies often leads to shifting accounts.

    Drug possession quantity is another issue. What possession threshold, in the absence of other evidence, allows one to say a person possesses with intent to sell rather than mere possession?

    Possible approaches to ameliorating these judicial difficulties include:

    • Constructing reliable domestic research on the drug use and purchasing patterns of Taiwan's drug-using communities to serve as judicial reference.
    • Looking at comparative law and referencing German regulations, the statutory penalty ranges for possession, possession with intent to sell, transfer, and trafficking are designed without drastic gaps. However, exceptionally severe categories of behavior—such as involving massive quantities of drugs, organized crime, violence, carrying weapons, or involving minors—are explicitly stipulated in the statutory text as aggravating factors. Additionally, German law explicitly stipulates that small-scale production, purchase, or possession of drugs for personal use (using the term "narcotic drugs") may be exempt from punishment.
  2. Offenses Involving Intent to Supply Drugs

    Offenses involving intent to supply drugs should likewise be categorized and handled differently. While some countries tend toward harsh punishment for drug-related offenses, the vast majority of those severely penalized are bottom-tier users and small-time dealers. Harsh punishments neither help improve the living conditions of these bottom-tier individuals nor rationally distinguish between truly severe crimes and lesser offenses; furthermore, it represents an unbalanced allocation of resources: law enforcement and the criminal justice system spend excessive resources addressing such minor, bottom-tier drug crimes, leaving them unable to focus on tackling more serious drug-related crimes involving violence, corruption, organized crime, and money laundering. Consequently, international research offers the following recommendations:

    1. For small-scale drug dealing within a circle of friends and relatives yielding limited profits, alternatives to incarceration are recommended to alleviate the burden on the criminal justice system and prisons.
    2. Regarding individuals serving as bottom-tier transport mules in transnational drug transportation and sales—meaning those responsible solely for smuggling drugs across national borders—such bottom-tier actors in the drug market mostly hail from vulnerable social backgrounds, receive negligible compensation, risk their lives (as some conceal drugs inside their bodies), and may be coerced or exploited. Alternatives to incarceration are recommended.
    3. For individuals involved in serious or organized crime who reap massive profits, play high-level roles in drug production or trading, or run organized crime networks frequently employing violence and engaging in corruption and bribery, resources should be dedicated to prosecution and heavier penalties.
    4. When considering aggravating or mitigating sentences for drug suppliers, the following factors are recommended for consideration:
      Mitigating Factors
      • The offender originates from a vulnerable and impoverished socio-economic community environment, where imprisonment could make future employment harder and plunge their children and family into destitution.
      • The offender bears caregiving responsibilities, particularly women caring for children or disabled elders.
      • The offense is not driven by high profits.
      • It is a first-time offense.
      • No involvement in organized crime or violence.
      Aggravating Factors
      • The offense is driven by high profits.
      • Involvement of minors.
      • Involvement in violent activities, corruption, bribery, or money laundering.
      • Involvement in organized crime.

    Imbalance in Sentencing Severity for Manufacturing, Trafficking, and Transporting Drugs in Taiwan's Criminal Justice Practice

    Taiwan's Narcotics Hazard Prevention Act groups manufacturing, transportation, and trafficking together, prescribing distinct statutory penalty ranges based on drug categories. Category 1 drugs carry the death penalty or life imprisonment; Category 2 drugs carry life imprisonment or fixed-term imprisonment of 7 years or more; Category 3 drugs carry fixed-term imprisonment of 7 years or more; and Category 4 drugs carry fixed-term imprisonment between 5 and 12 years. The biggest problem here is the unreasonableness of the minimum penalties set, with the most unreasonable being Category 1 drugs.

    Drug kingpins, small-time dealers, and mules all face the statutory death penalty or life imprisonment, which severely violates the principle of proportionality. Because it is so disproportionate, judges in Taiwan have long cited Article 57 of the Criminal Code to commute sentences for low-level Category 1 drug trafficking cases. Nevertheless, the "going rate" remains over a decade of imprisonment, which not only fails to help offenders but severely wastes limited prison resources.

    The recommended approach is to redesign the elements of drug-related offenses and their penalties. Alternatively, at a minimum, the mandatory minimum penalties should be abolished and judicial sentencing guidelines provided.

Modernization of Drug Law Enforcement

The aforementioned criminal justice reforms must be paired with the modernization of drug law enforcement. The focus of enforcement should be on reducing violence, striking at the mid-level of drug trafficking organizations (since top-tier figures exert less direct organizational influence than mid-level ones, and "decapitation" can trigger violent succession struggles), tackling corruption, bribery, and money laundering, and strengthening investigative capabilities. Beyond traditional enforcement, the pursuit of social objectives and the establishment of partnerships with the health and social sectors must also be strengthened.

New Performance Indicators for Drug Law Enforcement

Government agencies across all levels in Taiwan currently talk incessantly about metrics and KPIs; a new drug policy likewise requires different indicators, as recommended by international research:

  1. Drug market indicators placing greater emphasis on the effects produced by law enforcement
    • Did law enforcement make specific substances harder for youth to access?
    • Did law enforcement affect the retail price and purity of drugs? What were the positive or negative effects of these outcomes on the drug market and drug users?
  2. Indicators concerning drug-related crime
    • Did criminal organizations see reductions in profits, power, and scope of influence?
    • Did drug-market-related violence decrease?
    • Did the extent of offenses committed to sustain drug use or caused by drug use decrease?
  3. Indicators concerning the contribution of law enforcement to health and society
    • How many drug-dependent individuals were referred to treatment by law enforcement agencies?
    • How many people maintained stable conditions for a period of time thanks to treatment?
    • Did the number of deaths resulting from drug overdoses decrease?
    • Did the prevalence of HIV and hepatitis among drug users decline?
  4. Indicators assessing the environment and patterns of drug use and dependence
    • How did law enforcement activities affect the socio-economic environment of communities and people's sense of security?
    • Did law enforcement affect patterns of drug use and dependence?

Which indicators Taiwan should adopt and how to modify them naturally depend on domestic issues, but crucially, government actions alone cannot be used as indicators—such as how many promotional events were held, how many treatment sessions were provided, how many people were arrested, or how much drugs were seized. This is because the actual effects and mechanisms of these governmental actions are what truly matter. Unfortunately, Taiwan's current Anti-Drug Report remains overly focused on showcasing what the government has done rather than the effects of those actions.

Adopting Health-Protective Policies in Prisons and Other Closed Facilities

Because prisons frequently suffer from resource scarcity, overcrowding, and even the generation of additional health risks, international research does not consider prisons ideal places for addressing drug use and dependence. Nonetheless, since drug users continue to enter prisons, international research puts forward the following recommendations:

  • The state bears the responsibility for healthcare regarding incarcerated individuals; therefore, necessary medical care resources must be poured into prisons.
  • Governments should consider having health-governing agencies (in Taiwan, the Ministry of Health and Welfare) rather than judicial or correctional agencies (in Taiwan, the Agency of Corrections, Ministry of Justice) manage prison health issues. This is because prison health issues should be viewed as an integral part of national public health and health policy.
  • Harm reduction and drug dependence treatment should also be promoted within prisons, ensuring sound continuity between in-prison programs and post-release programs.

Why Should Heroin Addicts in Prison Be Given Methadone?

Some correctional personnel in Taiwan object to letting heroin addicts take methadone in prison, arguing primarily that prisons are drug-free environments where addicts will naturally overcome physiological withdrawal symptoms after a certain period, making methadone substitution therapy unnecessary.

Such claims are half-right and half-wrong.

They are half-wrong because promoting methadone substitution therapy in prisons (including drug addiction treatment centers) is never fundamentally about solving drug use within the prison itself, but rather about allowing heroin addicts to access substitution therapy in a relatively safe environment so they remain willing to continue receiving it after release. They are half-right because, absent personalized programs tailored to users' needs coupled with well-integrated post-release methadone substitution therapy, in-prison methadone policies easily prove ineffective.

The methadone substitution therapy program in Taiwan's prisons has currently been halted.

Regulation of the Drug Market

How drug policies can effectively intervene in the drug market is an important issue, broadly falling into three categories: absolute prohibition of the drug market's existence, legal regulation of the drug market, and complete deregulation of the drug market. Which approach to adopt depends on a nation's evaluation of health, human rights, and security issues, and which course best safeguards public health to the maximum extent possible. The problem with absolutely prohibiting the drug market is primarily the emergence of a illicit drug black market. Where governments fail to eradicate the drug black market, it is mostly controlled by criminal organizations and constitutes a major source of economic revenue for them. Drug users are basically forced to buy drugs from the black market, where inconsistent drug quality may further jeopardize their users' health. The problem with completely deregulating the drug market is extreme commercialization, where merchants might use various methods to encourage drug use, further harming public health. Legal regulation of the drug market represents a novel trial that may mitigate harms brought by the illicit drug market while avoiding harms caused by excessive commercialization.

Legal regulation of the drug market can be roughly divided into five basic models: 1. Medical model: High-risk drugs and behaviors, such as injecting heroin and amphetamines, require medical prescriptions and specific consumption venues. 2. Dedicated retail pharmacies: Trained and licensed vendors may sell regulated drugs in quantified rations to registered users. Suitable for medium-risk drugs such as powdered cocaine. 3. Licensed retail: Suitable for low-risk drugs such as cannabis. 4. Licensed premises for sale and consumption: Similar to Dutch cannabis "coffee shops." 5. Unlicensed sale: Suitable for lowest-risk products, such as caffeine-containing beverages. Additionally, good practices in tobacco and alcohol control can be referenced.

As to which regulatory model or models suit a given country, recommendations should be made by an expert team. Team members should include experts in public health, law enforcement, drug policy reform, evaluation and monitoring, alcohol and tobacco control, prevention, treatment, and harm reduction, alongside representatives of drug users and cultivators. Furthermore, reforms must be implemented cautiously and in phases, continuously monitoring effectiveness during implementation and adjusting policies based on emerging evidence. Finally, regulating the drug market should also be viewed within the context of addressing the socio-economic drivers underlying drug problems, thereby creating an environment better suited to resolving socio-economic issues, since market regulation alone can only solve so much.

 

Conclusion

 

Although this article began by tackling the myth of deterrence, this myth is actually undergoing a transformation. Facing prison overcrowding and repeat offenses by drug users, Taiwan's government is also gradually beginning to see that sending drug users to correctional facilities may not solve the problem. Practitioners in Taiwan are also increasingly recognizing that drug policy must be grounded in health maintenance, requiring greater resource investment into medical, public health, psychological, and social welfare fields.

Once the shift from deterrence to health protection occurs, making comprehensive national policy adjustments based on this core goal—rather than having health agencies operate in isolation from judicial ones—becomes an important task. Under this mindset, the term "drugs" should perhaps even be discarded, and related problems categorized as "addictive substance abuse" or "substance abuse." Given the complexity of substance abuse problems and the multi-layered impacts of implementation, a dedicated policy unit/agency can be established when necessary. Taking the US as an example, the Office of National Drug Control Policy (ONDCP) is established under the White House. This unit does not handle actual execution, but rather sets and adjusts overall drug policy directions and submits reports on implementation status. The efficacy of such policy units themselves should also be scrutinized; they are not a silver bullet upon creation. In the US, the Government Accountability Office (GAO) is responsible for this. In 2016, the GAO also issued critical reports on the implementation results of ONDCP policy goals, recommending modifications.

Looking at the Netherlands, for instance, a committee was formed between 1968 and 1972 with the objectives of investigating the causes of increased drug use, addressing irresponsible drug use, and proposing a system to treat drug-dependent individuals. Chaired by Pieter Baan, then Chief Inspector of Mental Health, the committee's initial composition comprised two representatives from the Ministry of Health and Welfare (medical experts) and four from the Ministry of Justice (including the Minister of Justice, Chief of Police, Prosecutor, and Forensic Laboratory Director). Later, recognizing that the committee lacked experts on how to reach drug users (who often conceal themselves and avoid medical or other resources due to stigma or criminal penalties), they incorporated sociologists, psychiatrists, addiction treatment experts, and civil servants from the Department of Social Work. They completed their report over four years, which subsequently served as the guiding blueprint for Dutch drug policy.

Taiwan currently has the Anti-Drug Council, whose administrative affairs are overseen by the Minister of Justice. From a health-preservation perspective, however, overseeing council affairs should perhaps not be the responsibility of the Minister of Justice. Additionally, ensuring that the council does not devolve into perfunctory inter-ministerial reports, but genuinely guides overarching national policy, is another challenge, which truly requires support from sound policy planning, evaluation personnel, and research—importantly incorporating experts on how to reach drug users. Considering that Taiwan's organizational performance or policy efficacy frequently lacks rigorous review mechanisms, strengthening review mechanisms is likewise vital.

The transformation of drug policy currently appears imperative, though relevant funding, human resources, and the cross-sectoral integration and coordination of resources are all still in their infancy stages. The road ahead is long, but recognizing the problems and direction, and gradually adjusting resource allocation, is something that must begin now.

Summary of Drug Policy Reform Recommendations

  1. Drug policy should shift toward reforms centered on health preservation.

  2. Judging from relevant foreign research, policies of harsh punishment and zero tolerance not only offer limited help in safeguarding health, but may even prove harmful. Taiwan lacks rigorous empirical research to understand the long-term efficacy of policies adopting harsh punishment and zero tolerance, and policy evaluation mechanisms should be improved expeditiously. If policy efficacy is indeed limited or harmful, resources should be diverted into other policies more conducive to health preservation.

  3. Judging from relevant foreign research, addressing drug problems through community prevention and treatment, harm reduction, and drug dependence treatment is a more effective health-preserving approach than repeatedly arresting and imprisoning drug users. Moving toward the decriminalization of drug use or alternatives to incarceration, reallocating state resources to medical/mental health and social welfare fields, and strengthening the capacity to investigate and strike at the mid-tiers of drug supply organizations likely constitute better approaches. However, concrete methods and their extent must still depend on national resources and evidence.

  4. The statutory minimum penalties for drug supply crimes in Taiwan—namely offenses involving the transportation, trafficking, or manufacturing of drugs—are excessively harsh. They fail to account for the fact that low-tier actors in the drug market may themselves be addicts whose problems can only truly be solved by treating their drug dependence or helping them cope with life's predicaments, nor do they consider that locking these individuals in prison for prolonged periods violates the principle of proportionality in sentencing and efficient resource utilization. The root remedy lies in detailing the elements and penalty distinctions of drug supply crimes; a simpler approach is to abolish minimum statutory penalties and provide judicial sentencing guidelines.

  5. The performance evaluation mechanisms for drug policy must be reviewed. The focus should shift from what the government has done—such as how much drugs were seized or how many cases cracked—to emphasizing the impacts produced by governmental actions, such as how enforcement affected patterns of drug use and dependence, or whether the extent of crimes committed to sustain drug use or caused by drug use decreased.

     

 

Controversies Surrounding Decriminalization and Alternatives to Incarceration

 

Some individuals oppose decriminalization and alternatives to incarceration; the following claims are clarified below:

Contemporary medical ethics is grounded in the principle of "voluntary" participation; coercive treatment actually raises ethical controversies. Secondly, among drug users, the only ones truly needing treatment are those who have developed drug dependence. International research indicates that approximately 1 in 10 drug users develops dependence and requires treatment. If there is no dependency problem, compelling drug users to undergo treatment is unnecessary, as it constitutes a waste of resources. Thirdly, while treatment programs backed by punishment can indeed strengthen the willingness of some drug users to undergo treatment, one must still evaluate the side effects and costs of imprisonment, the problem of stigmatization, and the counterproductive effects on the doctor-patient relationship (such as threatening doctors that treatment has succeeded simply to escape punishment). Crucially, one must evaluate that under a non-decriminalized framework, one cannot openly acknowledge that certain drug users may simply be unable to shake drug dependence, nor can one choose to offer treatment from a harm-reduction perspective where the goal is not total abstinence, but rather lengthening the intervals between relapses and enhancing life functions, such as stable employment and the establishment of pro-social interpersonal relationships. The result is a cohort of people cycling in and out of prison repeatedly.

Health-centric drug policies basically suggest that establishing sound health and social services to identify individuals with symptoms of drug dependence is a better approach—such as family physicians who build long-term trusting relationships with patients (though they must also be provided adequate training regarding drugs and drug dependence).

Health-centric drug policies involve holistic national resource allocation, demanding resource investment into cracking down on mid-to-upper-tier drug supply chains involving organized and violent crime, drug prevention policies, harm reduction, and treatment. If a country adopting a health-centric drug policy finds its domestic drug black market expanding and drug users increasing, it must examine which policy link went wrong and determine how to adjust. What needs adjusting might be decriminalization, or it might be something else, requiring comprehensive judgment based on evidence and pros and cons.

Decriminalization and alternatives to incarceration are components of a health-centric drug policy; adopting this policy inherently requires the government to invest more resources in medical and social services. Therefore, rather than saying decriminalization or alternatives to incarceration increase the government's financial burden, it is more accurate to say that health-centric drug policies are intrinsically structured this way. In fact, from the standpoint of health-centric drug policy, even if drug users are subjected to imprisonment, more resources should still be invested in medical and social services both inside and outside prison. Furthermore, returning to the initial point, health-centric drug policies must also evaluate government-held resources to formulate realistic goals and feasible programs.

This aspect pertains to health-centric drug policies, which require resource investment to establish sound medical, psychological, and social services within communities. Depending on the conditions of different drug users, rebuilding family relationships is possible for some, but very difficult for others. If family support has severely broken down, residential treatment away from the family may be necessary, along with alternative housing arrangements.

Additionally, Taiwan currently has domestic violence-related laws, with family protection as the core. If drug users involve themselves in violence or other acts harming others, criminal law provisions remain applicable. Finally, a reminder: while segregation looks like the most direct and useful approach, it does not actually solve the problem.

The Research, Development and Evaluation Commission of Taiwan's Executive Yuan once commissioned scholars to study the Treatment of Drug Users and the Feasibility of Decriminalization, which compiled domestic controversies surrounding decriminalization.


Notes

[1] The ideas behind the drafting of this article originated from the "evidence-based" judicial reform research concept advocated by Attorney Huang Chih-hao (黃致豪). This concept was proposed by him based on psychological science research and legal practical experience during our interview with him. Important reference material for this article, the IDPC Drug Policy Guide, was provided by the Taiwan Association for Prisoners' Rights (監所關注小組). Additionally, Dr. Wang Sheng-chang (王聲昌) from the National Health Research Institutes' National Institute of Mental Health, Dr. Shu Lien-wen (束連文) from the Addiction Prevention and Treatment Center of Taipei City Hospital Songde Branch, and the JRF Drug Policy Research Group all provided precious insights for this article, for which collective gratitude is hereby expressed.

This article is an AI-generated translation of the original Chinese text. In the event of any discrepancy, the Chinese version shall prevail.

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