Prison Service Order Women Prisoners ORDER NUMBER 4800 Date of Initial Issue 28/04/08 Issue No. 297 PSI Amendments should be read in conjunction with this PSO Date of Further Amendments PSO 4800 Page 1 EXECUTIVE SUMMARY STATEMENT OF PURPOSE To provide regimes and conditions for women prisoners that meet their needs DESIRED OUTCOME Women prisoners are held in conditions and within regimes that meet their gender specific needs and which facilitate their successful resettlement. MANDATORY ACTIONS Governors of establishments, and Area Managers and ROMS in respect of Contracted prisons, must ensure that women’s prisons under their jurisdiction put in place by October 2008 plans to implement this PSO and the accompanying gender specific standards. References in this PSO to Governors also apply to Directors of contracted prisons/YOIs. RESOURCE IMPLICATIONS Most of these standards are “best practice” already in many establishments but it is recognised that it will not be possible to implement all standards immediately because of resource pressures. IMPLEMENTATION DATE: 22 May 2008 (signed) Michael Spurr Chief Operating Officer Area/Operational Manager Further advice or information on this PSO or the systems contained within it can be sought from: Terry Harvey or Barbara Treen in the Women and Young Peoples' Group: 0207 217 5048 Issue No. 297 Issue date 28/04/08 PSO 4800 Page 2 PSO 4800 Women Prisoners 1. Introduction 1.1 There has until now been no Prison Service Standard or Prison Service Orders written specifically about how the Prison Service should manage women prisoners to meet their different needs, except in the case of women located in Mother and Baby units. 1.2 It is important to establish appropriate consistent standards for the treatment of women prisoners, for implementation across the estate. 1.3 This PSO is written against the background of the new Gender Equality Duty (GED) which took effect in April 2007. The GED places a statutory General Duty on all public authorities to eliminate unlawful discrimination to eliminate harassment to promote equality of opportunity between men and women 1.4 Criminal justice agencies need to produce evidence and outcomes to show all three strands have been considered. The Act allows provision of services to one sex in certain circumstances, such as establishments providing special care or supervision to one sex to meet general needs. 1.5 A Gender Specific Standard is being introduced to ensure the different needs of women are consistently addressed across the estate as well as the generic standards which are also applicable in male prisons. Women’s establishments will be audited against this from April 2009. The Standard will be kept under review with the aim that it will, in due course become a comprehensive Standard for women’s prisons, replacing a number of the current generic Standards. 1.6 It is important to note that although some aspects of how imprisonment affects a woman is clearly gender specific and will only apply to her and not a male prisoner (an example would be facilities for pregnant women), other elements of imprisonment are likely to impact women differently or to a significantly different degree and therefore it is appropriate to set a different standard. 1.7 Annex A sets out guidance notes on the gender specific baselines and how establishments might meet them. The development of the Standard and why there is a gender specific element is also explained. 2. Some Statistical and Research Information about Women Prisoners 2.1 There was a 196% increase in the number of women remanded into custody between 1992 and 2002 compared to a 52% increase for men. Since that date the population appears to have stabilized at around 4,500. 2.2 Women more frequently than men are the main carers of children. They are often single parents. Two-thirds of women prisoners are mothers. Only one quarter of children of women prisoners live with their biological or current fathers. Only 5% of children stay in their own homes after mother’s imprisonment. 2.3 Women in prison bring with them a considerable amount of vulnerability: one in 10 will have attempted suicide, half say they have experienced domestic violence and a third sexual assault. Now half of all incidents of self-harm in prisons will be committed by a woman even though women represent only 6% of the total prison population. Issue No. 297 Issue date 28/04/08 PSO 4800 Page 3 2.4 Around one-third of women prisoners report having experienced sexual abuse in childhood. A survey for HMCIP in 1997 found 49% of young women said that they had experienced sexual abuse, compared with 17% of young men interviewed. 2.5 Two-thirds will be drug dependent or with hazardous levels of drinking 2.6 15% have been so seriously mentally ill that they have previously been in a psychiatric hospital and 80% have had diagnosable mental health problems. 2.7 60% of women remanded into custody do not receive a custodial sentence. 2.8 Many women will be entering custody from positions of poverty and with very little social contact. 2.9 The gender specific requirements contained within this document take into account the particular nature of the women’s prisoner population which is disproportionately likely to have suffered domestic and sexual abuse, mental health problems and self-harm which both impacts upon on their offending behaviour and their ability to cope within custody and after release. 3. Mandatory Action 3,1 Governors and Directors of women’s establishments must ensure that women’s prisons under their jurisdiction must put in place by October 2008 plans to implement this PSO and the accompanying gender specific standards by April 2009. 4. Development of the Gender Specific Standards 4.1 The standards have been produced following widespread consultation with managers, staff and prisoners in establishments, HMPS and NOMS groups, and outside groups with special interest in women prisoners. 5. Role of HMPS Women and Young People’s Group It will be part of the core work of the W&YPG to support women’s establishments as they work to implement and maintain gender specific standards. 6. Monitoring and audit arrangements Standards defined as critical standards will be audited by SAU. Others will be monitored through internal auditing and monitored by W&YPG. Issue No. 297 Issue date 28/04/08 PSO 4800 Page 4 ANNEX A TO PSO 4800 WOMEN PRISONERS GUIDANCE NOTES ON GENDER SPECIFIC STANDARDS WOMEN PRISONERS Issue No. 297 Issue date 28/04/08 PSO 4800 Page 5 Table of Contents: This document is divided into 19 sections: A Pre-custody B Reception and First Night Procedures C Induction, Resolving Urgent Issues D Health: Physical Health, Mental Health, Substance Misuse E Offender Management, Offender Supervision, Personal Officer Schemes, Allocation Decisions and Through the Gate Support F Supporting Women at Risk of Self-harm G Day-to-Day living: 1. Incentives and Earned Privileges 2. PE 3. Property and Clothing 4. Hygiene 5. Environment 6. Diet 7. Association Activities 8. Religion and Faith 9. Prison Shop 10. Complaints H Managing Order in Women’s Prisons: Promoting Pro-Social Behaviour, Adjudications and Segregation I The Pathways to Resettlement - Reducing Re-offending National Action Plan July 2004 1. 2. 3. 4. 5. 6. 7. 8. Accommodation Education, training and employment Health and Detoxification Drugs and alcohol Finance, benefit and debt Children and families Attitudes, thinking and behaviour Supporting women who have been abused, raped or who have experienced domestic violence 9. Supporting women who have been involved in prostitution J Young Women Prisoners K Older Women Prisoners Issue No. 297 Issue date 30/04/08 PSO 4800 L Women from Black and Minority Ethnic Groups M Women Foreign Nationals N Women Prisoners with Disabilities O Indeterminate/ Life Sentence Women Prisoners P Mother and Baby Units Q Management Issues R Training of Staff and Volunteers S Security in Women’s Prisons Issue No. 297 Page 6 Issue date 30/04/08 PSO 4800 Page 7 Issue: A PRE-CUSTODY REFERENCE REQUIRED GENDER SPECIFIC GUIDANCE OUTCOMES Women can feel isolated and distressed in court cells and extremely anxious about what is going to happen. If women are held following an arrest then given a custodial sentence, they are very likely to be inappropriately dressed. Women should be given the opportunity to freshen up, brush their teeth etc prior to appearing in court, and If possible have access to a change of clothes – if necessary by calling a friend or family member to arrange this. New prisoners may be concerned that they will have to withdraw from drugs at the prison without medication or support. This may even encourage them to secrete drugs. Women may have left children with child minders and may not have been expecting to go into prison. Women, often already in a state of great anxiety frequently have to deal with abuse from male prisoners in court cells and whilst being transported in escort vehicles. This can be particularly distressing if women have been sexually abused in the past. Delays between finishing at court and arriving at prison exacerbate apprehension and distress. Women often experience escort vehicles as uncomfortable and cold. This can add to distress particularly if they are withdrawing from drugs. Issue No. 297 [Note: HMPS Standards and Prison Service Orders (PSOs) are available on the Prison Service Intranet or via the Internet at www.hmprisonserv ice.gov.uk] HMPS Standard 14: Escorts HMCIP: Women in Prison 10/5/97 and 16/1/96 PSO 2700 Suicide Prevention and Self-Harm Management The mood of women who are already feeling distressed is unlikely to be improved if located in dirty or cold court cells. They may also be vulnerable to intimidation if located near male prisoners. The Prisoners’ Escort and Custody Services (PECS) as part of their role monitor the condition of court cells where prisoners are held and report to Courts Services and through the Court Users Group Best practice is that local prisons nominate a manager to ensure there is up-to-date information at courts and local police stations about the prison, which women can read. This should include information about what they can expect on their first night in prison including availability at the prisons of drug detoxification support and treatment, and some basic information about how to apply for bail. Women may find it very reassuring to know at court, what property can be taken into prisons. Up-to-date information should be made available at court for families as well about the receiving prison, visiting arrangements and property that can be taken in. If women prisoners are transported in the same vehicles as male prisoners, great care should be taken by escorting staff to avoid their intimidation by male prisoners. Women are likely to be on their own, distressed and vulnerable. Women should be taken to prison as early as possible following court hearings. This is to minimise the possibility of distress and self-harm and allow for a reasonable settling-in period before the prison is locked up at night. Escort vehicles and court cells should be clean, well maintained and the heating working. Regular toilet breaks should be available and sanitary provision should be available in courts and on escort vehicles and prisoners be made aware of its availability. “Gel paks” designed for men must not be offered to women. Pregnant women and women withdrawing from drugs will need more frequent access to the toilet. Women’s experience while in court cells and while travelling to and from prison is decent and serves to reassure them about their wellbeing and safety in custody. KEY AUDIT BASELINES 1. Up-to-date Information about local women’s prisons is available in courts for women and their families. 2. Maximum use is made by prisons of video links to enable women to avoid unnecessary journeys to court. 3. Pregnant women are not transported in cellular vehicles unless exceptionally the risk has been assessed as acceptable by the Issue date 30/04/08 PSO 4800 Page 8 PECS have a responsibility to monitor and report on delivery and contractors self-reporting system for penalties, specifying how well women’s needs are being met by the contractor. Escort staff will benefit from information about the specific needs of women in terms of their likely vulnerability, likely experience of abuse and proportionally higher risk of self-harm. They will also need knowledge about the specific needs of pregnant women and women who may be undergoing detoxification. There should be a female member of staff present in cells and on escort transport when a woman prisoner is present. Any evidence that these issues are not being dealt with appropriately should be referred to PECS. Women are liable to be delivered last into prison at night if they have been on the same escort vehicle as men, often waiting on the vehicle while male prisoners are processed. Courts may give priority to block booking video link appearances of large numbers of male prisoners, resulting in an inability of women’s prisons to book individual women’s appearances. A few women will have been abused using the internet and/or cameras. This may make them unable to participate in a video link. prison’s healthcare manager. Reception staff are aware of the rule and any case of unauthorised use of cellular vans for a pregnant woman is reported by the Governor to PECS. If required to travel long distances to court, women should wherever possible be transferred to local prisons beforehand to be produced. Prisons should not “lock out women” into police cells except in exceptional circumstances. Sometimes however, especially in the case of long-distance trials, arrangements may be made to provide proper temporary custody arrangements to avoid debilitating journeys. This must be with the agreement of the prisoner and defence counsel. Some women may be too embarrassed to ask for sanitary protection particularly of male staff. Court transfer arrangements should be made to take place in accordance with S30 1 and 2, Courts Act 2003.This enables courts to transfer straight-forward cases to courts closest to prison. Court escort staff representatives should be invited to Suicide and Self harm Prevention meetings in prisons. If there is evidence that courts are giving priority to block booking for video link appearances, to male prisons, resulting in an inability of women’s prisons to book individual women’s appearances, prisons should challenge this through PECS. Video link facilities should be used to their maximum to reduce the need for unnecessary court journeys. Hazel Banks, Head of W&YPG ‘Movement of pregnant women’ note to Governors and Area Managers of 8 May 06 Issue No. 297 Pregnant women should not be transported in cellular vehicles unless, exceptionally, the health care manager has assessed the risk to be acceptable. Reception staff should be aware of the rule. Any case of unauthorised use of a cellular van to transport a pregnant prisoner must be reported by the Governor to PECS. Issue date 30/04/08 PSO 4800 Issue: B Page 9 RECEPTION AND FIRST-NIGHT REFERENCE GENDER SPECIFIC GUIDANCE 40-50% of women in local prisons have never been in custody before. Twice as many women as men are jailed for a first offence. HMPS Standard 49: Reception Initial needs usually relate to fears about family i.e. childcare arrangements and drug or alcohol withdrawal in the case of prisoners entering local prisons. As a result of withdrawal women’s periods may start again and be very heavy, and women may suffer diarrhoea, dehydration and smoking cravings. Behaviour may be erratic and impulsive and women are at high risk of suicide during withdrawal. PSO 2700 Suicide and Self Harm Prevention At least one 5 minute free phone call should be offered on reception to enable women to resolve urgent family and childcare issues. Women should be allowed to split the call where necessary to sort out complicated childcare arrangements. Women should be told when they will be able to have a visit and how they will be able to ring their families when moved to a wing. Women are often unwell on entry to local prisons and may have injuries. Waits in reception can add to anxiety, particularly if women have arrived late. First night is a very high-risk time for suicide. Peer support by prisoners – sometimes called “Insiders” - and “Listeners” (prisoners who are trained by the Samaritans to provide a confidential listening service to their peers) can be very reassuring to prisoners. The information the former collect however is not always integrated into the induction process. Women often enter custody without any basic provisions or external support to get any. All agencies under the terms of the Children’s Act, have a responsibility to ensure the safety of children and we have a duty to check whether the woman’s dependent children are in a place Issue No. 297 HMCIP: Women in Prison 10/5/97 and 16/1/97 Home Office statistics 1999 Inquests into series of deaths at HMP Styal Nov 2005 REQUIRED OUTCOMES Women should not be required to wait for long periods in reception. They should be moved through the process promptly and then taken to the First Night Centre (target 45 minutes). This is a shorter target than the generic guidance which states the process should be completed in 2-3 hours – DTOs 1 hr), to enable quick movement to First Night centre (in local prisons) where the rest of the process should continue. Additional time must be given for a longer health care assessment, where required. Prisoners should be allowed to discuss personal issues in privacy. The risk of allowing prisoners to hold medication, particularly in dormitories should be carefully assessed in individual cases because of the risk of self-harm and theft. Staff in reception and First Night centres should be specially selected and well trained in how to communicate with and reassure distressed women and those with vulnerabilities, to enable trust to develop quickly. Reception holding areas should contain magazines and other items (i.e. greenery) that soften the environment and provide distractions. The prison’s reception should be a bright, clean, pleasant environment to enable a ‘respectful and reassuring experience’. Women should be offered a hot drink on reception. Notices should be simple, relevant, up to date and importantly reassuring in content. Notices that might frighten vulnerable women into believing they are at imminent risk of becoming the victim of bullying, for example, are not advised. Essential information should be fixed securely to holding room walls. Audio information should be Women’s experience of the reception process helps them to feel safe and reassured that they will receive help to address any urgent needs. KEY AUDIT BASELINES 4. Women are able to make phone calls to resolve urgent family and child care issues, regardless of ability to pay for the calls. 5. The reception environment is clean, bright and pleasant. There is appropriate reading matter available. 6. Clear, reassuring and up to date information is available in reception and the first night centre about what will happen to the woman in the first 24 hours. This is Issue date 30/04/08 PSO 4800 of safety and being cared for. Women prisoners however may feel frightened to talk to staff about their children’s position, fearing they may be taken into care. Trust and a supportive relationship with staff needs to be built up quickly. Women may feel very frightened of other prisoners. There is a real risk that particularly if known to be a drug user, other women may think a woman is concealing drugs internally on entry to the prison and may try through intimidation or violence to get them from her. Page 10 available too. Information in foreign languages or in different formats relevant to the needs of the population should be provided. Peer support should be provided in all prison receptions – not just in local prisons. Peer supporters (“insiders”) should be regularly debriefed and supported. The information they collect from prisoners must be passed on as an integrated part of the induction process. Women should be supplied with decent and appropriate clothing if they have none, including a second set and a daily change of underwear. Staff should be available in Reception who are first-aid trained. also available in different formats tailored to the needs of the population. 7. On first reception women receive relevant provisions to meet their immediate needs and appropriate clean clothing if required. New receptions should be given a “reception pack” if they wish one, containing items such as tea, milk, sugar, sweets, tobacco, reading material, a radio/music player if they request one (particularly if they have difficulties with reading), writing materials and pin phone credit. Aids to assist prisoners to abstain from smoking should be available (as advised by healthcare staff). Women should be given any items required to meet essential personal needs for their first 24 hours, including toiletries, clean clothing and a towel. Women must have easy access to a choice of sanitary provision. Tampons with applicators must be one of the choices. Women must be able to have a shower or bath if they wish, before being locked up for the first night. Cell sharing should be available to take account of women’s companionship and vulnerability needs (if the cell sharing risk assessment allows this). Note: some women may feel safer alone; others may feel safer with other women. Where possible prisoners should be selected to be together who are likely to be compatible. First night prescribing in local prisons should be in place. There should be a dedicated First Night Centre in place at all local prisons with appropriately trained staff. Issue No. 297 Issue date 30/04/08 PSO 4800 Page 11 Issue: C INDUCTION, RESOLVING REFERENCE URGENT ISSUES AND ASSESSMENT Women may be suffering distress, frustration and confusion following imprisonment and will need a good deal of reassurance and support. HMPS Standard 42: Induction However from Jan 2006 – end June only 10% of women on remand were given a bail information report in comparison to 19% of their male counterparts. HMPS Standard 30: Legal Services and Bail 60% of women on remand are not eventually given a prison sentence. Bail is often refused due to the lack of information available to the court. Bronzefield First Night and Induction packs Women and black and minority ethnic (BME) defendants should be targeted for bail information as there is evidence that they are at a disproportionate risk of custody Eastwood Park and Low Newton Housing Peer Advisors Scheme Women may have missed the opportunity for bail at court, not answered questions correctly, or become too distressed to consider all the options open to them. ‘Lacking Conviction’ Women Remanded to Custody PRT 2004 If women have been receiving housing benefit to cover rent payments it is essential that they notify the housing benefit office of a ”change of circumstances” i.e. that they are in prison. Strategy and Resource Guide for the Resettlement of Women Prisoners, Spring 2006 The Corston Review Issue No. 297 REQUIRED OUTCOMES GENDER SPECIFIC GUIDANCE An integrated first-night and induction process is required. The induction process should not be dropped because of other priorities – except in emergencies. After reception, priority should be given to assessing and stabilising any health problems including drug dependency issues, and the woman’s risk of self-harm, and address any urgent domestic issues. Prisoners undergoing detoxification or unable to take part for other reasons, must not miss out on any information provided on reception, first night centres and induction. There needs to be a system in place to ensure they are able to catch up later. A thorough assessment is essential to determine other immediate needs addressing the possibility of bail, the needs of children, family relationships, ongoing drug and alcohol issues, ongoing health needs, accommodation, and the woman’s benefits/debts. Well-trained peer advisers (well supported by trained staff) can be helpful in encouraging women to take necessary action. (See also Pathway 1 Accommodation). Information must be shared between agencies to avoid duplication and confusion. Information needs to be available to prisoners throughout their time in prison, as women may not seek help at first because of language barriers, lack of awareness and other worries. Notice boards must be up-to-date. Women should be advised how best they can live with others within the prison community and where they can access support. [See Section H ‘Managing Order’] Bail support should be provided at all local prisons and ring-fenced so it is not dropped at busy times. This should cover providing prisoners with a list of solicitors, helping them to understand the bail application process and what information they might need to provide. This staff member needs good access to prisoners but does not need to be a unified grade. Women and BME defendants should be targeted for bail information. Bail Information Officers should identify and refer those receptions who might be bailed if able to benefit from the accommodation and/or support available from the Bail and Home Detention Curfew Accommodation and Support Service (BASS). The Induction and Assessment process meets the needs of women prisoners. KEY AUDIT BASELINES 8. An integrated immediate needs assessment, building on the OASys report (where available), is completed for all women entering local prisons. 9. Bail information officers are aware of the higher risk of remand into custody for women and why. Appropriate bail advice and support is offered to all remanded women and referrals are made where appropriate to the BASS scheme. Issue date 30/04/08 PSO 4800 HEALTH – PHYSICAL, MENTAL, SUBSTANCE MISUSE Page 12 Issue: D Physical Health Women in custody are more generally socially excluded, abused and unhealthy than population norms. Their problems are often made more profound by personal and family history, their role as primary carers, the stress of imprisonment, isolation and drug dependency. 85% of women prisoners smoke 23% of general adult women’s population smoke Women are much higher users of primary care services both prior to and whilst in custody. This puts more pressure on resources than is the situation in male prisons Women who have been sexually or physically abused by men will often only wish to be examined by female doctors and nurses. Women may have to terminate pregnancies while in custody. This can be a very traumatic and difficult experience for the woman and staff. Mental Health Women prisoner’s needs are particularly acute in the areas of mental health, self-harm, substance misuse, maternity care and sexual health. A much higher percentage of women than men will require psychiatric reports to be written. A special 12 place treatment unit ‘the Primrose Project’ has opened at Low Newton for women who are deemed dangerous and have a severe personality disorder. The Democratic Therapeutic Community at HMP Issue No. 297 REFERENCE HMPS Standard 22: Health Services for Prisoners GENDER SPECIFIC GUIDANCE There must be an effective partnership between the woman’s prison and the PCT, which ensures that each partner fulfils their respective functions in relation to securing and maintaining the health of their women prisoners. Some particular gender specific needs are: PSO Governors’ responsibilities for prisoners’ health and health services ‘Women at Risk’ Care Services Improvement Partnership Jan 2006 ‘Mainstreaming Gender and Women’s Mental Health DOH Sept 2003 ‘The Health of Women in Prison’ Oxford University published Nov 06 ‘Mainstreaming Gender and Women’s Mental Health DOH Sept 2003 REQUIRED OUTCOMES Mental health and dual diagnosis training should be available for all staff working with women prisoners Women entering local prisons should as necessary be located from reception into a dedicated detoxification wing which should be well decorated and cheerful Induction processes should commence once the woman is ready. For many this will be after the detoxification process is complete Ongoing opiate substitute prescribing programmes should be in place Where appropriate and with the agreement of prisoners, families should be involved in plans to support the prisoner If for any reason a woman undergoing detoxification is located other than in the stabilisation unit or healthcare centre, the healthcare must meet the same criteria as if she were located in a substance misuse or healthcare unit i.e. unrestricted observation and a nurse based on the unit 24 hours a day ante-natal and post-natal services include specific provision for pregnant drug users should be available Women in prison are able to access health services and substance misuse services that meet their gender specific needs. (Audit baselines are contained within other HMPS Standards) Note: to meet local, regional, pan regional and national need some prisons will be required to provide specialist resources such as accredited programmes or health care beds. Issue date 30/04/08 PSO 4800 Send offers 40 places for women with a range of psychological problems BME women and foreign nationals are more likely to experience isolation in custody leading to increased levels of depression but may be less likely to seek help from health care staff. Learning Disability About 8% of the female prison population have an IQ below 70, and around 15% have an IQ below 75. Substance Misuse There are strong links between many women’s substance misuse and previous experience of trauma - often sexual abuse in childhood. There is a strong correlation between drug or alcohol misuse, previous abuse and self-harm. We know that many women “self-medicate” to try to forget. Data from Holloway between 1998 – 2003 demonstrated 60% of all new Receptions into prison required clinical detoxification. Women were typically using between 6-9 substances at the time of arrest with 50% of those treated also reporting alcohol dependency. 75% of these women were injecting drug users. Of the remaining 40% of women not admitted for a clinical intervention, half were also found to be misusing substances. It can be concluded that at least 75% of women entering Holloway were misusing substances at the time of arrest. There has been significant progress in introducing a consistent approach to drug and alcohol detoxification across women’s prisons in England. This includes access to opiate substitute maintenance regimes for most short term and remand women, where appropriate. Issue No. 297 Page 13 The National Framework For Mental Health’ DOH National Strategy Positive Practice: Positive Outcomes: A Handbook for Professionals in the Criminal Justice System working with Offenders with Learning Disabilities, CSIP, 2007 ‘The Health of Women in Prison’ Oxford University published Nov 06 PSO 3550 Clinical services for substance misusers Women's Prisons Substance Misuse transfer policy (Offender Health) “Clinical Management of Drug Dependence in the Adult Prison Setting” - DH 2006 Issue date 30/04/08 PSO 4800 Page 14 Issue: E OFFENDER MANAGEMENT, OFFENDER SUPERVISION, PERSONAL OFFICER SCHEMES, ALLOCATION DECISIONS and THROUGH THE GATE SUPPORT The needs of many women offenders are complex and need to be met in a holistic and integrated way by agencies. The distance many women may be held away from their homes will make attendance at case conferences difficult for many Offender Managers. Note: There are currently no women’s prisons in Wales. REFERENCE GENDER SPECIFIC GUIDANCE HMPS Standard 57: Sentence Management and Planning using OAsys Women prisoners should be held as close to their home and family as possible unless they are intending to resettle in a different area. Foreign Nationals will normally be transferred to one of the prison services’ specialist centres, but this should not be an automatic decision – there may be more important reasons why they should go elsewhere. Wherever possible women serving long sentences (i.e. over 3 years) should be transferred back closer to home (or to a new area if appropriate), before release to take advantage of resettlement opportunities. Revolving Door’s link Worker Schemes There will be potential conflict too, between the need to locate a woman at a prison with relevant interventions, and the need to locate her as near as possible to her family. ‘Connections’ programme West Midlands Women are likely to lean on staff heavily at least at first, to help to cope with feelings of isolation from family. They can become very dependent on staff. Exodus holistic caseworker support HMP Holloway Women will often look to others to share problems and support them. Therefore individual support, mentoring (by trained mentors), peer support, and advocacy “through the gate” will play a critical part in the ex-prisoners successful resettlement into the community. HMCIP: ‘the Responsible Prisoner’ 1/11/2001 The voluntary and community sector can and do provide an enormous range of support for women in prisons, which would not be available without their contribution. Issue No. 297 REQUIRED OUTCOMES Offender Managers need to forge face-to-face relationships with women. Relationships should be established as soon as possible to build up trust. Maximum use should be made of video links to facilitate offender management. Realistic sentence plans should be put in place for each woman. Wherever possible, and appropriate, families should be involved in setting targets. Personal officers will be required to provide a good deal of emotional support to women. They will need to be able to listen to women for long periods of time, particularly women with vulnerabilities and know how to support them, while encouraging them to take personal responsibility. Staff should endeavour to encourage women to become more independent as time passes. Offender management should not be resourced at the expense of necessary ongoing personal officer support necessary to help women cope with daily life. Offender Managers and prison staff should value and work in conjunction with the Community and Voluntary sector. Ideally support ‘at the gate’ when the woman is released should be provided. Accompanied transport to a safe environment where initial needs can be met is the ideal. Offender management arrangements are in place which meet the gender specific needs of the women prisoners held. KEY AUDIT BASELINES 10. Women serving long sentences are transferred where appropriate closer to home (or to a new area if appropriate) before release. 11. A personal officer scheme exists to facilitate the high levels of support that many women will need to help them cope with daily life in prison, as well as to support Offender Management. Issue date 30/04/08 PSO 4800 Page 15 Issue: F REQUIRED OUTCOMES SUPPORTING WOMEN AT RISK OF SELF-HARM REFERENCE GENDER SPECIFIC GUIDANCE Research shows that over a half of self-harm incidents in prisons nationally are carried out by women, yet women account for only 6% of the prison population. PSO 2700 and HMPS Standard 60: Suicide and Self-harm Prevention All staff and volunteers working with women prisoners should receive training to understand why women may self-harm and how best to respond. They should be supported by professional welfare services, as they deal with this often upsetting and very difficult area of their work. Self-harm by women is understood and managed well within the establishment. PSO 2700 contains specific guidance about supporting women prisoners Women who self-harm should be offered interventions that are responsive to their individual needs, and that form part of a realistic, multi-disciplinary care plan. Interventions should include advice on harm-minimisation. They should include in-cell activities and regular access to education and therapeutic activities. Specific interventions which may reduce self-harm, should be provided, such as DBT (Dialectical Behaviour Therapy) at Holloway, the “Carousel” reduction of self-harm programme at Eastwood Park and the Holloway Day Centre. KEY AUDIT BASELINES Many women prisoners enter custody already struggling to cope with a wide range of difficult issues including drug misuse, a history of abuse, mental health problems and family background problems. These have all been identified as significant risk factors for suicide and self-harm. There are a variety of useful approaches to help women who self-harm but these must be appropriate and well managed. Some women may be unwilling to seek counselling if they are required to refer themselves through mental health services because they do not want to be seen as “mentally ill”. Some women will frequently and seriously selfharm, and actively fight staff when they intervene. The ACCT system (Assessment, Care in Custody and Teamwork) introduced in 2005 helps staff identify and care for prisoners at risk of suicide or selfharm “The Pain Inside” Bristol Crisis Services for Women “Understanding Self-harm” pack – Safer Custody Unit site on prison service intranet Issue No. 297 Wherever possible women should be out of their rooms/cells. Where they have to be locked up they must have access to activities that can help to distract them from their problems. These activities can be simple craft-based activities such as cross-stitch or knitting. Women may find it difficult to organise activities themselves and will need staff to be prepared to actively instigate things for them to do. It is particularly crucial that staff interact with prisoners - particularly those with vulnerabilities – and not just observe them. Listeners should be able to visit women who request this service in all areas of the prison, 24 hours a day, 7 days a week and women should be able to contact the Samaritans at any time. Counselling should be advertised as available particularly for women who have suffered abuse or domestic violence or who have suffered bereavement. Note: Only appropriately trained and supervised counsellors should be used. (See reference) Information and advice 12. Staff working with women prisoners understand how to manage women’s self-harm including how women can be encouraged to use alternative coping methods. 13. A regime is provided which keeps women busy, particularly those with vulnerabilities and offers specific interventions which are likely to contribute to a reduction in selfharm. Issue date 30/04/08 PSO 4800 Page 16 on sources of help should be readily available. Offender Health “Good Practice Guide” “Supporting Women in Custody who have been Affected by Violence” Guidelines for staff W&YPG January 2008 The Corston Report March 2006 Samaritan facilitated “Listener” peer support can be very helpful if well managed (only for over 17s). Peer support “self-help” groups for women who self-harm are generally not advised because of negative outcomes that sometimes have arisen around issues such as confidentiality. Safer Custody Group are able to offer advice if it is proposed to set up such a self-help group in a prison. Women who self-harm should not automatically be excluded from Offending Behaviour or other Programmes, as these can assist with coping strategies. Wherever possible, and appropriate, families should be involved in the support of the prisoner. Family contact staff or volunteers should be available to help women and their families support each other. At times of crisis when prisoners are violently attempting to self-harm it may be necessary to briefly remove the articles that are being used or take other measures to preserve life – such as the imposition of “constant observations” (often called “constant watches”). Every effort should be made to normalise the conditions as soon as possible, reintegrating the woman into the prison community. Cells which have camera surveillance, can be useful for short periods but should not be a substitute for personal interaction. The care of animals such as budgies can be very comforting to women at risk of self-harm. Managing self-harm in women’s prisons because of large numbers of incidents, can be extremely time-consuming and resource-intensive and the effect on the rest of the regime should be monitored. Prisons should access support from PCT specialist self-harm groups in the community. Issue No. 297 Issue date 30/04/08 PSO 4800 Page 17 Issue: G DAY-TO-DAY LIVING : 1. REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES HMPS Standard 25: Incentives and Earned Privileges Children should not be penalised from visiting or contacting their mother because of the mother’s behaviour. The number of visits by children should not be restricted in order to serve the needs of an incentives scheme. Incentives schemes therefore should never be linked to access to family visits. The daily regime of the establishment provides for the gender specific needs of women prisoners. Incentives and Earned Privileges (IEP) Women are more likely to be attracted by incentives that offer closer contact with their family and friends such as longer and more frequent visits. However, losing a parent to imprisonment is often an extremely damaging life event for a child and it is one of the international rights of the child that they are able to keep contact with their parent unless it is not in the child’s best interest. On average women use the telephone more often to maintain relationships and contact with children. Women often try to continue managing family issues and problems from within prison, although this is obviously very difficult. In the case of Foreign Nationals in particular, opportunities to earn money to send home to dependent families are usually the woman’s highest priority. The 1989 UN Convention on the Rights of the Child states that “Children should not be separated from their parents except in their best interest; that both parents should have responsibility for their child; and that the best interests of the child ‘shall be a primary consideration’ “ A Strategy for Family and Parental Support in Women’s Prisons, October 2005 Establishments should identify ways of introducing IEP schemes with the identified needs of women prisoners in mind. Incentives which may be of particular interest to women include: - group activities community living personal furnishings i.e. duvets, cushions, lighting, rugs additional toiletries, spa products, hair equipment, clothing, costume jewellery electrical goods i.e. sandwich makers, DVDs, toasters, games, kettles etc plants KEY AUDIT BASELINE 14. An incentives scheme is in place that meets the gender specific needs of the particular women’s population. Timescales to be able to achieve targets, particularly for women with mental health problems or other vulnerabilities, should be short. Access to toiletries or hair care products are more necessary to some women (i.e. from particular BME groups) and should not be restricted dependent on the woman’s IEP status PSO 4000 Incentives Issue No. 297 Issue date 30/04/08 PSO 4800 Page 18 Issue: G DAY-TO-DAY LIVING : 2.- PE REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES Improving physical health can lead to improvements in self-esteem and mental health. HMPS Standard 38: PE There is a difficulty engaging many women into sporting activities (inside and outside prisons). Body image is a very sensitive issue for many women. Few girls too, are likely to continue with competitive sport after school. HMP Styal’s OCN accredited programme for women undergoing detoxification which covers exercise, healthy eating, managing stress, through yoga, meditation and acupuncture The use of the gymnasium should be promoted to meet the needs of women - improving health and fitness, weight management and provide opportunity to create social activities with other women. These activities should be integrated with other functions in the prison. The daily regime of the establishment provides for the particular gender specific needs of women prisoners. Women may be happier to join in if they are able to take part in activities with women of similar fitness. Vision at some prisons is to create a ‘community leisure centre.’ Programmes that link in PE with learning and skills and other activities like health promotion can work well. There is a need for PE staff working with women to be trained in motivating and engaging women, as well as to understand the particular types of activities likely to be popular. Issue No. 297 www.whatworksfor women.org.uk New Hall’s PE programme focuses on small group needs Team building exercises, yoga, aerobics, and step activities are particularly popular. PE staff need to actively “sell” physical exercise to women, many of whom have rarely experienced it. PE staff in the community have been successful at increasing physical activity among women by addressing barriers such as age, body consciousness and lack of confidence. (See web reference for examples). Women from the same cultural group may appreciate the opportunity to exercise together (see BME section L). Women with vulnerabilities may be persuaded to attend the gym if they can be in a class of their own. Prisons should regularly survey the needs of prisoners and focus on the needs of groups with particular vulnerabilities. KEY AUDIT BASELINE 15. The prison provides physical activities that meet the needs of their women prisoners – aiming to improve health and fitness, self-esteem and providing opportunities for positive social interaction with other women. PE staff should be able to access skills training to work with women, including training on appropriate exercise for pregnant and postnatal women. Issue date 30/04/08 PSO 4800 Page 19 Issue: G DAY-TO-DAY LIVING : 3. Property and Clothing REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES Most male prisoners wear prison issue clothing and exchange dirty for clean from the prison laundry. HMPS Standard 45: Prisoners’ Property Women should be allowed to wear their own clothing. The daily regime of the establishment provides for the particular gender specific needs of women prisoners. Women do not wear uniform and have not for many years. It is generally recognised that part of the rehabilitation for many women prisoners involves the ability to maintain and raise selfesteem. Self-esteem is linked for many women with personal appearance. Many women will want to have regular changes of clothing, to have varied clothing, to use make up and dress their hair. This means that women need greater amount of clothing than men and thus will need access to more property – including toiletries - particularly lifers and women serving long sentences. Women should be supplied with at least two changes of reasonable quality clothing if they have no money to buy it. Women who are likely to remain in the prison for longer than a few days, should have at least 5 sets of underwear and 2 changes of outer wear. Establishments should hold a wide range of different size underwear. Women can have as many toiletries as they wish within volumetric limits. Women will want to lend each other clothes; however this can be an easy opportunity for bullying. Local rules on this practice must be clear. KEY AUDIT BASELINE 16. Women are allowed to wear their own clothing and are provided with suitable clothing if they do not have their own. Many women prisoners however will enter prison with nothing and have little or no access to outside money or clothing. Issue No. 297 Issue date 30/04/08 PSO 4800 Page 20 Issue: G DAY-TO-DAY LIVING : 4. REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES HMPS Standard 24: Hygiene Women should ideally have a shower in their rooms. If this is not possible they should be able to have a shower or bath daily. Baths should be available as well as showers. Bathing is found by many women to be relaxing and help ease pain. The daily regime of the establishment provides for the Particular gender specific needs of women prisoners. Hygiene and Personal Care Women’s self esteem may be affected by whether they can keep themselves, their surroundings and their belongings clean and in good order. Women may enter prison ill and/or undergoing detoxification. They may have mental health problems. Some women may have lost the ability to take care of themselves in terms of personal hygiene. This may cause particular problems for women who are menstruating. Poor personal hygiene and lack of motivation i.e. in getting out of bed, may be a symptom of an underlying depressive illness. Bedding, mattresses and towels may easily become soiled. They must not be reissued to other prisoners until cleaned or replaced. Women are unlikely to allow others to wash their underwear. Issue No. 297 The Corston Report March 2007 Women should be provided on a regular basis with the following: Clean bedding – and if soiled exchanged immediately Regular haircuts (and hairdressing wherever possible) Safety razors or depilatory cream upon request A choice of sanitary products (including tampons in applicators) KEY AUDIT BASELINE Women should be able to change their bedding at least weekly and immediately if soiled. There should be clean mattresses in every cell. Soiled mattresses should be disposed if they cannot be cleaned. 17. Women are provided with the necessary means and provisions to maintain their own hygiene and personal care. Women should be able to wash, dry and repair their own clothes. Women must be able to wash underwear in sinks that are not used for crockery washing or body washing. Issue date 30/04/08 PSO 4800 Page 21 Issue: G DAY-TO-DAY LIVING : 5. REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES HMPS Standard 1: Environment (for the Confinement of Prisoners) The environment should be a bright, light, airy and as “homelike” as possible The daily regime of the establishment provides for the particular gender specific needs of women prisoners. Environment The environment can significantly alter women prisoners’ moods for better or worse. Women offenders are likely to feel worse if located in an austere, claustrophobic, clinical, or cold environment. Safer Custody Unit It is important that women who are suffering a crisis needing special supervision or location, are returned to as normal an environment as possible, as quickly as possible. ‘Care, Custody and Carpets’ :Howard League 2006 The Corston Report March 2007 The environment should be designed with the needs of the women in mind. In closed prisons in particular the design should allow for the possibility of self-harm, arson and even “dirty protest”. However the overall aim should be to keep the environment generally as pleasant and cheerful as possible. Ideally there should be a mix of single and double accommodation in the main living areas to allow women to share if they wish to do so. Dormitories for women should be avoided – particularly for women with vulnerabilities and/or drug issues. There should be full specification “Listener suites” in closed prisons. Cells in which women are undergoing detoxification, cells in Care and Separation (sometimes called “Segregation”) units, and any cells in closed prisons where women are located for short periods when they are highly and actively suicidal should be of “safer cell” specification. KEY AUDIT BASELINE 18. The prison ‘physical environment is conducive to women prisoners’ health and well being. Cells in Care and Separation units and cells in which women will be undergoing detoxification should have hatches which can be safely left down to enable less restricted communication with staff and better observation. Talking to a prisoner through a hatch however, should never be a substitute for allowing the prisoner out of her cell whenever possible. Issue No. 297 Issue date 30/04/08 PSO 4800 Page 22 Issue: G REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES Most women prefer and need a lower carbohydrate diet then men and that this should be reflected in the menus. HMPS Standard 4: Catering and Food Safety Many women prisoners however, enter prison with a history of drug misuse and are very under weight. They will need nutritious food to build them up. HMCIP: Women in Prison 10/5/97 and 16/1/96 Diet is such an important feature of life for women that catering providers should hold regular consultations with the prisoners. The dietary requirements of different women should be met i.e. foreign nationals, women with religious requirements, elderly women, women from BME groups, pregnant women, nursing mothers. Caterers should receive appropriate training if necessary. The group of kitchen workers should be representative of the prisoner population. The daily regime of the establishment provides for the gender specific needs of women prisoners. DAY-TO-DAY LIVING : 6. Diet Many women who are undergoing detoxification crave sweet things and provision of items like hot chocolate can be comforting at this stage Certain groups of women will need to eat enough of or avoid certain foods – such as pregnant women or nursing mothers. Some women will enter prison with, or develop eating disorders. Women should be given the opportunity to take their meals in association with other prisoners, perhaps in small groups to meet the sense of community often desired by women prisoners. Staff should be aware however that some women will be too afraid of other prisoners to eat in association – at least at first. Women should be encouraged to learn about healthy food and how to cook it. This can be particularly beneficial for mothers in their role as primary carers of children. Women, particularly in training prisons, should be offered the opportunity to learn how to prepare healthy family meals linked to budgetary skills. Healthcare, catering staff and wing staff must work together to meet the needs of women prisoners who have eating disorders. Issue No. 297 KEY AUDIT BASELINE 19. Women prisoners, apart from any segregated, have the chance to dine communally. (Other audit baselines are contained within other HMPS Standards) Issue date 30/04/08 PSO 4800 Page 23 Issue: G GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES The importance of association activities in involving women – particularly those with vulnerabilities - in community life should not be underestimated. Women interested in activities are more likely to be distracted briefly from their problems, happier and less likely to self-harm. Women’s views should be sought at least 2 x times a year to determine what activities they would enjoy during association periods. The daily regime of the establishment provides for the particular gender specific needs of women prisoners. Many women will need activities to do in their cells other than watching television, such as crafts such as knitting or cross stitch. Popular activities for others – particularly younger women are community activities such as Bingo, Karaoke and video evenings. Women usually greatly appreciate staff organising activities for them. Karaoke, Bingo, Quizzes Electronic games, PC games, personal DVD players, In cell hobbies (music, craft, painting, drawing) DAY-TO-DAY LIVING : 7. REFERENCE Association Activities Younger prisoners will tend to need more supervision and organisation in their leisure time. Issue No. 297 Equipment and games should be available and well maintained. Particularly popular activities with women have proven to be: KEY AUDIT BASELINE Women usually really appreciate staff organising activities for them and may need a good deal of encouragement to get them to organise their own. Women can be given official “roles” as wing representatives with a brief to organise regular activities for their peers. It is a key part of a prison officer’s role in a woman’s prison to ensure women use their activity time constructively. Staff should be expected to play an active role in helping women use their free time positively and trained how to do so if necessary. 20. Association activities are designed and available to meet the needs of women prisoners – particularly those with vulnerabilities. Issue date 30/04/08 PSO 4800 Page 24 Issue: G DAY-TO-DAY LIVING : 8. REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES HMPS Standard 51: Religion Prisons should ensure that the religious needs of the prisoners are met and built into the core day regimes, for example, Friday prayers for Muslim women prisoners. The daily regime of the establishment provides for the particular gender specific needs of women prisoners. Religion and Faith Practicing ones own faith in prisons is a right. Women, particularly from minority ethnic backgrounds, appear more inclined to turn to faith and the spiritual search than men. Women will often want to make contact with other women of their faith outside for support in prison and on release. Even within faiths however, there are many different strands of belief and practice and often different languages are spoken. It is important that prisons develop contacts with a wide range of faith representatives so that the needs of their women can best be met. Women from minority ethnic groups often report that practicing one’s faith helps meet their need to share with others similar cultural experiences. Women from some ethnic minority backgrounds report that is much easier to relate to a woman service provider, than a man. Women say they find it useful for rehabilitation purposes, to engage with groups of people visiting the prison from similar cultural backgrounds. This helps them to re-engage with the network they will rejoin once they leave the prison. This may be particularly important for women who feel they have brought shame on their family. The wearing of bangles is a requirement for practicing Sikhs but not for other religions. However they do represent a symbolic value similar to a wedding ring in many eastern cultures. Issue No. 297 Southall Drug and Alcohol Action Programme (DAAP) Many women’s religious observances are associated with providing hospitality in the home. This should be facilitated wherever possible – particularly on feast days, i.e. by women from relevant cultural groups preparing food for others to mark a feast day. Women who have cultural or religious reasons to wear wedding bangles should be allowed to do so. KEY AUDIT BASELINE 21. The prison recognises the wider benefits of establishing cultural and religious networks for women and facilitates contact. (See also section L Women from Black and Minority Ethnic groups) 22. Where appropriate, women are allowed to wear wedding bangles. Issue date 30/04/08 PSO 4800 Page 25 Issue: G DAY-TO-DAY LIVING : 9 REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES HMPS Standard 40: Prison Shop Establishments should consider the needs of all their population regularly and ensure that they locally stock a wide range of appropriate products from the national list. The daily regime of the establishment provides for the particular gender specific needs of women prisoners. Prison Shop Women will generally need to purchase a wide range of toiletries, make-up and hair brushes etc. The ability to look after her personal appearance will be critical to many women’s self-esteem. Women from BME groups will have specific needs. (See Section L) Prisons should particularly ensure the needs of women from BME groups are being met in this area (see section L) KEY AUDIT BASELINE 23. Goods that women prisoners can purchase through prisoner retail (canteen) must be reviewed on a regular basis to ensure that the needs of the current women’s population are met. Issue No. 297 Issue date 30/04/08 PSO 4800 Page 26 Issue: G DAY-TO-DAY LIVING : 10 Complaints REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES Women prisoners complain through formal means, such as the Complaints system or by writing to the Ombudsman much less frequently than male prisoners, and women foreign nationals complain formally hardly at all. HMPS Standard 6: Complaints Procedure Staff should clearly explain the independence of the Ombudsman to women, and explain the Complaints system is there to be used if problems cannot be resolved informally. Information should be provided to prisoners in relevant languages. The daily regime of the establishment provides for the particular gender specific needs of women prisoners. Women prisoners tend to want to resolve issues informally and quickly with staff they know. It is also likely that some women foreign nationals are concerned that there may be negative repercussions for their immigration status if they complain formally. Issue No. 297 The lack of formal complaints should not be taken as an indication that something is working well. Other means of obtaining feedback, such as anonymous exit surveys, should be put into place. KEY AUDIT BASELINE 24. Staff and managers are aware that women prisoners are unlikely to make formal complaints and seek other means of feedback. Issue date 30/04/08 PSO 4800 Page 27 Issue: H MANAGING ORDER IN WOMEN’S PRISONS: PROMOTING PRO-SOCIAL BEHAVIOUR, MANAGING CONFLICT, ADJUDICATIONS, SEGREGATION Tension and violence is likely to occur because of slightly different reasons among women prisoners to men. Disputes that potentially lead to violence are often around drug issues, but catalysts often include rumour spreading and accusing peers of theft or other unwanted behaviour, and arguments about personal relationships. Women sometimes form intense emotional relationships with other women in prison, which can be difficult to manage for them, their peers and staff. Women can become particularly anxious when required to break from personal relationships, i.e. when transferring. Bullying by women presents differently to bullying by men. Although violence may form part of the bullying it is more likely to be subtler. Verbal aggression, withdrawal of emotional support, exclusion from activities and conversations and exploitation of weaker women sometimes occurs. Re-victimisation of women can occur when experiences of outside abuse are echoed in prison. Women prisoners are charged with offences against discipline at significantly higher rates Issue No. 297 REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES HMPS Standard 2: Adjudications Prisoners on induction should be advised of how to best they can live co-operatively with others within the prison community in terms of looking after their belongings, their environment and their personal care, what may constitute bullying and how to be sensitive to other people’s needs and differences. Note: Tensions can arise over cultural differences in speech and behaviour. Order in women’s prisons is managed in an informed way with preventative actions taken to promote pro-social behaviour wherever possible. HMPS Standard 53: Violence Reduction HMPS Standard 55: Segregation of Prisoners HMPS Standard 61: Use of Force Home office studies 2002 HMP Downview’s “First Timer’s” Course Note to Governors from Hazel Banks “Segregation of women undergoing detoxification” 25 January 2007 “Keeping the Peace” Kimmett Edgar Prison Service The prison should have a Violence Reduction Strategy that addresses the different ways tension and conflict arise within the women’s population. This should include tools to promote pro-social behaviour and prevent anti-social behaviour such as mediation techniques. Response to incidents should be consistent and aimed at deescalating conflict. Staff and managers should be appropriately trained and supported to understand why and how women may act anti-socially and how to manage and de-escalate conflict without resorting to formal disciplinary processes. The use of formal disciplinary action should only be used as a last resort. Staff should understand how to recognise and manage bullying and other damaging and violent behaviour by women prisoners. Aids to assist prisoners to abstain from smoking should be available including as an alternative to a reception pack. The prison should have a sensitive, well-understood and enforceable decency policy. Help for prisoners in managing personal relationships should be available. This is often provided as part of accredited programmes. KEY AUDIT BASELINE 25. Prisoners on induction are advised how best they can live cooperatively with others within the prison community. 26. Staff understand how to promote positive relationships and recognise and manage bullying and other damaging and violent behaviour by women prisoners. Women prisoners can be very helpful in helping their peers Issue date 30/04/08 PSO 4800 than men. It is unclear why this is. It is not true that women generally behave more anti-socially than men – indeed women prisoners usually are very supportive to their peers. It may be that staff in women’s prisons are less likely to use informal rather than formal ways of managing anti-social behaviour. It may be that staff in male prisons tolerate a higher level of “minor” anti-social behaviour. Page 28 Journal, Leyhill, England, No 151, January 2004. understand each other’s issues and cope with imprisonment. There should be prisoner representatives on all regime committees and their views should be given careful consideration by management. The segregation of women should be avoided wherever possible. When used it should be for as short as time as possible. Except where there are particular security grounds women should be told well in advance when they are likely to transfer so they can prepare their families and friends inside and out of the prison. It has also been suggested that women prisoners are less likely to obey instructions instantly as they have a much greater need than men to receive reasons and reassurances for decisions made. This could lead to conflict if it is unexpected or there is not time to explain. Women who are undergoing detoxification should not be segregated unless all other options have been tried. The risk of self-inflicted death is significantly higher if the woman is segregated. If women who are undergoing detoxification have to be segregated other measures to reduce the possibility of self-harm should be put in place. The same care should be given to women undergoing detoxification, including 24-hour supervision by health care staff, wherever they are located. Women with mental health problems are more likely to demonstrate behaviours that may lead to disciplinary action. Women with evidence of anti social or other personality disorders are 3 times more likely to be punished with cellular confinement. Staff should consult mental healthcare staff about the cause of antisocial behaviour and its relationship to the woman’s mental health, and the potential impacts on her mental health of any disciplinary action proposed. Women with drug and alcohol problems are also frequently charged with disciplinary offences. Women who have committed suicide in recent years have been more likely to be located in segregation/care and support units than on “normal” location. These have often been women detoxing from drugs and/or have mental health problems. Women segregated from their peers on “normal location” also account for a disproportionate number of self-inflicted deaths. Issue No. 297 In individual cases care should be taken not to issue punishments, which deprive an already vulnerable woman of the activities, social support or tobacco that she needs to cope. Other interventions – particularly for women with mental health problems should always be tried before segregation. Women with mental health problems and/or at risk of self-harm should only be segregated if no other option to keep her safe exists (including safe from other prisoners) and all other reasonable methods have been tried. Managers should monitor the rate of disciplinary charges in different areas and whether they are disproportional and take appropriate action. 27. There is a sensitive, appropriate, lawful and enforceable decency policy in place. 28. Staff understand how to promote prosocial behaviour and manage conflict among women prisoners. 29. Segregated women including women placed on “Constant Observations” are provided with an appropriate and individualised regime. 30. A women prisoner, who has mental health problems, is at risk of self-harm, or has other vulnerabilities, is only segregated if no other option at that time to keep her, or others, safe exists. 31. Women are not segregated while undergoing detoxification except in exceptional Issue date 30/04/08 PSO 4800 Page 29 Prisoners should not be punished for self-harm behaviour except where they have compromised the safety of others. Women who need “time out” to calm down should be encouraged to communicate this to staff and appropriate facilities short of segregation should be made available. Staff should be pro-active in recognising the need for “time out” to prevent the prisoner acting in an anti-social way in order to achieve seclusion. An example of “time out” might be allowing a prisoner at her own request to remain in her room during a dining period. NB this should not constitute “segregation” by another name. If a woman is segregated – even if at her own request and whether or not she is segregated in or out of a segregation unit - all the official authorities must still be sought and any relevant safeguards put into place. circumstances and with additional safeguards put into place. Each closed prison should have a small, residential unit, designed and resourced to provide special care for women with complex needs who do not meet criteria for location in a healthcare centre. This should be separate from any unit in which prisoners serve punishments. Only where there is a full regime should this be considered “normal location”. i.e. where association is less or dependent upon risk or presenting this must be considered “segregation”. All women segregated should be subject to the same assessments, reviews and safeguards as those segregated in designated Segregation Units. Segregated women should be provided with an appropriate, individualised regime, based on individual risk assessments. Access to communal facilities, and regime activities should be put in place with a phased return to the wing whenever possible. Where an individual risk assessment precludes participation in group activity, in-cell activities should be provided. Women with the most complex needs should be subject to regular multi-disciplinary reviews. Regimes for those women subject to constant observations should be individually tailored and specified in care plans. Each closed prison should have a crisis suite to facilitate Listening. Issue No. 297 Issue date 30/04/08 PSO 4800 Page 30 Issue: I PATHWAYS TO RESETTLEMENT : 1) REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES Accommodation 60% of women prisoners do not have homes to go to on release. Most women prisoners say the need to keep or find a safe and secure home is their number one priority. When men enter prison, partners and children tend to remain in the family home. Women have usually been the sole adult and lose their homes. Many women prisoners also lose their homes on imprisonment, often through: a lack of information re-housing law/rules a lack of understanding of their rights whilst in custody reluctance to surrender tenancy even when doing so will avoid a build up of rent arrears and exclusion from housing lists Women can find themselves in a ‘catch 22’ situation when on release they cannot get their children returned from Care because they have no housing but they cannot get themselves on the priority list for housing, as they have no children living with them. “Settled” accommodation for women means “safe, suitable and likely to last”. Many women will have escaped from situations of domestic violence. Many with previous drug problems will wish to be held in accommodation where they are protected from undue influence by drug users. “Suitable accommodation” will often mean housing that is suitable for their children to visit, or return to live with them. Therefore most women will wish to live in women only accommodation. Issue No. 297 HMPS Standard 52: Resettlement Urgent action needs to be taken following reception in many cases (see Section C). HMPS Standard 1: Accommodation Housing advice must be linked to local councils and housing providers. ‘Strategy and Resource Guide for the Resettlement of Women Prisoners’ W&YPG, Spring 2006 Many women will have long-standing, complex housing problems and will need considerable help if they are to establish somewhere stable to live on release. Custody to Work Unit 2003 Agreements should be sought with local authorities guaranteeing accommodation for those closing their tenancy quickly following sentence. Trained peer advisers can be helpful in encouraging women to seek help but they must be well supported by trained prison or voluntary sector staff. The different resettlement needs of women are understood and addressed. KEY AUDIT BASELINES (Audit baselines are contained within other HMPS Standards) All prisoners should be interviewed about their accommodation situation and accommodation services should be promoted throughout the prison. Voluntary sector services can often provide advocacy and support services that can assist in locating safe and suitable accommodation. (See also Section C. – Induction, Resolving Urgent Issues and Assessment). Issue date 30/04/08 PSO 4800 Page 31 Issue: I PATHWAYS TO RESETTLEMENT: 2) REFERENCE GENDER SPECIFIC GUIDANCE Education, Training and Employment (ETE) 47% of women offenders have no educational qualifications. More than 25% claim never to have had a paid job before custody. 33% of sentenced women offenders have been excluded from school (against 2% of general population) Most women will want to get a job. However, there is a limit to the numbers likely to go directly into the labour market, training or education given many will have responsibilities as primary carers, and other factors such as histories of drug misuse, lack of stable accommodation, and women’s needs to work on rebuilding personal relationships. Women will often prefer to learn skills that are also useful for them in the home – particularly when they are single parents. Opportunities to take part in family learning schemes can prove very popular. Women offenders tend to behave differently to male offenders in the work and classroom environment. If they have worries about other matters - particularly family - they may need to talk through these issues with staff, and their peers before they can concentrate. Many women and staff see developing confidence and self-esteem as a major benefit from women’s engagement with learning and skills. Issue No. 297 REQUIRED OUTCOMES HMPS Standard 50: Regimes Custody to Work Unit 2003 Strategy and Resource Guide for the Resettlement of Women Prisoners, Spring 2006 Maximizing the benefits of OLASS for female Offenders: an evaluation of the issues” Dr Elizabeth Walker, Helen Deane & Geraldine Pettersson, 2006 Next Steps Implementation Team Offenders Learning and Skills Unit Education, work and training should provide an integrated service to the prisoner based on her needs. Governors should ensure that during contract negotiations women’s particular ETE needs are recognised. There should be an emphasis on learning for life, key skills acquired across a range of settings rather than just a classroom. Where possible jobs with the greatest trust and most pay should have entry qualifications attached which have to be earned through work experience and training. Where possible jobs should help women learn skills. Training opportunities provided in prison should be geared to realistic job opportunities in the women’s home areas wherever possible. The different resettlement needs of women are understood and addressed. KEY AUDIT BASELINES (Audit baselines are contained within other HMPS Standards) Primary carers and foreign nationals will usually seek jobs that pay most in order to send money home. Education pay needs to reflect the need to encourage these groups too into education. Basic skills should be incorporated into other areas of learning, e.g. family learning and parenting skills and peer led reading schemes. Classes offered in prisons should take account of the needs of their individual populations. Teaching staff and instructors should receive advice and support on the likely different behaviour of women offenders to male offenders in the workshop and classroom environment. Libraries should function as Learning Resource Centres. Sectoral and local labour market employment opportunities for women should be developed. Issue date 30/04/08 PSO 4800 A four-phase approach to enable women to address issues in their lives and move them into employment has been designed to cover, finding security and identity; building self-esteem and confidence; gaining qualifications and preparing for work; and moving into employment or selfemployment. Single gender provision should be made available for the first two phases of the approach, ‘finding security and identity’ and ‘building esteem and confidence’ Issue No. 297 Page 32 Women should be able to access advice on preparing to enter the job market, and also where appropriate on setting up their own business. Education, Training and Employment services for women in prison should be based on the Next Steps four-phase approach. Every effort should be made to ensure learning acquired at one establishment is continued at the next and unless absolutely necessary women are not transferred in the middle of courses. Issue date 30/04/08 PSO 4800 Issue: I PATHWAYS TO RESETTLEMENT: 3) Page 33 REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES Health See Section D Issue: I PATHWAYS TO RESETTLEMENT: 4) Drugs and Alcohol See Section D Issue No. 297 Issue date 30/04/08 PSO 4800 Issue: I PATHWAYS TO RESETTLEMENT: 5) Page 34 REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES Strategy and Resource Guide for the Resettlement of Women Prisoners, Spring 2006 Women should be able to access advice in prison on managing and reducing their debt and understanding their entitlement to benefits. Qualified advisors should be provided to act as intermediaries with creditors to look at the possibility of repayment and prevent further legal action and fines. The different resettlement needs of women are understood and addressed. Prisons should be able to provide training on debt management and money matters to enable the women to ‘self help’. KEY AUDIT BASELINES Women should be allowed additional telephone access to sort out their finances etc. 32. Women prisoners are able to access advice on how to manage their finances and reduce outstanding debt. Finance, Benefit and Debt Poverty is often a permanent feature of the lives of ex-offenders and the process of obtaining state benefit can be a complicated one. Managing to organise well enough to live within a budget and to meet deadlines is a priority that women offenders often recognise is important, but which they can find difficult to achieve. 72% of prisoners surveyed were in receipt of benefits before coming into prison, 81% claimed benefits on release, 48% had history of debt For a third of the prisoners their debt problem had worsened in prison. Organisations such as Unlock can provide information and training on personal finance for offenders. There are some good projects taking place to try and tackle this issue: Kent-CAB project provides holistic needs for the offenders needs Issues can get tangled up i.e. finance and accommodation. workers need to work together. Key Voluntary sector services may be able to assist in the provision of advice re finance and debt. East MidlandsElectric touch screen information for prisoners Signposting Offenders to Financial Capability Training, Debt Adv ice and Financial Services , NOMS July 2007 Issue No. 297 Issue date 30/04/08 PSO 4800 Page 35 Issue: I REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES The 2003 resettlement survey showed that half of all women prisoners had dependent children (including stepchildren) under 18. HMPS Standard 44: Prisoners’ Family Life Women should be given support and information to assist them in understanding the effects of their imprisonment on their separated children, how to tell their children of their imprisonment and how to support them. There is evidence to suggest a link between the maintenance of supportive family ties and reduction in re-offending. Strategy and Resource Guide for the Resettlement of Women Prisoners, Spring 2006 The different resettlement needs of women are understood and addressed. PATHWAYS TO RESETTLEMENT: 6) Children and Families It is accepted that women prisoners are more likely to try to “run” their families from inside prison than male prisoners. Women prisoners receive far fewer visits than male prisoners. This is partly due to the distance many are from home but many more men than women have supportive partners at home bringing up the children. Women from Black and Minority Ethnic backgrounds may disproportionately receive even less visits. Some women living in abusive and exploitative relationships may need long-term support and assistance to break free. Some visitors to women may be abusive associates or even “pimps”. Some women may have been abused by partners or other family members other than partners and may not welcome visits from some family members. Having a parent or close relative in prison is a significant risk factor for children becoming involved in criminality. Losing a parent to imprisonment is often an extremely damaging life event for a child. 30% of prisoners’ children Issue No. 297 “Children Visiting In Prisons” KIDS VIP Every Child Matters, 2003 Strategy for Family and Parental Support in Women’s Prisons, W&YPG Children of Offenders Review, Ministry of Justice, Children, Schools and Families, June 2007 HMPS Public Protection Manual There should be trained family support officers/workers in each prison with a good understanding of childcare proceedings. It is important that there is good communication between family support staff, the voluntary and community sector organisations and personal officers to avoid duplication or confusion and to ensure the needs of children and women are met. Family support staff must understand how Children’s Services work and Care Proceedings and be able to offer appropriate support for women involved and link with external agencies. All prisons and particularly women’s prisons should have a well run clean and well-maintained visitors’ centre in which the visitor can feel welcome and supported before and after the visit. There should be staff or volunteers present to support the visitor in the visitors’ centre – not just in the capacity of processing the visit or searching property. There should be a safe play area for children in the visitors' centre and visits room staffed by trained workers with age appropriate toys. Video links should be used to enable partners to meet when interprison visits cannot be facilitated. Unless they have been placed on “closed” visits, women should be allowed to hug family and hold young children on their laps if they wish during the visit. Staff and prisoners must be in no doubt about this. Any instance of a child being used to pass contraband should be referred as a safeguarding (child protection) concern. KEY AUDIT BASELINES 33. Women prisoners are able to access support and advice to help them manage family issues – particularly those around children. 34. Women are allowed to hold their babies and small children on their laps if they wish during visits unless they have been placed on closed visits. 35. Staff particularly those working in visits have a good awareness of child safeguarding issues, including Issue date 30/04/08 PSO 4800 suffer significant mental health problems, compared with 10% of the general child population. Child Protection must be at the centre of all work involving families in women’s prisons including the visitors’ centre. Most children will need to speak to their mothers frequently and visit her. They may however find the visiting experience frightening, boring or confusing. How prisons manage the visiting experience can make an enormous difference in the experience of the child and whether they will want to come again. We should recognize that not all families are child-centred but family members may still need support. While in custody many women face having their children enter the “looked after” system or be adopted. This can be a traumatic experience both for the woman and children and the staff supporting her. Voluntary and Community sector organisations provide support at prisons for families and children. Their work needs to be well facilitated by management, appropriately supported and understood by the whole establishment. Page 36 Prisons should avoid limiting the number of a woman’s children who can visit at a time. This may reduce significantly the contact any one child can have with his or her mother. It is particularly important that staff and volunteers running visits and visitors centres are trained in child protection and know what action to take should there be a child protection concern. Where staff suspect a woman is being visited by an exploitative or abusive person, even if a family member, the matter should be referred to a senior officer to ensure she is offered appropriate help. All women’s prisons should run special (sometimes called “extended”) children’s visits regularly for women and children who would benefit from this experience. Children should be able to benefit from such visits at least 4 times a year. Some women may find children’s visits distressing – particularly when it is time for the children to go. Some may find it hard to talk and play with their child and vice versa. Women (and children) may need to be supported before, after and during the visit. Visits staff should be trained in understanding the effects of imprisonment on the children of prisoners and how to help them get the best visit. Advice and best practice should be sought when special children’s visits are arranged. how to handle disclosure and know the action they need to take if necessary. 36. There are well equipped safe children’s areas in visitors’ centres and visits areas. 37. Children of women prisoners are able to benefit from special children's visits at least 4 times a year. Parenting and Relationship programmes should be available to women. Help with managing personal relationships is often a part of accredited programmes. Note women often need help with relationships formed within prisons as well as outside. The breakdown of personal relationships within prison is often a trigger for extreme distress and self-harm. Staff supporting and supervising women who are to be separated from their children should be briefed on what to expect, and debriefed and supported if necessary afterwards. Mothers about to be released, should where appropriate be linked with support services such as Sure Start and Home Start in their own areas who can offer them support in the community. Issue No. 297 Issue date 30/04/08 PSO 4800 Page 37 Issue: I REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES There are a number of accredited offending behaviour programmes for women. Some have been developed specifically for women, for example CARE (“choices, action, relationship and emotions”); others though initially developed for men, have now been adapted and accredited for use with women. These include Enhanced Thinking Skills, FOR (Focus on Resettlement) Cognitive Skills Booster Programme, the democratic Therapeutic Community. There are also a number of drugs programmes accredited for use with women, including P-ASRO, Short Duration Programme, and the community programmes RAPT, and 12 Step Programme. HMPS Standard 50: Regimes Programmes should only be delivered to women that have been accredited for use with women; or which have been approved under the terms of the Effective Regimes PSO. The different resettlement needs of women are understood and addressed. Programmes for women may include a greater emphasis on emotional regulation and relationships in addition to the other offending risk factors. Fawcett Society 2006 PATHWAYS TO RESETTLEMENT: 7) Attitudes, Thinking and Behaviour OASys was designed to assess the level of risk of re-offending, harm to self and harm to others. As it was designed as a generic tool for use with men and women, it may be necessary to give extra consideration to assessing women for gender specific risk factors such as the extent of any victimisation and its impact on their risk of offending; Because of the recent development of programmes for women, OASys will not always “flag up” programmes that are currently available for women. Staff should familiarise themselves with what is available in their own and other women’s establishments. Issue No. 297 PSO 4350 Effective Regime Interventions Strategy and Resource Guide for the Resettlement of Women Prisoners, Spring 2006 Some prisons will be required to run programmes or interventions that meet regional, pan-regional or national need: Send prison has a 40 bed therapeutic community, which is a national resource open to all prisoners who meet the criteria, based on assessed need. The PRIMROSE programme at Low Newton has been developed for women with Severe & Dangerous Personality Disorder.. This is a national resource open to all prisoners who meet the criteria, based on assessed need. KEY AUDIT BASELINES 38. Women are assessed for and are able to access appropriate offending behaviour programmes to meet their needs. The RAPT programme at Send, and the 12 Step Programme at Drake Hall offer residential community based programmes for drug users. These are national resources open to all prisoners based on assessed need. Every effort should be made to ensure women are not transferred in the middle of offending behaviour programmes. Every effort should be made to help women build on and practice understanding they have gained in the course of offending behaviour work. Issue date 30/04/08 PSO 4800 Page 38 Abuse issues and the fact that they will be in a small minority may make women on release reluctant to attend mixed sex groups. Women only programmes may not be available. Numbers of groups of high-risk women are often small – the implementation of specific offending behaviour programmes has not therefore been easy. Group work in prisons is similarly affected requiring more one to one interventions. Given the geographic isolation of many women’s prisons women may be reluctant to be transferred to attend offending behaviour programmes. The W&YP Group is currently developing a strategy for managing women sex offenders. Issue No. 297 Issue date 30/04/08 PSO 4800 Page 39 Issue: I PATHWAYS TO RESETTLEMENT: 8) Supporting Women who have been Abused, Raped or who have experienced Domestic Violence REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES Many women prisoners have experienced abuse – either in childhood, in adulthood or both. The HMCIP thematic review in 1996 found that half the 200 women prisoners they interviewed said they had been abused, one-third reporting sexual abuse, and one-third both physical and sexual abuse. 1 in 4 women in the community have experienced domestic violence. “Supporting Women Affected by Violence: Guidelines for Staff” W&YPG January 2008 Annually there should be a needs analysis conducted of the population to provide an estimation of the number of women affected by abuse and domestic violence and their needs. The different resettlement needs of women are understood and addressed. There are strong links between the experience of being a victim of abuse and self-harm. Women who have experienced trauma may attempt to manage this experience by resorting to substance misuse – perhaps making it more likely they will offend in order to support or as consequence of their addiction. Women’s distorted beliefs if unchallenged, may also damage the next generation i.e. the belief that abuse is a ’normal’ part of family life. Women sometimes disclose abuse when they fear others especially children, may be at risk. Sometimes when a woman goes into prison her children are put into the care of her abuser. Most women will not disclose abuse or domestic violence unless asked. Emotional ties often exist between abuser and abused, i.e. women will often want the abuse to go away, not the abuser. Issue No. 297 “What to do if you’re worried a child is being abused” 2003 DOH, Home Office Strategy and Resource Guide for the Resettlement of Women Prisoners Individually, needs such as support, advocacy and a safe place to go on release should be established at an early stage. .A range of supportive interventions should be available to women who disclose abuse or domestic violence. These should include: information, support that can be offered by external organizations, self-help books and websites. Where women are likely to stay in the prison long enough interventions should be offered – either on a 1:1 basis or as part of an accredited group work programme. Assistance to build women’s confidence and coping skills should be offered by regime activities, as this can be the first step in enabling her to move out of violent relationships. Counselling and other support needs to be carefully managed particularly the ending of services or handover to other agencies. Information sharing protocols between agencies must be established. KEY AUDIT BASELINES 39. Women prisoners who have been abused or subject to domestic violence are able to access appropriate support and advice. Links should be established between establishments and agencies and organizations that can offer support to women, including Women’s centres and domestic violence area co-ordinators. Staff must be aware of potential risks to the safety of the woman and her children and know how to make referrals. Most domestic violence cases do not qualify for MAPPA. Where appropriate referrals should be made to MARACs (Multi Agency Risk Assessment Conferences), which are domestic violence specific and exist in most local authority areas. Staff should be trained in how to cope with having abuse disclosed to them and how to respond. Staff must also be debriefed and supported – this is often a traumatic and difficult experience for all. Issue date 30/04/08 PSO 4800 Page 40 Issue: I PATHWAYS TO RESETTLEMENT: 9) Supporting Women who have been Involved in Prostitution REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES In Jan 07 a small women’s training prison surveyed women prisoners. 100 women completed questionnaires. 21% of these stated they had been involved with prostitution prior to custody, 74% of these said it was due to their drug addiction and 26% stated it was due to abuse. 100% of those who had been involved said they did not intend to return to prostitution. Strategy and Resource Guide for the Resettlement of Women Prisoners, W&YPG Spring 2006 Annually there should be a needs’ analysis conducted of the population to provide an estimation of the number of women affected by prostitution and the needs of the women concerned. The different resettlement needs of women are understood and addressed. A long-term prostitution strategy was launched by the Government in January 2006. One of the strategy’s five key aims is: developing routes out – providing a range of support and advocacy services to help people get out of prostitution. Women prisoners who have been involved in prostitution may enter prisons with multiple interlocking complex needs such as health and drug problems and a history of violent abusive relationships including sexual abuse in childhood. They may also have children who are dependent on them, or children who have been in care of others. Women who have been involved in prostitution may not feel comfortable disclosing this. Organisations currently working with prisons and partner agencies such as the police, NHS and probation services, include Barnados, Project One25 in the Bristol area and ANAWIM near Birmingham. The UK Network of Sex Worker projects can identify projects in prison and release areas. There are also projects to support women who have been trafficked to this country such as the Poppy Project. Issue No. 297 “Provision of Support for imprisoned adult female street-based sex-workers” Louise Clark 2006 Griffins Foundation Sex Workers in Prison Project (SWIP) The Griffins Foundation/W&YPG 2007-8 Women should be assisted to keep healthy and safe while in prison and on release, and ongoing support with parenting and family relationships. Women should be given every support if they ask for help to build a new life away from prostitution. Staff working with women who work as prostitutes should receive training in awareness of the issues that face them. Staff should be aware that abusive partners or pimps may visit the woman and may be present at prison gates upon release. The local ‘Ugly Mug’ schemes should where appropriate be used by women’s local prisons to inform women of dangerous clients prior to release. KEY AUDIT BASELINES 40. Women who have been involved in prostitution are able to access appropriate help and advice to stay healthy and safe on release and if they wish, build a new life away from prostitution. There should be an identified point of information on prostitution issues in each prison who can maintain links with projects and link with regional networks. Women’s privacy should be protected and the limits to confidentiality should be clear. Establishments should actively seek to identify women who may have been trafficked into this country and refer them to the Poppy Project. Issue date 30/04/08 PSO 4800 Page 41 Issue: J YOUNG WOMEN PRISONERS (under 21) REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES Particular concerns relating to the raised vulnerability of this age-group are: the level of self-harm and self-injury, mental health needs and victimisation from their peer group. HMCIP:Young Prisoners 1/10/97 The different needs of young women are understood and addressed. 5 of the14 deaths in women’s prisons in 2003 were prisoners under the age of 21.Two thirds of young prisoners harm them selves compared with the 30% in the estate as a whole. Vulnerable Learners: The needs and priorities of female offenders Dr Elizabeth Walker, Helen Deane & Geraldine Pettersson, 2006 Young women should be consulted (at least once a year) to determine their need for particular activities, regimes and programmes. Many young women will need support particularly in the area of self-harm, mental health problems, substance misuse problems and experiences of abuse and domestic violence. They may also need help in maintaining positive personal relationships and relationships with peers. Ofsted have highlighted that the level of ETE achievements by this group is very low. Young women are likely to need: violence/abuse counselling, help to raise self-esteem, help to resist peer pressure, offending behaviour work around acquisitive crime, and substance misuse support. They can benefit from mentoring by trained peers and family mediation. Due to the small numbers of women’s prisons young offenders often share the regime with the rest of the population for practical reasons, although they currently sleep in accommodation designated for young offenders. Many older prisoners take on the role of the parent to young prisoners which helps to compensate them from being away from their own families. However there are risks involved mixing age groups and young women may be vulnerable to exploitation by other prisoners – both adults and other YOs. Despite bad experiences in the past many young women will welcome the opportunity of improving their educational skills while in prison. Issue No. 297 Ofsted, 2004 Women’s Offending Reduction Programme Many young women will have been excluded from school so their last memories of education may not be positive. The ‘building blocks’ of learning may not be there and they may have limited capacity to learn until these skills are developed. In the classroom young women may have shorter attention spans than adults and be noisier in activities. Some young women will find it difficult to learn in a classroom environment with other young women and may need individual tuition. They should be encouraged to try working with others but if necessary individual tuition should be provided. Mentoring schemes using trained mentors can be very effective with this age group. KEY AUDIT BASELINES 41. Activities, regimes and programmes designed for young women prisoners are provided in prisons where they are located. Activities and programmes will need to be provided to meet their particular needs and staff will need to be prepared and capable of working with this population. Some young women will benefit enormously from good, patient, positive “support” from staff. The risks to the young prisoner of association with older women with criminal experience should be evaluated on an individual basis. When older prisoners are used to support other prisoners they should receive official recognition and reward. Younger women may need particular supervision and encouragement to use their spare time constructively and to avoid boredom (see section G 7 Association). Some will also want to spend their free time talking to staff rather than socialising with their peers. Issue date 30/04/08 PSO 4800 Issue K: Page 42 REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES Vulnerable Learners: The needs and priorities of female offenders Dr Elizabeth Walker, Helen Deane & Geraldine Pettersson, 2006 Older women (i.e. over the age of 50) should be consulted (at least once a year) to determine their need for particular activities, regimes and programmes. Managers and staff should be aware of the specific problems older prisoners and their older visitors, may face and consider these in allocation and all other decisions. The different needs of older women are understood and addressed. OLDER WOMEN PRISONERS A much higher proportion of women – 78% in HMCIP’s survey, as opposed to 33% of men – identified mental health needs in terms of depression or reactive depression as a result of trial or imprisonment. Many older women are less likely to be interested in new vocational skills. Those that do want to improve literacy or IT skills often see it as a way of improving their relationships with grandchildren. Older women are less likely to see employment as a realistic option for the future and will probably experience barriers in getting jobs. Some older women prefer to be located together others will rather live in mixed communities. Some older women will feel being located with or constantly surrounded by much younger prisoners tiring. HMCIP’s Thematic Report: ‘No problems – old and quiet: older prisoners in England and Wales’ 12 Dec 2004 NACRO: Manual on meeting the needs of older prisoners available from HMPS Women and Young People’s Group ‘National Service Framework for Older People’ Department of Health 24 May 2001 Health Older women in prison should receive all the same services including health promotion and preventative treatment such as health screening for cancers, as older women in the community. Some older women will need support and assistance as they go through the menopause. Some older women may have particular needs such as special diets, dental care, eye care, physiotherapy, help with personal care or long term medical care. ETE ETE provision should take account of the needs of older women The pace of learning needs to be comparatively slow and the noise factor in classrooms may hinder learning. Some older women may wish to learn in small groups perhaps with their peers. KEY AUDIT BASELINES 42. Activities, regimes and programmes designed for older women prisoners are provided in prisons where they are located. Families Older women are often mothers even though their children have grown, and they are often grandparents. Opportunities to help older women in these roles should be provided – perhaps by provision of special “grandparents” visiting days. This can be particularly beneficial for the children concerned. Influence on Younger Prisoners When older prisoners are used with their consent, to support other prisoners they should receive official recognition and reward. They are often seen as a calming influence on young prisoners. It should be understood however, that being constantly surrounded by young prisoners, can be very stressful for older women. (See also section O Indeterminate/life sentence prisoners) Issue No. 297 Issue date 30/04/08 PSO 4800 Page 43 Issue: L WOMEN FROM BLACK AND MINORITY ETHNIC GROUPS Twenty-six per cent of women prisoners are from a black or other minority ethnic group Women from black and minority ethnic groups face the same sort of problems as women prisoners, however, they can face additional discrimination based on race. For women from some BME groups, attitudes to offending within families and communities, arising from cultural or religious beliefs, may result in an additional stigma being attached to imprisonment. The services provided should not be discriminatory and should reflect the different cultural needs of women. A study conducted by the Revolving Doors agency suggests that at present there is a lack of understanding concerning the interaction of race, ethnicity and culture with offending behaviour and links with psychiatric symptoms. The majority of people from minority ethnic backgrounds live in the large industrial cities of the UK, however many women’s prisons are located in rural parts of England. There is evidence to suggest that black prisoners receive even fewer visits than other women prisoners do. Issue No. 297 REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES HMPS Standard 48: Race Equality (Prisoners) Health The different needs of women from black and minority ethnic groups are identified, understood and addressed. Strategy and Resource Guide for the Resettlement of Women Prisoners, Spring 2006 Vulnerable Learners: The needs and priorities of female offenders Dr Elizabeth Walker, Helen Deane & Geraldine Pettersson, 2006 Revolving Doors agency Note from Head of W&YPG to Governors: Hair Extensions Southall Drug and Alcohol Action Programme (DAAP) There are certain illnesses that women from ethnic minorities are more susceptible to and these need to be noted when making arrangements for healthcare. Special attention needs to be paid to the needs of BME women with mental health problems. BME women more likely to experience isolation in custody leading to increased levels of depression but may be less likely to seek help from health care staff. ETE Account should be taken of the specific needs of women from BME groups. For example, courses offered in subjects such as parenting, family relationships, sexual relationships and healthy living, should take account of the different cultural norms, which may operate within some different BME groups. KEY AUDIT BASELINES 43. Account is taken when designing the prison’s regime, of the needs of women from BME groups. Personal Care – Canteen Goods Women from BME backgrounds may have skin and hair that can become very dry very quickly. Inability to obtain products quickly to keep the hair and skin hydrated can cause considerable distress. Women should be able to access the products they need as soon as possible following reception. Available toiletries designed for women from BME groups should not be proportionately more expensive to obtain than those for other prisoners. There should be a range of toiletries available that may be chosen by women from BME groups – in the same way that there is choice available for other prisoners. Regular surveys should be conducted of prisoners to find out what is needed. Issue date 30/04/08 PSO 4800 Page 44 Women should be allowed to purchase hair braids. Where there is a hair salon in the prison, staff and prisoners employed should be able to dress the hair of women from BME backgrounds as well as women from other backgrounds. Clothing Women from BME groups should normally be allowed to wear clothing that they feel meets their cultural or religious needs, unless this is inappropriate on security or health and safety grounds. When clothing that is important to a woman on cultural or religious reasons has to be searched this should be done with particular sensitivity and the procedures to be used explained to the woman in advance. Religion and Faith Women will often wish for support and friendship from members of faith communities outside prison. Prisons should develop contacts with a wide range of faith representatives in order to meet needs. (see also section G 8 Religion and Faith) Support for Women that have been Abused Women from all strata in society, including women from BME groups, may have experienced abuse from partners and/or extended family members and need support. Issue No. 297 Issue date 30/04/08 PSO 4800 Page 45 Issue: M REQUIRED OUTCOMES REFERENCE GENDER SPECIFIC GUIDANCE PSO 4630 Immigration and Foreign Nationals in Prison Individual assessment should be provided. Foreign nationals even from the same country may have very different needs and may have local friends and relatives who can support them. Strategy and Resource Guide for the Resettlement of Women Prisoners, Spring 2006 Establishments should not rely solely on using other prisoners or voluntary agencies to translate, particularly at first where the prisoner may have sensitive information to communicate. Independent interpretation services should be used routinely for prisoners and staff should be trained how to access these services . Vulnerable Learners: The needs and priorities of female offenders Dr Elizabeth Walker, Helen Deane & Geraldine Pettersson, 2006 There should be some basic written critical information in as many languages as possible held in reception and first night centres and always given to foreign national prisoners. ‘Wazobia at Morton Hall: A report on the situation of Nigerian nationals in a medium security female offenders institution’ Dr. Axel Klein, University of Kent November 2006 Some foreign national women will have experienced abuse, which WOMEN FOREIGN NATIONALS Most foreign nationals – particularly from Nigeria and the West Indies are in prison for passport fraud or smuggling drugs. Increasing numbers of foreign nationals however, are from Eastern European countries involved in passport offences. Many women arrive in local prisons unable to speak any English and will feel very isolated. Many foreign nationals will however have been resident in the UK for a considerable time and have close family and friends living here. There are wide cultural differences between groups of women even from the same country. However most women will wish to be located with some other women who speak their language. For many the desire to earn money i.e. in high paying workshops to send back to families, will supersede other priorities i.e. to learn new skills. Maintaining contact with families is a major issue for foreign national women. Some will deliberately distance themselves from the family, as contact is too painful. Many women will be reluctant to tell dependent children where they are. Foreign nationals may find usual parenting programmes are upsetting and inappropriate given the length of time they are going to be separated from their children. Women foreign nationals are likely to serve long sentences. Issue No. 297 HMCIP thematic Report Foreign Nationals 2/11/06 The different needs of women foreign nationals are identified, understood and addressed. KEY AUDIT BASELINES 44. Account is taken when designing the prison’s regime, of the needs of women Foreign Nationals. Women should normally be allocated to a designated Foreign National centre. However their individual needs must be assessed. It may be that it is more appropriate for some women to spend all or part of their sentence in a different establishment. may be directly related to their offending. Some foreign national women will have been victims of human trafficking, forced prostitution and other violence and abuse. Support in the form of voluntary organisations like Hibiscus should be provided. Tuition in English for women who may not speak or write English well will assist women to cope with prison, and gaining skills for use when returning home or if integrating into British society. Issue date 30/04/08 PSO 4800 Some women will be interested in developing new skills because they would have needed to pay for schooling in their own countries. Home leave, outside employment and open conditions are all tools for rehabilitation of offenders and foreign nationals should not be denied the chance to take part in such activity if their immigration status allows. For many prisoners the opportunity to gain “white collar” employment in their home countries is unrealistic given the poverty they will face returning home. In many cases skills they can use in their home to gain a limited income from their neighbours will be considerably more useful – i.e. needlework or subsistence farming. Learning to speak and write English may be the most valuable asset for some women when they return home. Currently foreign national prisoners are entitled to a five-minute phone call once a month if they receive no visits from family and friends. This means that if foreign nationals have limited income but have friends or family in the UK and also close family members abroad, they effectively have to choose which they will try to stay in touch with. Often too it is extremely difficult to get calls through to family abroad particularly to remote areas where families do not have easy access to telephones. The recent HMCIP thematic review on Foreign Nationals recommends prisoners be allowed the monthly phone call whether or not they get visits. Women may be returning to situations of great poverty where they will be tempted to risk criminal activity again. What will be a preventative factor will be strong family relationships – particularly prospective Issue No. 297 Page 46 and follow up report Jan 07 Peer support by foreign nationals should be developed. Support should be provided to enable women to access legal advice and contact with embassies. Hibiscus Southall Drug and Alcohol Action Programme (DAAP) Every possible support and advice should be offered to women to maintain family links. Primary carers of children should be allowed the cheapest phone calls possible, to children, particularly if they are unable to visit. All establishments should be required to operate the international card scheme. All women foreign nationals should be allowed at least a 5-minute call home at public expense every month where they have children abroad – whether or not they also receive any visits. Opportunities to record audio-tapes for children so they can hear their mother’s voice perhaps reading a story should be facilitated. Culturally relevant ETE should be available. Skills that will be of practical benefit in the prisoners’ home country should be offered. For some women this might be learning to drive, hairdressing, dressmaking. Other women will seek help to gain more “white collar” skills and further education. Basic computer skills will be of use to many women. Many foreign nationals will remain in this country at the end of their sentence so relevant advice to aid resettlement in this country should not be delayed or denied. Women should be able to access current news from home either through newspapers or though internet encyclopaedia. Staff and volunteers working with foreign nationals should be trained in cultural awareness. Staff should gain an understanding of the cultural structure and hierarchies of foreign national groups. Diversity leads and Foreign National Liaison officers should receive additional training – particularly around arrangements for deportation and sources of information and help for women. Note: prison service staff cannot offer legal advice to prisoners. Issue date 30/04/08 PSO 4800 Page 47 separation again. Surgeries should be held in prisons with Immigration Services. Many women will wish to return home as soon as possible, i.e. through the Early Release Scheme and prolonged delays cause much distress both for the woman and her family. The prison service must do everything possible to facilitate the process. Issue No. 297 Issue date 30/04/08 PSO 4800 Page 48 Issue: N WOMEN PRISONERS WITH DISABILITIES REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES There are a significant number of women prisoners with disabilities to whom the Disability Discrimination Act applies. HMPS PSO 2855 and Standard 8: Prisoners with Disabilities Women with disabilities should be identified wherever possible on reception or induction. The different needs of women with disabilities are identified, understood and addressed. Some prisoners are reluctant to disclose a disability at first. Learning disability is often undiagnosed and women slip through the system without appropriate support. An NHS Survey at Styal 2007 revealed 8.3% of the population with an IQ below 70, and a further 31.7% classed as borderline LD. The national average (prisons) is 6%. In all prisons there is a Disability Liaison Officer. In the male estate if a particular prison is unable to make “reasonable adjustments” to enable a prisoner with disabilities to benefit from a particular service or programme, it is possible another nearby prison will be able to do so. This is less likely in the women’s estate where with fewer prisons it is quite likely that a particular service or programme will only be available in one prison. Issue No. 297 Disability Discrimination Act 1995 The Disability Liaison Officer should meet prisoners who have been identified as having disabilities and arrange for their needs to be assessed and met. As absolute basics prisoners with disabilities must to be able to access showers, toilets, exercise areas and their living and eating areas safely and be able to reach emergency call bells. Women prisoners are more likely than men to want and need, good access to showing and washing facilities and appropriate facilities to enable them to apply make up and attend to personal care. (Audit baselines are contained within other HMPS Standards) If it is identified that because of a disability a woman is not able to access a programme or service it would otherwise be appropriate for her to access, “reasonable adjustments” to enable participation must be made. Women in prison who have disabilities should where appropriate be linked into support both in prison and upon release. Women prisoners with disabilities are at least as likely as women without disabilities to have experienced domestic and sexual violence, and appropriate support should be made available to them. Issue date 30/04/08 PSO 4800 Page 49 Issue: O INDETERMINATE (IPP) /LIFE SENTENCED WOMEN PRISONERS REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES There are over 300 women currently serving life or Indeterminate sentences for Public Protection. The majority of women lifer prisoners are first time offenders. Most do not have associates outside prison who have been involved in crime and they can feel isolated and very different from other prisoners – not just because of their sentence. HMPS Standard 31: Life Sentence Prisoners Lifers need a good induction package. What they hear at this early stage will help them come to terms with their sentence, promote understanding and mutual respect with others and understand what to expect in the coming years. The particular needs of women prisoners serving indeterminate sentences are assessed and addressed Only a few establishments are commissioned to accept lifers. This can mean lifers are likely to be located a long way from home, which can present particular difficulties for reintegration. Drake Hall is classified as “open” for the purposes of 3rd Stage allocation in addition to the two open establishments. Given the high incidence of mental health problems, and the more serious index offence, this is a group with specific needs. Some women with little outside support can crave friendship and support from others. Close relationships, which form quickly because of the closed environment, can go wrong or be broken because of another prisoner’s transfer, with very traumatic results for everyone. Women lifers will also be disadvantaged over others with more financial resources in terms of providing clothing and income, which may affect their self-esteem. Maintaining relationships with children can be particularly traumatic. The woman’s role as Issue No. 297 Lifers: Joint Thematic Review by HMCIP and Probation 1/1/1999 Strategy and Resource Guide for the Resettlement of Women Prisoners, Spring 2006 ‘Resettlement issues Facing Female Lifers’ Rachel Chapman The Griffins Society 01/2002 The needs of women lifers should be assessed regularly by talking to them as a group. Incentives and targets need to be meaningful to lifers taking into account their individual circumstances. They should receive regular updates on how they are progressing with their sentence plan so they know whether they are making progress. Staff filling the role of “Lifer Officer” should receive training not only in the lifer system but how the sentence may impact differently on women prisoners than male prisoners. They need to be specially selected. KEY AUDIT BASELINES 45. The particular needs of any women prisoners serving indeterminate sentences are assessed and addressed. Lifers should be able to access support and advice to develop and manage close personal relationships. Staff need to be aware that women can build up emotional dependency on them and their surroundings and will need support to “move on”. Moves to new establishments can be made less traumatic if good information can be provided, and if moving to lower security where possible, pre-visits are made. Clothing can be a real problem for prisoners serving long sentences with no financial support. Purchasing a winter coat for instance can wipe out many weeks of prison pay. Links should be made with local charities to provide resources to support women with little family support and prisons need to seek sources of good quality reasonably priced clothing and make this available to women who need it. Issue date 30/04/08 PSO 4800 Page 50 mother will be changed over time as the child looks to others for support and this can be very hard to come to terms with. Children and families outside may suffer particular stigma and isolation from others too. Interventions should be offered at appropriate times of the sentence. Women lifers tend to want to be located together- they can find mixed landings with much shorter sentenced women unsettling. Lifers should generally be located with other lifers, medium to longer- term prisoners. Due to separation from children women lifers often take on surrogate parenting roles with younger prisoners. This can be to the benefit of both but sometimes makes older prisoners feel as if they are being “used”. Official recognition and reward for the role they play will be well received. There are potential risks for younger prisoners too (see Section J Young Women Prisoners) Lifers should be considered for suitability for transfer to the Primrose Project and the Therapeutic Communities. Supervision, mentoring by trained mentors and support “through the gate” should be provided as necessary for women long term and life sentence prisoners. Ongoing personal support is considered essential by many lifers and long-term prisoners leaving custody. (See also section K Older Women Prisoners) For women on the enhanced level of the incentives scheme as a lifer there is little additional that they can benefit from. Targets need to be sensible - giving a lifer ‘remain adjudication free’ when they haven’t been on report for a number of years, is meaningless. Interventions offered too early in the sentence or too late can be ineffective, increase anxiety and frustration in the prisoner or delay parole reviews. Issue No. 297 Issue date 30/04/08 PSO 4800 Issue: P MOTHER AND BABY UNITS and TREATMENT OF PREGNANT WOMEN Around 120 women in custody give birth in a year The prison environment may not always be an easy one in which to be pregnant. The routine can make it harder to catch up on missed sleep for instance, and increased stress around court appearances can impact on the progression of the pregnancy. Occasionally what is seen as special treatment given to pregnant women may be a focus for bullying by some others. Mother and baby units are a national resource. Women are assessed for suitability to enter mother and baby units. The primary concern is the best interests of the individual child, but this must be balanced with the need for the safety of the woman’s child and other children on the unit. The mother retains parental responsibility for her child. The demand for MBU places arises most acutely at local/remand prisons when the need for the accommodation can be urgent. Geographic distance is the major issue for women who will often have other children to retain contact with. Sometimes siblings may become jealous of the baby when their mother is located in a mother and baby unit. Mothers may need help to parent separated children. It is not generally considered in the best interests of the child to remain in prison with the mother over the age of 18 months. Each case is assessed on an individual basis. Issue No. 297 Page 51 REFERENCE GENDER SPECIFIC GUIDANCE There is already a prison service order (PSO 4801) and Standard (35) on Mother and Baby Units As PSO 4801 and Standard 35. Plus: W&YPG Good Practice Guidelines for Managing Women who have Experienced Miscarriage, Termination of Pregnancy, Stillbirth or Neonatal Death (including arrangements for escorts) 25/8/2006 ‘Women in Prison’ Quaker Council for European Affairs 2004 REQUIRED OUTCOMES Pre-natal and post-natal care for pregnant women including ongoing support to breastfeed where appropriate, should be available in all women’s’ prisons. Pregnant women and nursing mothers should receive a suitable diet based on DOH guidelines. Staff should be made aware of the possible behavioural and emotional changes women may experience when pregnant or following birth. The location and management of a pregnant woman must be risk assessed and her views taken into account. Staff should receive clear advice and guidance when escorting or supervising women who have experienced miscarriage, termination of pregnancy, stillbirth or neonatal death. (See also Section D). Staff responsible for running visits and children’s visits should be aware of the need for mothers in mother and baby units to establish positive bonds between their babies and their siblings. The separation of the baby from the mother can be traumatic for all. Separations need to be planned well in advance. Pregnant women are not handcuffed after arrival at a hospital or clinic as published protocol. Women in active labour are not handcuffed either en route to, or while in, hospital. Restraints are to be carried but not applied unless the woman’s behaviour is refractory or there are indications that she may attempt to escape. Pregnant women must not be transferred to or from another prison or court in a cellular vehicle except in exceptional circumstances and with the agreement of the health care manager following a full risk assessment. The choice of whether to take a baby to court with her is the mother's however, in certain cases (e.g. a long trial) she might be advised it would be better for the child not to travel daily with her to court as this could be stressful and tiring for both, but the decision remains hers. The needs of pregnant women and women who have given birth are assessed and addressed. KEY AUDIT BASELINES 46. Guidelines for Managing Women who have experienced Miscarriage, Termination of Pregnancy, Stillbirth or Neonatal Death, are adhered to. 47. Pregnant women are not handcuffed after arrival at a hospital or clinic. Women in labour are not handcuffed either en route to, or while in hospital. Restraints are carried but not applied unless necessary. Issue date 30/04/08 PSO 4800 Issue: Q Page 52 REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES Uniform staff gender balance guidance PSO 8005). The appropriate balance of male and female staff is maintained according to PSO 8005. This is generally considered to be at least 60 female :40 male. The different management issues involved in running women’s prisons are understood and addressed. MANAGEMENT ISSUES Women who have been abused by men may feel safer in a predominantly female environment. There are also issues of decency and security that need to be dealt with by women staff. Male staff however can be extremely important and effective in this environment - not only in carrying out their duties, but also in providing positive, caring and reliable male role models for many women who have experienced few such, in the past. Because of the higher number of male senior management grades most senior management teams in women’s prisons are predominantly male. All male SMTs may be a problem for several reasons – including the ability of women who do not relate easily to men, to raise issues directly with senior staff. Staff in women’s prisons – particularly local prisons - are likely to be dealing individually with more stressful situations than most staff in male prisons on a day-to-day basis. They cope with many prisoners who are highly dependent on staff for emotional support and will be managing prisoners with many vulnerabilities and mental health problems. They will be listening to accounts of abuse. Staff will also need to manage many prisoners who self-harm sometimes very seriously, frequently and often without warning. Managers too will be supporting staff under these daily pressures which can be in turn very draining and they themselves will need support. Issue No. 297 Issues of decency and the need for close observation should be considered when deciding the gender balance of staff supervising particular areas such as reception, and care and separation units. Managers will need to make sure there are enough female staff on duty on nights to allow intervention by female staff if necessary and also bear in mind that more staff than in equivalent male prisons will be away on maternity leave at any time. Business cases have been made by some prisons to have their percentage of noneffective hours increased based on data around pregnancy and maternity leave. Managers need to ensure all staff are alive to the need to respect decency and privacy issues when supervising women prisoners i.e. except in a security operation or in an emergency knocking before entering cells to enable women to dress. There should be a balance of male and female senior staff – including at least some women in operational roles, on the senior management team. This may be difficult to achieve in some geographical areas and measures should be taken to attract and retain staff where necessary. KEY AUDIT BASELINES 48. The appropriate balance of male and female staff including managers, and senior managers is maintained. 49. Women prisoners’ need for privacy and decency particularly when in night-clothes or when washing, is respected by supervising staff. Staff and managers will need considerable support both from their own managers, staff care and welfare services, and where required professional services. Managers need to be alive to cumulative stress staff and other managers may come under and refer people for appropriate help quickly – before a crisis occurs. Issue date 30/04/08 PSO 4800 Issue: R TRAINING AND SUPPORT Page 53 REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES Most staff in women’s prisons will know little about the different needs of women offenders when they join. HMCIP: Women in Prison 10/5/97 and 10/1/96 There needs to be an ongoing learning and development culture for all staff, including managers, in women’s prisons. Staff working in women’s prisons say that different skills and training are sometimes necessary to work with this population. Women Awareness Staff Programme (WASP) W&YPG The different training needs of staff and managers working in women’s prisons are understood and addressed. OF STAFF AND VOLUNTEERS Working with women prisoners, particularly prisoners with vulnerabilities and those with mental health problems can be difficult and stressful – particularly if staff are not well prepared. Dealing with frequent acts of selfharm and hearing frequent accounts of abuse and trauma can be very stressful on managers and staff. Both need good preparation and training for this role. Some people when working with women offenders find themselves in major difficulties managing the relationship. Some women are extremely vulnerable and become very dependent on others. Some women have never known non-exploitative relationships with others and may try to relate to staff and others in inappropriate ways. Relationships need to be caring but with clear boundaries. Fawcett Society 2006 A mentoring or “buddying” scheme should be in place for new prison officers. Staff and managers transferring from male prisons should also be well supported. Where the working environment is particularly stressful – particularly in prisons where staff are dealing with frequent selfharm and disclosures of abuse, staff should be well supported, debriefed and have access to an independent counselling service, which should be regularly promoted within the prison. Staff should also regularly be debriefed by managers in the workplace - not just after serious incidents. Dealing with “minor” acts of self-harm or distress daily can be equally as stressful as dealing with fewer more serious incidents. All staff and volunteers working with women prisoners should receive the following Gender Specific training, in addition to any generic training they receive when they undergo initial training. Kimmett Edgar Reducing Violence Among Women in Prison (not yet published) a) The range of specific needs and likely histories of women prisoners including mental health awareness. To include some knowledge about age specific needs if they are going to work with these groups and needs of particular populations i.e. foreign nationals, women from BME backgrounds. KEY AUDIT BASELINES 50. Training and advice appropriate to the prison is provided for staff and volunteers to equip them to work with women prisoners. 51. Ongoing support, supervision and care is provided to staff, managers and volunteers, particularly those who are dealing with frequent acts of selfharm and disclosures of abuse. b) The possible effects of abuse and domestic violence on women particularly those abused as children, how to handle disclosure of abuse and when and how to refer to other agencies. c) Child protection – particularly relevant given the knowledge staff will obtain about prisoners’ children. The effects of imprisonment of a mother on her children, the children’s likely Issue No. 297 Issue date 30/04/08 PSO 4800 Page 54 experience of visiting, and how to support the woman in her parenting role. d) Why women may self-harm, how to reduce the likelihood of self harm among women, and how to respond constructively when a woman self-harms or says she may. e) Where appropriate, the different security requirements in women’s’ establishments including searching. (See section S Security) . f) How to operate with respect to decency and privacy issues – particularly relevant for male staff. g) How to maintain appropriate relationships and boundaries with prisoners and when to recognise when problems are developing. How to use an appropriate style of management h) How to listen to women, and how to support them while encouraging them to take personal responsibility for their actions and their offending. i) How to promote pro-social behaviour and how to use conflict resolution techniques. j) When appropriate, how to physically restrain women safely when necessary including women who may be pregnant. C&R except in emergencies, should always be administered by female staff. Where male staff have to be involved they should withdraw if items of clothing are to be removed. Note: physical restraint may panic women who have suffered domestic violence. k) (In relevant prisons) the likely physical, behavioural and emotional effects of pregnancy and childbirth on women. l) Female bullying and violence – how to recognise the signs, and how to manage it. m) Basic awareness of issues around women offenders and prostitution. Issue No. 297 Issue date 30/04/08 PSO 4800 Issue: S Page 55 REFERENCE GENDER SPECIFIC GUIDANCE REQUIRED OUTCOMES Security in women's prisons is based on the same principles/practices/procedures as in men's prisons although some security procedures are different. Two examples are the system of security categorisation and allocation to “semi-open” prisons. HMPS Standard 54: Security HMPS Standard 53: Violence Reduction The new Women’s Full Search for women prisoners will involve the removal of as much clothing as necessary on the grounds of risk, “reasonable suspicion”, and intelligence collated. A woman will not be required to remove her underwear unless necessary on these grounds. (SUBJECT TO OUTCOME OF CURRENT PILOT) There are some different security issues in women’s prisons. There are fewer serious incidents such as hostage taking, escapes and serious assaults in women’s prisons compared to male prisons although these do occur. When women participate in acts of concerted indiscipline the incidents tend to be passive, spontaneous and small in number. HMPS Standard 61: Use of Force Note: The National Security Framework allows staff to require male prisoners, but not women prisoners, to squat. National Security Framework Searching that is to take place should always be clearly explained to women in advance. Corston Report March 2007 Staff should be trained how to maintain appropriate relationships with women and how to avoid conditioning (see section R Training). SECURITY IN WOMEN’S PRISONS There are a few high-risk women in prison and more who are associates of high-risk men. Serious acts of self-harm are much more frequent in women’s prisons. Some serious incidents other than self-harm do occur – particularly around drugs. Forced removal by other prisoners of secreted drugs occurs. Arson is also fairly common particularly in locals. There has been historically widespread (but inconsistent) full searching of women prisoners using the same basic model as that applied to male prisoners. This is a practice that distresses many women, particularly those with mental health problems and/or who have been sexually abused, and is unpleasant for staff to carry out. It can be particularly embarrassing when women are menstruating. The traditional full search has not been particularly effective however. Because of the nature of their anatomy women find it very Issue No. 297 The 1989 UN Convention on the Rights of the Child Staff should be absolutely clear about the security requirements of escorting pregnant women, women in labour and women who have recently given birth. [Audit baselines 47. & 48.] MDT testing should be carried out with particular sensitivity. Women should not be handcuffed between the escort vans and reception if there is more than one physical barrier between reception and the outside of the prison, (i.e. a sterile area exists) unless there are other indications that this should be done because of the prisoner’s behaviour or security intelligence, or if there is intelligence that the prisoner is likely to be involved in an “at height” incident. Unless women have been placed on closed visits because they have breached security rules, they must be allowed to embrace their children on open visits and be allowed to hold small children on their laps. There should be no blanket rules forbidding close physical contact between young children and their mothers and KEY AUDIT BASELINES 52. Full searching for women prisoners requires the removal of as much clothing as necessary on the grounds of risk, “reasonable suspicion”, or intelligence received. Women are not required to remove underwear or external sanitary wear, unless necessary on these grounds. (SUBJECT TO OUTCOME OF CURRENT PILOT) [For audit baselines concerning the escorting of pregnant women, women in labour and women who have recently given birth see baselines 46. and 47.] Issue date 30/04/08 PSO 4800 Page 56 easy to conceal items for a long time internally, if they want to. importantly prisoners must be left in no doubt that they can hold their small children. [Audit baseline 35.] MDT testing is never a pleasant experience for staff or prisoners. Women are not accustomed to urinating in the presence of others. Women can find it particularly embarrassing when menstruating. Closed visits between women and their children should only be authorised if necessary. A single indication by a passive drugs dog without any additional intelligence that a child is likely to be used to smuggle in illicit articles, should not be considered enough to justify closed visits between a woman and her child. Sometimes prisons reduce the amount of physical contact generally being allowed between visitors to try to reduce the amount of drugs that are smuggled in. Preventing physical contact between mothers and their young children can be psychologically damaging to young children. Women in active labour are not handcuffed either en route to, or while in, hospital. Restraints are to be carried but not applied unless the woman’s behaviour is refractory or there are indications that she may attempt to escape. Issue No. 297 [For audit baseline concerning the contact between small children and their mothers on visits see audit baseline 34.] Issue date 30/04/08