Immigration and Customs Enforcement used involuntary and invasive medical procedures, such as force-feeding and forced hydration, in response to hunger strikes by detained immigrants, according to a newly released report from the American Civil Liberties Union and Physicians for Human Rights.

The report, which is based on over 10,000 pages of documents obtained under the Freedom of Information Act, provides an in-depth look at ICE’s approach to hunger strikes in its facilities from 2013 to 2017 and the trauma some formerly-detained individuals who initiated protests over poor conditions still suffer.

“Hunger striking is a form of protest that detained people may take because they see no