Coping in the chaos: Pentonville’s neurodiverse unit is changing prison life

A radical and caring prison experiment has changed both prisoners and wardens. Nick Jones visited London's oldest prison.

Nick Jones

Nick is the senior editor of Seen & Unseen.

An arched gateway to a prison sits behind a low raised wall. No windows are visible

First opened in 1842, Pentonville Prison serves a large part of central and east London.

Ben Sutherland via Wikimedia Commons

A London prison has seen a reduction in violence among prisoners and improved staff morale thanks to a new neurodiverse unit.  Pentonville prison’s new unit identifies and treats prisoners with autism, brain-injury, learning difficulties and even dementia.

Jo Davies, Pentonville’s managing chaplain, helped set up the programme after conducting many regular prisoner reviews with colleagues. She noted that there was an apparent higher incidence of autism among prisoners than the general population.

Prison is a challenging environment for those with autism. Routines are imposed, vulnerabilities are exploited by others. Frustrations can boil over into violent and self-destructive behaviours. Non-verbal behaviour also makes each interaction with other prisoners and staff a potential flashpoint leading to protesting behaviours or withdrawal.  All against a backdrop of a harsh white noise. Metal doors slam, Conversations and challenges are shouted, all constantly echo through the four open floors of each wing of the prison.

Other neurodiverse conditions are present in prisons. An ageing prison population even has prisoners suffering from early onset dementia. Some forget the circumstances of their imprisonment.

Teaming up with prison officers and support staff like psychologists, doctors and teachers, chaplain Davies notes that “now staff make it their business to work out how to work with these prisoners”. The unit has capacity for 45 prisoners in single cells. They share a common area for eating and other activities. Staff spend 10 weeks assessing the prisoners who can then benefit from up to 12 weeks of additional support.

Ruth Hipwell, who leads the new unit, says: “it’s good to have a place in prison for those people who can’t cope.” Support ranges from little things like teaching a prisoner how to make a cup of tea or providing earplugs to reduce noise, to helping prisoners make better plans for coping and learning – both in prison and outside.

On the wall of the unit is a timetable of events, illustrated by pictograms. Sessions include how to handle familiar tasks in the unfamiliar environment of prison: how to buy things or use the telephone, getting clean clothes and even how to handle being unwell.  Other sessions include accessing learning and getting a job.

Robbie*, a prisoner in the unit says:

“It relaxes you. It’s wicked. The difference is the support.”

The unit started work in October 2022 and the difference it made was spotted fast. It transformed staff, recalls Hipwell. “They have found their purpose. We have a level of multi-agency integration others can’t match.”

Ian Blakeman, Pentonville prison’s governor, identifies additional benefits. “It frees up staff time and staff export skills to other parts of the prison.” These positive effects also help him keep good staff. A major challenge in London’s competitive labour market.  Other programmes reinforce this change in culture across the prison range from addiction treatment to rebuilding family relationships affected by gang affiliations.

Pentonville now has the lowest self-harm rates in the country and is the least violent prison of its type in the UK.

With prisons a low political priority, it’s even more remarkable to learn that Pentonville’s neurodiverse unit required no additional budget. Its win-win results are a flicker of hope in a bleak landscape. Times columnist Matthew Parris recently wrote:

“Every generation looks back and spots an outrage. Today, when we think of slavery, child labour and lunatic asylums, we wonder how our ancestors could have been so cruel. What will horrify our own successors is our disgraceful prison system.”

In response to Parris’s column, Jonathan Aitken, a former prisoner and now a chaplain at Pentonville who works with the neurodiverse unit, wrote to the Times.  

“The real disgrace lies not inside our prisons but in the failure of both public and private rehabilitation efforts to help prisoners into jobs, housing and law-abiding lives after their release. The good work done by prison officers, managers and governors is underreported… We are on a roll of improvements… But such advances are like clapping with one hand if they are not met by comparable efforts to rebuild the lives of prisoners after they walk out of the gate. Correcting the failures in this area should be a high priority for our politicians and for our society.”

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America

Change

Politics

Trauma

7 November 2024

3 min read

How America reckons with its fractured reality

The first thing is always to listen. To sit. To feel.

Jared Stacy

Jared Stacy holds a Theological Ethics PhD from the University of Aberdeen. His research focuses conspiracy theory, politics, and evangelicalism.

Two people sit at the table, one dictates as the other types. Behind a banner reads: write a postcard to the next president.i

Artist Sheryl Oring types messages to the president.

instagram/usf_npml

Yesterday, the day after the election, I preached a funeral. I heard the name of our President-elect only once. But I did speak on Jesus and Lazarus. About pain and loss.

I named our enemy, death, that robber, cheat, and swindler. And I spoke about grief—we all grieve in so many different ways. And then about tears. I shared about the man from Nazareth, whose public grief before the tomb of his friend drew hushed whispers from onlookers.

It was, you may remember, a tomb he was about to open. He knew, Jesus did, what he was about to do. And did it so that those who were there would become witnesses to precisely what God is about: defeating death. “Come out, Lazarus!” says Jesus, and he does.

The Christian faith, I told the grieving, would have us believe that even in our grief, there is a hope that hems it in. That Jesus enters our darkness and comes to rob death of its finality. I love too that Jesus says next— “Unbind him!” —turning onlookers into witnesses and participants.

This was how I spent my day. I’m not sure I could have spend it any better. Not because it was an escape from the election, but it forced some perspective on me. Because T.S. Eliot is right: “we cannot bear much reality.”

Here, political autopsies are everywhere. Some talk of the Democrat’s conceit, of denying President Biden’s liability as a candidate, bypassing the primaries, refusing to meet economic concerns. There’s talk of Trump’s genius and what looks to be the end of his legal troubles. There’s talk of the downfall of America, of ascendant and aspiring authoritarianisms. Perhaps. Especially if we take Trump at his word.

But as the funeral ends, I’m weighed down by the messages I’m starting to read. Not about the results alone. Not questions about political strategy and futures. No, these are pained voices from a Christian community in America betraying itself.

My phone messages are filled with stories of pain and loss. Friends and strangers alike, enduring the same loss, the same betrayal. The communities that taught us the faith now distort it. And none of this is new.

Howard Thurman, who mentored Martin Luther King Jr., said it back in 1946: “the tragic truth is that the church permits various hate groups in our common life to establish squatter’s rights in the minds of believers because there has been no adequate teaching on the meaning of the faith in terms of human dignity.” This loss has been with us for generations. But these fissures and fractures are ours to bear today. And they are not unconnected from the social and political chaos of America.

Martin Luther once said, “living, dying, and being damned makes one a theologian.” This has taught me to welcome, rather than despise, accusations that question the validity of my faith. It’s also made me suspicious of the misplaced messianic hope from which such questions emerge. It’s a false hope not easily displaced.

Before I returned to the States from living in Scotland these last few years, a good friend told me honestly: “perhaps America will have to ride it out, all of it, until it’s done.” The thought seemed a far-off scenario then. But I think he’s right.

When Israel built the golden calf in the wilderness, Moses made them grind it up into powder, mixing it in their drinks. The Christian community in America, whether we realize it our not, will soon be drinking our idolatry down to the dregs with consequences beyond Christian community itself.

And people ask, “what should we do?” And I think that time is near for that question. But the first thing is always to listen. To sit. To feel. And to remember that it’s not for nothing that Jesus, who pronounced so many woes over Jerusalem, also wept over it.

This article’s image is of Sheryl Oring, an artist who invites the public to write to the next president. She has typed and sent thousands of messages to the White House every election since 2004 as part of her performance series I Wish to Say. Read more about her and the letters: Artist Invites the Public to Write Letters to the Next US President