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.” 

Article
Change
Identity
Joy
5 min read

Embrace those grey areas: they might burst into colour

Resist notions of black-and-white existence.

Lauren writes on faith, community, and anything else that compels her to open the Notes app. 

A pile of folded knitted jumpers sit on a grey back ground, one is also grey, the others are red and brown.
Anna Evans on Unsplash.

All too often, the world demands us to be one thing, or to be another. In our responses, our ideologies, our beliefs, we are expected to be this, or to be that. In or out. Yes or no. Red or blue. Black or white. The world likes when we label ourselves with a certainty that makes us easier to market to, to capture in a strategic plan, or to reach in an algorithm. 

On a social level, these self-categorising definitions – what I believe, who I vote for, what I consume – can become a filtering system for who gets access to us, and who does not. In a combination of association and assumption, we decide who ‘our people’ are, and who they are not. And it seems straightforward. 

That is until you realise two things: most of life occurs not in the confines of black or white certainty, but in the grey, in-between area. And none of us are straightforward. 

After living through what was dubbed ‘the largest election year in history’ in a multi-national community, I can appreciate that a person is unlikely to experience uncomplicated commiseration or celebration. In the days following several of these major elections, I witnessed friends express disappointment, relief, uncertainty and acceptance in an exceptionally short span. 

We may like to believe that we are clear-cut individuals who hold easily defined, nicely organised ideas and beliefs, but the reality is far messier. Our attitudes, views and feelings are lightly tethered to a spectrum and, almost always, we find ourselves somewhere in the middle. 

Think about it. Can you remember the last time you felt sustained unadulterated happiness, without concern for something or someone lingering at the back of your mind? The reverse is true, too. I’ve known people in the trenches of grief to laugh out loud at their favourite Instagram reels. Typically, it doesn’t take much to drag us away from the highs and the lows of life. We are geared to live in the in-between spaces. 

Make space for all that occurs within the confines of what the world expects and accepts. To embrace the mess of the in-between. 

This pull we feel to the middle is not surprising. One of the early church leaders, Paul, said that ‘if anyone is in Christ, the new creation has come.’ We are new creation beings, surrounded by new creation ideas, in an old creation world. Our social constructs, systems and very lives are built on the premise of being somewhere in between the old and the new, a grey area of partly present and partly future. 

Paula Gooder, the New Testament theologian, says of Paul’s writing: ‘With Jesus’s death and resurrection, the new creation lies with the old creation. From time to time, you will see moments of perfection, moments of resurrection, and those are the moments that keep us going in the difficult time … Although you’ve got new creation lying on top, you’ve still got old creation lying underneath. If you want to ask the question of why the world is as awful as it is, it’s because we’re living in old creation.’ 

In embracing the Kingdom of God in being both now and not yet, we are engaging in an act of resistance against notions of black-and-white existence by living in a grey area that is fit to burst into bright, celestial colour. 

On the surface, the story that shapes our origins of existence, the creation narrative of Genesis suggests a God who works in binaries – night and day, land and sea. But we know that there is also the less easily defined twilight, dusk and dawn, marsh and mist. Creation itself indicates that living solely in duality is an impossible feat. After all, we weren’t made for separation, but for unity and reconciliation. All around us, the natural world witnesses to a God who created the things in-between and, like the setting and rising of the sun, he made them to be spectacular and captivating. 

In his criticism of Richard Dawkins and the new atheist movement, Terry Eagleton echoes the excitement that dwells in the in-between, writing that Dawkins ‘would seem to divide neatly down the middle between things you can prove beyond all doubt, and blind faith. He fails to see that all the most interesting stuff goes on in neither of these places.’ 

While certainty has its moment and its merits, I don’t think living in a grey area is a bad thing. In fact, I think we’d all be better off if we could get used to it. If, in compassion, we could assume that our neighbour, too, is occupying space in the grey area, floating somewhere between joy and sorrow, clarity and confusion, relief and pain. If, in humility, we could accept that we don’t always have the answers and grow comfortable with saying ‘I don’t know.’ If, in fairness to ourselves and to others, we could allow for the myriad of feelings between delight and distraught. 

In a world that not only expects polarisation but increasingly feeds it for profit of votes or views, this is a counter-cultural way of living. It is radical to acknowledge that our feelings, opinions and even our beliefs can rarely be defined as immovable. We are evolving beings and, as such, the stuff we hold in our minds and hearts today will morph and grow and potentially come to change tomorrow. 

Our lives are more than a sum of wins and losses, comedy and tragedy, old and new, black and white. So, as we stand at the beginning of this year, I implore you to make space for all that occurs within the confines of what the world expects and accepts. To embrace the mess of the in-between. To press on in the grey areas of life, only to discover it full, vibrant and glorious in new creation colour. 

 

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