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.”

Essay

Change

Community

Justice

15 May 2024

8 min read

Blackpool: how to make somewhere home

From tents to a town-wide regeneration, Blackpool’s hopeful placemaking.

John Clifton

John is a Salvation Army captain serving in Blackpool.

An aerial view at dusk of a brightly lit pier and promenade of the seaside town of Blackpool

Blackpool's piers and promenade.

“Good morning! Would you like to come in?”

I found myself in a local park. I’d had a couple of sips of my coffee, but it was still early in the morning on outreach in Blackpool with workers from the Council. The greeting from the man stepping out of his tent was a cheerful surprise. I was nervous as the task was to give the people sleeping in the small clearing behind the bushes a ‘heads up’. Enforcement action was planned, and a new Public Space Protection Order (PSPO)—another crude way to police the bodies of the unhoused who show up in places society doesn’t really want them—had been placed on the park. The Salvation Army and Council hoped to avoid, or at least lessen, any distress that a confrontation with enforcement agencies might bring about. However, sometimes the message can be confused with the messenger. Fortunately, my worries were unnecessary.

“You can get through here. Don’t worry, you won’t get muddy. We’ve made a path!”

He beckoned me and my colleagues to an opening. He had indeed made a path with some bark chippings. Giving us reassurance about the mud underfoot, he guided us to the space they had made home. The word ‘made’ is important here since they had shaped the space to become more habitable. This created the opportunity to welcome us and to show off what they had done. There was dignity in the orderliness of the space and an obvious pride in the landscaping. The message about enforcement was given with gentleness and received with grace. This grace, unexpected yet appreciated, was the day’s first lesson in humanity. My main lesson was realised only later, after we had bid each other farewell: that there is a deeply human and Christian call to transform spaces into meaningful places.

Just as birds intricately weave branches into nests and beavers architecturally sculpt their dams, we humans engage in this process to shape our environments to fulfil our needs.

Although living on the edges of society, those I met had carved out a small space to call home. They exerted control over it. What was previously space became place through personalisation, social interaction, and functionality. Human experience was layered there, changing the appropriate mode of analysis from geography to biography. Life was being lived. However, that place was to return to its previous anonymity. It would lose its distinctiveness, stripped of the layers of meaning it had for the short time it was inhabited. Although it may sound nostalgic, it's clear that for those living in them, the tents were more than a makeshift solution. They symbolised a deep need to create a home, even in the toughest conditions. Experiencing long-term homelessness, they saw the park as an improvement over the exposed town-centre shop doorways, fully aware, however, of the hurdles in finding a stable home. They looked at their time in the park not just as a stopgap but as a respite in the journey towards a better future, even though they knew it wouldn't be quick. Their plans clashed with the reality of enforcement agencies, whose actions focused on moving them on quickly.

Their attempts to carve out a place of their own in the park are an expression of an impulse indelibly woven into the human condition: the need to make our environment our own. Just as birds intricately weave branches into nests and beavers architecturally sculpt their dams, we humans engage in this process to shape our environments to fulfil our needs. This instinctive behaviour is also an inherent drive to mould our surroundings to reflect our identity. These acts of placemaking not only alter our immediate environments to enhance our quality of life. They also influence the broader ecological and social landscapes in which we dwell. Indeed, a PSPO is part of that broader social landscape. So too was our outreach. The reciprocal relationship between humans, habitats, and other humans highlights how our endeavours to create 'home' extend beyond mere physical modifications. They are the very fabric of our communities and ecosystems. By transforming spaces into places imbued with meaning and purpose, we participate in an ongoing dialogue with the world that shapes both our development as individuals and the collective evolution of our surroundings.

Stewardship goes beyond mere conservation, however, embedding a sense of responsibility to enhance communal welfare and well-being

It is a sentiment I know myself. Having frequently moved home in my youth, like many who search for a place to belong, I am acquainted with the need to craft home anew. As a child, it was putting up familiar football posters on my bedroom wall. As an adult, it is a reshuffling of the living room furniture, which my wife graciously accepts. Intriguingly, my grandmother, whom I know only through stories as she died before my birth, shared this ritual of rearranging her lounge. It is a compelling idea that such behaviours might form part of our genetic makeup, passed along generations, silently teaching us habits to create home. Perhaps this impulse is heightened by my dwelling not being my own but rather a provision by The Salvation Army to fulfil my commitment as a Salvation Army officer. This rearrangement ritual becomes a prayer in action, making space into place again. It is a home not owned by me but held in trust, reminding me that my role in the community is both temporal and purposeful, and my residence a testimony to service over possession.

In Christian thought, there has always been a strong emphasis on caring for the environment, a practice often referred to as "stewardship." This concept is rooted in the belief that all people are caretakers of the Earth, entrusted to foster and preserve the natural and social environments in which they live. Stewardship goes beyond mere conservation, however, embedding a sense of responsibility to enhance communal welfare and well-being—what in Hebrew is called shalom. Shalom encompasses more than peace; it implies a holistic harmony that includes justice, well-being, and prosperity. In practice, this means Christians are encouraged not just to inhabit spaces but to actively improve them, ensuring they contribute positively to the community. This desire to contribute to the fulness of human experience expressed as shalom underscores the dual nature of Christian and, fundamentally, human existence: engaged, yet expectant; grounded, yet yearning for a true home.

The mission of placemaking knows no bounds: from the local county to the national landscape, and even the global stage.

Placemaking is about transforming both individual spaces and entire communities, such as towns and cities in need of rejuvenation. An example of such transformation is seen in Blackpool, a town with a rich history, now on the brink of significant change. The Blackpool Pride of Place Partnership, formed seven years ago, underscores this through its recent event at the Blackpool Tower Ballroom, launching the Town Prospectus for 2024. This event showcased the combined efforts of both the private and public sectors to achieve their shared goals. The latest prospectus highlighted the progress from mere ideas to tangible achievements. Much like the pride the unhoused man showed in his makeshift chip-wood path, it highlighted with rightful pride the transformation of concepts from the initial prospectus—once mere computer-generated images—into tangible buildings and projects now existing in reality. This larger-scale transformation reflects a universal need to adapt our environments for the better, mirroring the individual acts of placemaking, like those seen in a morning outreach in the park. The practical challenge is how the instincts and dreams of the unhoused man, currently manifest in a little bark footpath, might be better translated into the wider process of town-wide identity. This process often leaves even the most engaged people feeling overlooked, especially those trapped in the cycle of homelessness, unable to see beyond immediate survival. It is here that the Christian community gets involved in this placemaking.

Just as the church will be called to extend support to a person without a home, we are similarly obliged to play a role in the broader scope of regeneration efforts by helping the voiceless find their voice and amplifying it. Our stewardship extends beyond mere occupation of space; it is a call to play a bold role, engaging confidently and constructively with decision-makers and policy-shapers to help resist the secular tendency towards inequity. The Christian’s vocation to sojourn purposefully intersects with a civic duty to nurture spaces that promote the well-being of all residents, but with a particular bias towards those who are voiceless. In the context of Blackpool, invoking the spirit of Jeremiah we are urged to ‘seek the shalom of Blackpool... and pray to the Lord on its behalf, for in its shalom you will find your shalom.’ This noble endeavour to move the ‘World As It Is’ to the ‘World As It Should Be’ is transformative. It not only reshapes our communities but also refines our own character from ‘Who I Am’ to ‘Who I Should Be’. This fusion of spiritual odyssey and community involvement epitomises Christian discipleship. Placemaking, then, can be an act of faith and dedication, not merely shaping physical landscapes but also weaving a spiritual fabric that enriches the collective identity of our communal life by including those on the edge, like people in tents in a park.

This principle transcends the specific context of Blackpool. The mission of placemaking knows no bounds: from the local county to the national landscape, and even the global stage. The shaping of space into home is a fundamental instinct relevant to all, from an unhoused neighbour to residents of a town like Blackpool to the Christian sojourning in the world. The church has an invaluable role to play in this effort, serving as both a consistent presence in a place undergoing upheaval and being a catalyst for change, but most particularly an avenue for participation for those we might consider to be ‘the least of these’ - the homeless man; the battered girlfriend; the addict; the asylum seeker; the kid excluded from school; the lonely older person. By embracing this call, the church upholds its commitment to being a faithful community and fostering belonging. It also participates in the divine act of creation, shaping the world to reflect God’s love and grace. Through this sacred duty, the church contributes to spaces becoming places of shalom. Indeed, without ‘the least of these’ playing a part, true shalom is not possible. By partnering with other local organisations through broad-based community organisations, initiating housing projects, or advocating for policy changes, the church can materialise its vision to make earth a bit more like heaven. Examples from communities where churches have led or participated in urban regeneration efforts demonstrate the transformative power of faith in action, turning spaces of neglect into thriving places of community and support.

From the personal touch of a man creating pathways in a park, to my relocating of household furniture, to the communal efforts in Blackpool's regeneration, we witness a profound truth: that shaping our world to become home is not just an act of physical transformation but an expression of deep spiritual yearning, which is, fundamentally, to know that the Kingdom of God is among us.