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.”

Article

Change

Character

Purpose

Virtues

24 May 2024

7 min read

Why do people come into your life?

The meaning behind those chance encounters.

Emerson Csorba

Emerson writes on geopolitics. He is also a business executive and holds a doctorate in theology.

In a coffee shop, people sit around a table, one holds their hands up in surprise.

Coffee in Madison, USA.

Kayle Kaupanger via Unsplash.

You are sitting in a local coffee shop and the person sitting next to you strikes up a conversation. This stranger happens to work in the sector you wish to enter. They make a valuable introduction, this leading to further conversations, an interview, a job, and in time, the beginning of a career. Or, to take another example, you are a lone parent working in a local supermarket. A work colleague happens to know someone hiring at a local family business. An introduction is made to a person hiring for a role in a profitable company nearby and, before long, the recent supermarket clerk is in an environment much more conducive to supporting a family. These connections emerged entirely out of the blue, yet opened life paths in line with what the two individuals in question had for long been searching.

Why do certain people come into our lives, seemingly out of nowhere? In his paper ‘The psychology of chance encounters and life paths’, the celebrated Canadian psychologist Albert Bandura writes that some of the most important determinants of life paths occur through the most trivial of circumstances. These chance encounters can send individuals’ lives in positive or negative directions, based on the values and skills of the person being connected, the openness or closedness of the networks into which the person enters and of course, the intentions of the person with whom a connection occurs.

To illustrate his meditation on chance encounters, Bandura shares the story of a weary graduate student who ends his research early one afternoon in favour of a round of golf with a friend. The golfing duo encounter two women playing on the same course, one of whom eventually becomes the graduate student’s wife. (This example, it turns out, is a personal one: the graduate student in question is Bandura.) In another example, Ronald Reagan, while President of the Screen Actors Guild, is contacted by the actress Nancy Davis, who is concerned that another ‘Nancy Davis’ on a government list of potential Communist sympathizers at the height of McCarthyism might tarnish her reputation and acting career. The are smitten with each other, later marry, and form what becomes one of the most dynamic President and First Lady duos in American political history.

The recently inaugurated Chancellor of Durham University and renowned Russian politics and national security expert, Dr Fiona Hill, provides us with a more contemporary view into chance encounters. In her book There is Nothing for You Here, Dr Hill coins the term ‘infrastructure of opportunity’ to describe the networks that can help propel motivated persons even if living in what she terms ‘opportunity deserts.’ Dr Hill describes the ‘Family members, friends, schoolteachers, university professors and administrators, and professional mentors [who] helped me find scholarships and jobs and generally pointed me in the right direction’.

One such individual is a teacher, Dr Marshall, who encourages her to apply to the University of St Andrews. The local MP Derek Foster follows up regularly to see how Dr Hill is progressing in her applications. And the Durham Miners Association, long-known for its support of miners’ and their families in self-governance and lifelong learning, provide the needed travel stipend for the County Durham student to make an initial study trip to Russia. It is as if these select individuals reached into Dr Hill’s life, pulling her onto new paths as part of the gradual forming of her vocation. Dr Hill’s interest in Russia was clear, but a community of individuals laid new paths one brick at a time.

Individuals with these types of personal networks, in whatever the setting, receive better information faster than their peers

It is possible to see the development of a personal network in utilitarian terms, in which an individual sets out to construct a network rich in useful contacts. The American sociologist Ron Burt finds in his pioneering work into social network analysis that the most effective networks are ‘structurally autonomous,’ in which a person has many contacts across different ‘social worlds,’ though with few if any of these contacts across social worlds knowing each other (it is important alongside this branching-out into different contacts that a person coordinates their own close contacts effectively, so that they cannot easily be replaced should this be attempted). A social world may be a particular political party, company, church, or community (each its own cluster in which most members know each other) – the point of a structurally autonomous network is that a single person branches into a variety of these.

The advantages of a structurally autonomous network are material. Individuals with these types of personal networks, in whatever the setting, receive better information faster than their peers. They can share (or not share) information in ways that provide them with tangible benefits. Burt finds that individuals with structurally autonomous networks tend to be paid more, promoted faster and receive better performance reviews than those without these kinds of networks. In Burt’s work, it is the individual that goes out of their own way to actively construct a network conducive to new opportunities. In other words, this is networking borne out of strategic self-interest.

Ellul... contrasts an ‘anxious self-centeredness’ with a ‘manner of being’ that ‘can light up relations as lightning does the night.’

But what are we to make of the individuals that come into our lives, often unexpectedly, as part of a more gradual structuring of a vocation or even life? On one hand, Dr Hill’s energy, proactiveness and palpable interest in Russia animated her, preparing her for encounters with figures such as Dr Marshall, Derek Foster and Durham Miners’ Association members. On the other hand, the encounters with these individuals were unplanned. They occurred seemingly out of nowhere, much like Bandura’s encounter with his wife-to-be, or the inaugural meeting between Ronald Reagan and Nancy Davis.

We can take a less utilitarian, and more re-enchanting view in reflecting on why it is that certain people come into our lives. The former sees the individual at the centre of all networking, actively if not relentlessly searching for valuable new contacts in the pursuit of opportunity and incremental advantage. The other sees the individual maintain agency while nevertheless remaining open to the unexpected offering by God of connections branching into new social worlds. These offerings are borne out of considerable prior deliberation, ongoing practice preparing the individual for meetings they never envisaged.

This openness to the offering of certain contacts by God follows on a prior faith in the constant working of God behind the scenes, introducing the right people into our lives at just the right time. These individuals renew us, helping to light up the various paths we walk as part of our worldly vocations. The French sociologist and theologian Jacques Ellul touches on this in his book The Ethics of Freedom, in which he contrasts an ‘anxious self-centeredness’ with a ‘manner of being’ that ‘can light up relations as lightning does the night.’ In the self-centered case, ‘I become the unique central, and essential person who lies behind everything. Only my destiny concerns me. For me I am the central thing in the world. We thus see the dawn of pride, of egoism, and also of worry and anxiety.’ This is the mindset of the avid networker making strategic connections to fulfill whatever they believe is their destiny.

If we pay careful attention to the unseen within our lives, remaining open to the guidance of the Spirit, then the entering of persons into our lives can re-enchant us.

The alternative is an attitude of service, in which we see ourselves (and each other) as what Ellul terms mediators or vicariates for Jesus in living-out the victory he won for us in his resurrection. For Ellul, Jesus’ resurrection is victory in the war-like effort against evil, a victory which is followed by a ‘mop-up exercise.’ In this mop-up exercise, we nevertheless continue to resist evil by approximating the Kingdom of God on Earth. This approach transforms our thinking about networks, encouraging us to see the entering of new people into our lives as opportunities for mutual service, these encounters ‘lighting up the night.’ We must still live in a world of necessities and determinations – grappling with often adverse circumstances and with evil – but with the capacity to light up the world through personal encounter.

Indeed, the mediators or vicariates described by Ellul renew us, lighting us up as we discern our respective vocations in service of God. Here, Burt’s structurally autonomous network is not a mere branching into new social worlds as part of the gleaning of useful information for strategic advantage, but rather a series of encounters with diverse individuals who guid us individually and collectively in the formation of our vocations. Bandura’s chance encounters become not mere serendipitous events but rather offerings from God, strengthening us as we strive to promote the good – while resisting evil forces – in whatever we do.

If we pay careful attention to the unseen within our lives, remaining open to the guidance of the Spirit, then the entering of persons into our lives can re-enchant us. Yes, our individual agency puts us in a position to meet new people. But these encounters are not merely the products of individual effort; they are offerings by God to renew and direct us in our respective pilgrimages with Christ.