A/HRC/46/26/Add.1 B. People with special needs 83. The overall condition of the residents in the home for people with special needs, in Guraidhoo, were generally acceptable. The facility is run under the auspices of the Ministry of Gender, Family and Social Services. However, juvenile patients were accommodated in mixed quarters together with adults. 84. The legal decision to institutionalize individuals rests solely on the Social Work Unit of the Ministry. While there are no clear and transparent guidelines on the decision-making involved, the staff of the facility confirmed that the persons concerned were not involved or consulted in the process in any way. Even when the persons are deemed fit to return home, their families often refuse to take them back. In the light of reports that there is a waiting list currently running to 40 individuals, a solution should be found to transfer individuals who have been medically discharged but cannot return home to alternative institutions, shelters or community care. 85. During the Special Rapporteur’s visit, one female resident was found tied to her bed by the sleeves of her shirt, allegedly to restrain her aggressive behaviour towards others. Upon being questioned, the staff of the facility were unable to say how long the woman had been tied to her bed or how much longer she would be restrained. According to the administration, the facility has only one psychiatrist, one general practitioner and two physiotherapists, despite having an official capacity of 194 individuals. C. Drug users’ treatment and rehabilitation 86. The overall material conditions of the Drug Treatment and Rehabilitation Centre, located on Himmafushi island, were satisfactory and acceptable. There were no guards at the centre; the clients were aware that the rehabilitation programme is voluntary. Reportedly there is a very low premature termination rate of 1 per cent, with those most affected being those recently admitted and undergoing detoxification in the first 21 to 28 days. The sevenstep programme, which has been implemented for over 20 years, seems to be structured but is threatened by the high rate of relapse due to insufficient aftercare programmes when clients leave the centre to return home after four to six months. 87. The Special Rapporteur observed that there was no daily presence of psychiatric, psychological or psychosocial support staff, even if the two medical doctors resident in the facility had acquired some training and experience in those fields. The medical therapy instituted is limited to anxiolytics and analgesics, with no medical substitution and/or psychotherapy programmes. D. Migrant workers 88. The Special Rapporteur received numerous reports of migrant workers being subjected to cruel, inhuman or degrading treatment by private individuals, often with the complacency or even complicity of State officials. According to the reports, the most common such abuse was the exploitation of migrant workers by their employers. They would confiscate the migrant workers’ passports upon arrival and force them to “pay off” exorbitant recruitment fees by not paying their wages for extended periods of time and exposing them to living and working conditions that are unsafe and can only be described as cruel, inhuman or degrading. Thus, migrant workers would often have to share collective accommodation with up to 200 other workers, sleeping in shifts in deplorable, unhygienic conditions. 89. In the light of that alarming humanitarian situation, the Special Rapporteur welcomes the ongoing initiative by the Ministry of Economic Development to regularize undocumented migrant workers. He strongly encourages the Ministry’s indispensable and determined cooperation with various other relevant Ministries and services in that regard, including, as appropriate, police, immigration and social services, as well as the judiciary and diplomatic services. He also welcomes the impending regulation of standards of workers’ accommodation, which will be binding upon employers. 13