The Better Futures Project Briefing 2: Mental Health in Prison

By NACRO (UK)

This briefing examines: the level and range of mental health problems in prison and how people in prison who have mental health problems are identified; the impact that the prison environment can have on people’s mental health; the support currently available in prison and the impact all this can have on people’s ability to turn their lives around on release. We propose solutions which aim to ensure that everyone has access to the right support whilst they are in prison and on release. Improving the mental health of people in contact with the criminal justice system is an essential step to reducing reoffending and ensuring people can rebuild their lives in the community when they are released. In addition to providing the right treatment and support, we must ensure that prisons are not the cause of mental health problems, nor should they contribute to a deterioration in someone’s mental health, either because of a poor prison environment or a lack of treatment and support when it’s needed. The quotes used throughout this briefing come from people with lived experience of the justice system that have been supported by Nacro. Summary of our main recommendations We set out recommendations at the end of this report which we believe will help people in the justice system get the support they need for good mental health. These are grouped as follows: The beginning of the criminal justice journey: Our recommendations focus on keeping people out of prison where they would be better supported and rehabilitated in the community. During a prison sentence: These recommendations concentrate on improved screening and training to identify mental health needs; improved support provision and improved relationships with staff; improving the prison regime to ensure purposeful activity and time out of cell and improve safety; and embedding a more trauma-informed approach. Transfer and transition into the community: Here we focus on the need to improve timely transfers to secure mental health facilities, and embed and evaluate the RECONNECT care after custody service.

London: NACRO, 2024. 28p.