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.” 

Review
Books
Change
Politics
4 min read

Russia’s waiting reformation

Putin’s world is not the only take on Russia.

Simon is Bishop of Tonbridge in the Diocese of Rochester. He writes regularly round social, cultural and political issues.

Graffiti on a wall, spells out in Russian character the name Navalny.
Anti-Putin pro-Navalny graffiti, Saint Petersburg.
Dor Shabashewitz via Wikimedia Commons.

When I presented the book I Love Russia by Elena Kostyuchenko for purchase at the counter, my only thought was for what the bookseller would think.  Was I a Putin sympathiser and apologist for the war in Ukraine?  It says a lot about how we have unconsciously embraced Putin’s world as the only take on Russia.  There is an indigenous saying that Russia is not Moscow and Moscow is not Russia.  By the same token, Putin is not Russia, however much he would like us to think this; it is naïve and prejudiced of us to allow the largest country in the world to be defined by its dictator. 

Elena Kostyuchenko, and Alexei Navalny in his posthumously published book Patriot, belong in different generations to Putin and inhabit another moral universe.  Navalny has done more than anyone to call out the epic levels of corruption and dark cynicism of the Putin era.  This is a Mafia state, as Luke Harding observes.  Navalny believes there are twenty people who rule in Russia, with staggering levels of visible and hidden wealth, and a further one thousand who eat from their trough.  The rest of the country includes those who are duped by state media, those who don’t want to know or keep their heads down or don’t care, and those who testify to the truth.   

This latter cohort shows remarkable courage, because they are being silenced, one by one, through prison or murder.  Navalny died in prison after previously being poisoned in Siberia; Kostyuchenko was poisoned while in Germany and has been targeted for assassination elsewhere.  Before them lies a sobering roll call of journalists and politicians like Anna Politkovskaya, Boris Nemtsov and Igor Domnikov whose murders are clearly attributable to what they have said about the crimes of Putin and his associates. 

Elena Kostyuchenko’s journalism takes her to Russia’s abandoned people and places.  Derelict and decaying hospitals where the young, the addicted and the dispossessed gather; the mothers of Beslan who are beaten up and persecuted because they want the truth about that fateful siege; psychiatric hospitals with no resources or patient care; landscapes depleted by corrupt extractive industries.  She is inspired by the fearless reportage of Politkovskaya and her writing bears the imprint of Svetlana Alexievich, with its gift for listening and attention to the wonderful ordinariness of human life.  Her walk down the dark parade of Russia’s casualties is a tribute to the finest traditions of journalism, which carry the echo of the voice of Christ in their attention to those who lose out in this world. 

In prison, Alexei Navalny learned the Sermon on the Mount by heart; his conversion from the routine atheism of his Soviet upbringing being triggered by the birth of his and Yulia’s first child, Dasha.  He is wry, sardonic, stubborn, implacable – displaying an other-worldly willpower.  It is hard to compute the courage it took to return to Russia after being poisoned with Novichok, knowing it would surely lead to imprisonment, mistreatment and death: 

One day I made the decision not to be afraid.  I weighed everything up, understood where I stand – and let it go. 

Of the pain inflicted on him in prison for speaking the truth about Putin’s Russia, he says: 

I have decided that this is my own pared-down version of suffering for the faith, a moment of suffering for being a believer.  Happily it does not entail being dismembered, stoned to death, or having the lions set on me. 

And yet the totality of his life was not far short of this.  He skates over much of the abuse, but references being woken every hour of every night for a personal roll call.  When other prisoners were primed to shout at Navalny for long periods from close range, it is deeply moving to visualise him shouting back and not backing down.  Over time, his bespoke prison regime became steadily more abusive and isolating, directed in his view from the Kremlin. 

There is absurdity at the heart of the system and he confronts those responsible for it, rather than meekly submitting to it.  In the late Soviet era, criminal law was so comprehensively drafted that anyone could be picked up for an infringement if this was politically expedient.  In Putin’s Russia, we have returned to the Stalinist period where offences are simply made up in a dark Wonderland.  It is rule by law, not of law. 

The editor of Novaya Gazeta, Dmitry Muratov, uses a particular metaphor.  He says that Putin and his Kremlin officials act like priests who mediate a believer’s relationship with God.  They have become intermediaries for how Russians are supposed to experience their country, telling them what to think and feel about it.  If so, then Russia is ready for a new reformation, where people claim their own organic relationship with a nation that means so much to them.  There are already enough martyrs for this new reformation while Putin continues to speak power to truth.  Those of us who care about its people and its future do not need Putin’s malign priesthood to interpret Russian life.  There is a different Russia, waiting to be discovered.      

Join with us - Behind the Seen

Seen & Unseen is free for everyone and is made possible through the generosity of our amazing community of supporters.

If you’re enjoying Seen & Unseen, would you consider making a gift towards our work?

Alongside other benefits (book discounts etc.), you’ll receive an extra fortnightly email from me sharing what I’m reading and my reflections on the ideas that are shaping our times.

Graham Tomlin

Editor-in-Chief