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.” 

Explainer
Change
Monastic life
8 min read

There’s much more to ‘monk mode’ than productivity hacks

In the heart of London Lianne Howard-Dace spent a year trying to live a simpler, slower life with others.

Lianne Howard-Dace is a writer and trainer, with a background in church and community fundraising.

A group of young people wearing white habits stand and laugh with each other.
Community of St Anselm members and the Archbishop of Canterbury.
CoSA.

Six years ago, I stood in white, full of nervous excitement, in front of a priest to make a vow. But it was a prayer robe, not a dress, and the priest happened to be the Archbishop of Canterbury. I was not getting married but joining a religious community. 

The Community of St Anselm (CoSA) was founded by Archbishop Justin Welby in 2015, and I was amongst the third cohort of young Christians, aged 20-35, committing to spending a year together. Some of my fellow community members came from across the globe, entirely stepping away from their everyday lives. They spent the year living in Lambeth Palace, devoting their time to prayer, study and service. Others, like me, remained in our homes and jobs, whilst also trying to reorientate our lives around those three worthy pastimes.

By committing to a pattern of living, giving up on the idea that I was in control and limiting my choices I found much liberation. 

In my experience, much of life - and the Christian faith in particular - is counter-intuitive. It would be a logical hypothesis to suppose that restricting your life in this way – agreeing to reorientate towards living by a set of rules and to fall into a structured way of being – would be stifling. And yet, like thousands before me, I found the complete opposite to be true.   

Our culture upholds choice; we are told that the ability to choose is the ultimate expression of freedom. And whilst this may be true with big choices – where to live, who to live with, what work to do - our brains don’t cope as well with a lot of day-to-day options as we might be led to believe. In a 2000 experiment, psychologists observed that a supermarket display with 24 different types of jam generated a lot of interest but not many sales. In contrast, a display with just six different types of jam meant people were nearly ten times more likely to go on to make a purchase. If, like me, you’re prone to spending inordinate amounts of time deciding what to have for dinner, I’m sure you can relate. 

Monks and nuns have understood this human tendency to get overwhelmed and expend energy on small decisions - suffering from what we now call decision fatigue - for many centuries. Whilst we may find the idea of a rigid schedule and a limited menu and wardrobe austere, not having to make those decisions every day can free up mental energy for other things. It’s the same reason why some tech entrepreneurs espouse the idea of wearing the same black turtleneck or grey t-shirt every day. 

Whilst my own experience of religious life was not as extreme as those who make a life-long vow, I did find that in committing to a pattern of living, giving up on the idea that I was in control and limiting my choices I found much liberation. The chatter in my mind quietened a little. I became more comfortable in my own skin. I felt more and more like my truest self. 

Attempting Cal Newport’s monk mode productivity hack by turning off our digital devices for the morning - or listening to a podcast from former Hindu monk, Jay Shetty - is as close to encountering monasticism as many of us get. CoSA draws on wisdom from several saints who themselves founded religious communities: St Benedict, St Francis and St Ignatius of Loyola. Whilst trying to emulate their way of life wasn’t always easy, I seized the opportunity to go deeper and threw myself into the intensity of the year.  

As a teenager I was always late to morning tutorial, despite being able to see my secondary school from my house. During my time in the community, I struggled to shake this habit and would usually be rushing to Lambeth Palace each Monday evening, arriving after those who had travelled from as far as Oxford, Poole and Canterbury, despite only working 10 minutes down the road. 

Those evenings were spent eating, talking and praying together and quickly became the highlight of each week for me. A time to put aside the day-to-day stresses and just try to be present with the other members of the community. We finished each gathering by praying compline, or night prayer, in the crypt at Lambeth Palace. In Celtic Christianity there is a concept of ‘thin spaces’, places where the boundary between heaven and earth seems a little more permeable. The cool, silver-lit crypt at Lambeth is one of those places for me; it seems to crackle with sacred potential. 

We also took three retreats in an Abbey during the year, near a stretch of wild Cornish coastline. Precious time away from the bustle of the city. Away from the demands of life admin and meetings and untameable inboxes. The strapline - for want of a better word – of the Community of St Anselm is “A year in God’s time”, and I think that actually sums it up pretty well. We spent a year trying to live a simpler, slower life. A life marked by prayerfulness and the sufficiency of God, rather than the bigger, better, hustle culture pressures of modern living.  

We went into these new relationships acknowledging that we wouldn’t agree on everything, but actively deciding to love each other anyway. 

Only the most disciplined of us can maintain healthy habits, like daily prayer and reflection, on our own. It’s easier to go to the gym with a buddy. The upcoming book club meeting nudges us to keep reading. I think that’s what drew me to join CoSA; I knew I needed mutual accountability and support to sustain the spiritual disciplines I craved in my life. 

In the community’s Rule of Life – the guidelines we each agreed to follow during the year – there is a line “We choose on another” and this has had a profound effect on me. The idea that we chose to put our shared life in the community ahead of everything else for that year has shaped me deeply. I have forged some amazing friendships through the community, but before we had even met each other, or learned to like each other, we chose to love each other in all our diversity and difference.  

I do find that church is one of the places I am most likely to encounter people who are different to me – particularly intergenerationally – but even in finding a place of worship, there can be a tendency to seek out one that ticks as many of one’s personal preferences as possible. In the weeks leading up to joining the community I had been unsure what to expect. Having not grown up in a Christian family, would I feel left behind? Coming from a less-wordy type of church, would I get lost in the orders of service? Would everyone think I was too socially liberal? Would I find them too conversative? 

The act of choosing one another put all of that aside. In stepping out of our everyday lives, we also stepped out of our respective echo chambers. We went into these new relationships acknowledging that we wouldn’t agree on everything, but actively deciding to love each other anyway. It was hard at times, but I came to see that whilst people had come to different conclusions on issues to me, they had done so no less thoughtfully. I came to see that we had much more in common than the things which society would say should separate us. 

In smaller ways too, I believe it is possible to choose to love others around us. We can choose to recognise the humanity of the person who is rude to us on the bus.  

I usually hate household chores, but some of my fondest memories from the year are chatting in the Lambeth Palace kitchen whilst putting away cutlery or singing together whilst washing up on retreat. By sharing the load, we learned ways to find joy in the smallest of things. And, by getting stuck into the mundane tasks of living and being together, we learned to see the humanity in each other. 

It’s no coincidence that those in long-term religious life call each other sister and brother; it’s certainly the best analogy for community life I can think of. As a child I was excited for the arrival of my siblings before I had even met them; I knew that it was my role as big sister to love them unconditionally. I’m not sure, if we weren’t related, whether my path would have crossed with my sister and brother as adults. Yet, they are some of the most important people in my life.  

In smaller ways too, I believe it is possible to choose to love others around us. We can choose to recognise the humanity of the person who is rude to us on the bus. We can choose not to assume the worst about someone’s post on social media. We can choose to share a kind word with a colleague, even if we don’t think they’ll ever return the favour.  I’m not saying that it’s easy, or that I always manage it myself, but it can be done.  

In community, on the days you have doubts about the things you are saying in morning or evening prayer, you know that your fellow members are lifting you up with their words, they are lending you a little of their belief. Learning to be held by others in that way is just one of the many gifts I took from my year in God’s time. I also learned that I do not need to be or do anything in particular to be loved by God or by others. That working out faith and belief with other people can reveal things you never would’ve found alone. 

In September, the Archbishop of Canterbury welcomed the ninth cohort of CoSA in a commitment service at Lambeth Palace. Young people from as far away as Sri Lanka, Australia and Zimbabwe made the decision to spend the next year living differently, making time for God and each other in new ways. And I, along with 23 others from around the world, Zoomed into the service and made a new commitment too. 

This year, for the first time, there is an opportunity for alumni of CoSA to become members of a dispersed community, the Chapter. Like third order Franciscans or Benedictine oblates, we will attempt to stay linked to the life of our community, alongside our everyday routines. I’m looking forward to being more intentional about re-engaging with the daily rhythms and lessons I learned in my year in community. We will have a less intensive programme of events to help us feel connected and will follow a simplified Rule of Life that focuses on learning from Jesus, seeking reconciliation and unity in the Church, serving with compassion and, of course, choosing one another. I’m excited to see what the year holds.