 As well, according to the 2011 Performance-Based National Detention Standards published by ICE, detainees with diabetes or other health conditions are to be provided with an appropriately suited diet.However, multiple detainees received meals that were not adjusted to compensate for medical dietary restrictions.Investigative journalists and advocacy groups such as the American Civil Liberties Union (ACLU) have expressed concerns of systemic sub-standard and neglectful medical treatments in detention centers, reporting that detention facilities often deliver medical services with long wait times and delays.