Article
Change
Freedom
Mental Health
3 min read

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 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
Christmas survival
7 min read

An Acton nativity and a new crisis at Christmas time

Inspired by a Christmas visit of Jose and Maria, West London churches aiding asylum seekers now expect a wave of evictions, Robert Wright discovers.

Robert is a journalist at the Financial Times.

 

clients of a charity queue beside a table of suppliers in a church
Ease clients select groceries.

It was the arrival of a single, memorable couple that prompted churches in East Acton, West London, to recognise their responsibility to care for the growing numbers of asylum seekers being housed in the area, according to Jon Westall. The husband of the pair, who had fled persecution in El Salvador, in central America, was named José (Joseph), according to Westall, a Church of England vicar in the area.  José was accompanied by his wife María (Mary), who was, Westall recalls, “heavily pregnant”.  The couple arrived at one of the area’s churches for their Christmas services in 2021. 

When they came to the church, Westall says, José and María were among 400 people living in a local hostel turned into housing for people awaiting decisions on their requests for refugee status. The status, which allows recipients permanent leave to remain in the UK, is awarded to those that prove they have fled danger or persecution. The couple’s arrival struck local Christians thanks to its clear symbolism, Westall recalls. But it also left them initially unsure what best to do. 

Nearly two years on, the church that José and María visited hosts a weekly drop-in for asylum seekers organised by East Acton Support Enterprise, a new charity set up with the backing of a local support group for would-be refugees. Westall, who is a trustee, says that Ease’s volunteers are a “right old mixture” of people of different faiths and none. The group seeks to support the hundreds of people in the Acton and Ealing areas housed in hostels and hotels while awaiting rulings on their asylum applications. Since the summer, it has also been grappling with the effects of new Home Office policies that mean people who succeed in their asylum claims often find themselves evicted from their temporary accommodation with as little as seven days’ notice. 

“It’s the whole community. These people are very passionate, very enthusiastic. They listen. They talk.” 

The effort in Acton is one of scores across the UK helping refugees that is hosted in a local church and that draws heavily on church volunteers. Westall says that, from church people’s point of view, they became involved in the nascent project because it touched them “quite deeply really” to meet José and María at Christmas. Ease prefers not to publicise the location of its drop-in, to avoid attracting attention from demonstrators against migration. 

“Jesus is a refugee,” Westall says. “There were just resonances really.” 

One of his clearest recent memories is of being called to help a man from Syria who had just been evicted from accommodation in the nearby west London neighbourhood of Hillingdon, with only five days’ notice. 

“He was standing on the street corner in Hillingdon with all his bags, absolutely paralysed with fear, this guy in his mid to late fifties,” Westall recalls. 

Sara Nathan, another trustee of Ease, says the drop-in opened at a critical time. She approached the church about using its facilities in January 2022, shortly after José and María’s first visit, after being asked by West London Welcome, another support group, to set up a drop-in in Acton. A new facility was needed to relieve strain West London Welcome’s facility in Hammersmith. Nathan, an active member of West London Synagogue, says the first Ease drop-in session, in February 2022, took place just in time for a surge in demand to help refugees. 

“We set up to start and the day we started was the day Putin invaded Ukraine,” she says. 

The group has been “running to stand still” ever since, under Lissa Pelham, the group’s co-ordinator, Nathan adds. 

“It has been growing considerably,” she says, adding that the group became a stand-alone charity, separate from West London Welcome, in September this year. 

One regular attender at the drop-in, Sobhan, an engineer from Afghanistan, says he values the mix of practical help and emotional support on offer. Sobhan – not his real name - was studying in the UK for a master’s degree when Kabul fell to the Taliban. Because his family was closely involved in the previous Afghan government, his life would be in danger if he returned, he says. 

He adds that it is “very nice” of Ease to organise the drop-in centre, which offers people staying in local hotels and other refugee accommodation free food, sanitary products and other help. The support supplements the £45 a week living allowance that those awaiting decisions receive from the Home Office. 

However, the drop-in is “more than just the help”, Sobhan says. 

“It’s the whole community,” he says. “These people are very passionate, very enthusiastic. They listen. They talk.” 

Involvement in Ease has made her more aware of the real nature of the problems facing people awaiting asylum decisions and more anxious to do something about them.

The complexity of the challenges facing Ease is clear at a drop-in session when Pelham holds her weekly briefing for the 20 volunteers present to help around 100 clients. Pelham starts by asking volunteers to ensure anyone new attending the drop-in is resident in Ealing. The checks are necessary because supplies are limited and there is a risk that asylum seekers travelling from other boroughs will take what is on offer and leave none for the people most dependent on Ease. 

Pelham goes on to impress on volunteers the rules about evictions from asylum accommodation. The warning is necessary because a Home Office drive to clear the hotels housing many of the tens of thousands of people awaiting asylum rulings has prompted a cut in the notice given to successful applicants – those granted leave to settle in the UK - to leave the place they have been housed. 

Successful applicants used to have 28 days from the issuing of their residence permit to leave the accommodation – already a demanding timeline given the need to secure a bank account, deposit for rent and means of paying the rent. Since August this year, however, they have been given only seven days from the issuing of the decision. Because the decision is issued by letter to people living in often crowded and chaotic hotels, if applicants receive their letters late or not at all, as with the Syrian man that Westall helped, the notice period can be shorter or non-existent. 

The change of policy is likely to affect many of the drop-in centre’s clients because as many as 68 per cent of initial decisions on asylum claims in 2022 decided that the person had a genuine claim to asylum. A substantial further proportion are likely to win the status on appeal – around half of completed appeals were successful in some recent years. 

Pelham reminds the volunteers that at times of freezing weather landlords are obliged to give tenants an extra three days’ notice of eviction. She also reminds volunteers that there should be no evictions over the Christmas period, between December 23 and January 2. 

However, there is a resigned recognition that some landlords will ignore the rules. Nathan has brought to the drop-in session a compact tent to hand out to anyone with no better option. A group of 10 Eritrean refugees have been sleeping under a nearby road flyover, she says. She has also been working to house evicted refugees through Refugees at Home, a charity that places refugees in volunteers’ homes. Nathan herself helped to establish Refugees at Home in 2016 and says new volunteers have come forward as a result of the surge in evictions. 

Pelham asks volunteers to ensure the details of any clients reduced to sleeping on the streets are recorded. 

“It keeps getting worse,” Pelham tells them. “It really feels that way.” 

The difficult circumstances and challenging policy background do not noticeably damp the atmosphere at the drop-in, however. In front of a side altar in the church, one would-be refugee uses a borrowed guitar to serenade those present with a string of classic songs such as Elvis Presley’s Baby, 'Let’s Play House'. Some attendees attend an art therapy session, while others work at their English. 

One Christian volunteer, Charlotte Aldridge, says involvement in Ease has made her more aware of the real nature of the problems facing people awaiting asylum decisions and more anxious to do something about them. 

“I suppose from a Christian point of view, I feel it puts the gospel into practice,” Aldridge says. “It’s nice to be part of a positive project that’s doing something practical to help people in the area.” 

“They’re in the UK now. If a British person is nice to them then understands them, that’s a very relieving thing mentally.”

Westall acknowledges that asylum-seekers’ problems are a matter of acute political controversy. There are people among the attendees at the drop-in who made clandestine crossings to the UK by means such as small boats to lodge their asylum claims. 

The vicar insists the asylum-seekers he meets have not come to the UK just in search of a better life but have genuinely fled trauma and situations that would prompt anyone to flee. He reports few complaints from local people about the church’s work. 

“There aren’t many people who stop me and say they shouldn’t be here,” Westall says, adding that the congregation of the church that hosts the drop-in has been “very supportive”. 

Sobhan, who has just received refugee status and is looking for work, says it is a “great thing” that Ease offers companionship to refugees living in the area. 

“They’re in the UK now,” he says of the refugees. “If a British person is nice to them then understands them, that’s a very relieving thing mentally.” 

Westall, meanwhile, along with his wife, is a godparent to José and María’s baby. The family are now living elsewhere in the UK. 

The vicar says, however, that the meeting with the couple provided a window for local Christians onto a world they had not known at all. 

“I’ve learned a huge amount from the people I’ve met and the people I’m getting to know,” he says.