ANNUAL REPORT 2019 Forensics Seminar in Kuala Lumpur. CHAPTER 1 e) Foreigners have limited access to legal counsel and are reluctant to complain about violations of human rights due to their vulnerability; f) Over-crowding: i) The ratio of prison staff to inmates is disproportionate; ii) The increase of inmates affected the budget significantly as well as the facilities to house them; g) Proper medical reports are not provided to the Immigration Detention Centre when foreign detainees are handed over from other enforcement agencies. This may affect their health if they have existing medical conditions. There is also a lack of medicine and medical assistants (MA) and limited medical facilities; h) Depression and bipolar disorder are common among prisoners/ detainees. The doctors and prison officers lack training and experience in dealing with these medical conditions and may fail to report any psychiatric illness; and i) Lack of funding for psychotropic medication and only a small portion of the budget is allocated to the psychiatric department. 71