HM Prison Eastwood Park leading the nation in women prisoners’ self-harm barely receives attention?


In July, the Chief Inspector of Prisons for England and Wales released their annual report, and it was predictably grim, especially for women prisoners. Much of the news media in England, especially the local media, focused on the numbers concerning HMP Leeds, where each day sees around two women prisoners engaging in self-harm. In 2017, there were 712 `incidents’ of self-harm in Leeds, a 30% increase over the previous year, which saw 548 self-harm events. At Leeds women’s prison, 65 out of every 100 women is engaging in self-harm. Leeds is a bad place … but not the worst. Way down in any article on “the prison where self-harm incidents happen almost twice daily” would be a version of this nugget: “HMP Leeds was not the worst for self-harming however; Eastwood Park women’s prison in South Gloucestershire has the worst self-harm problem in the prison system. There were only 394 women on average at the prison in 2017/18 but there were 1,770 cases recorded in 2017.” Eastwood Park leads the nation in women prisoners’ self-harm, and somehow that’s not particularly important? Why?

In recent years, Eastwood Park has hosted a number of women prisoner deaths that have garnered some attention. In 2013, Natasha Evans collapsed in her cell. At the inquest, two years later, expert testimony suggested that Natasha Evans died because of lack, or systematic refusal, of appropriate care. Since 2013, six more women prisoners have suffered non-self-inflicted deaths at Eastwood Park. Most recently, in June 2016, Michalla Sweeting choked to death on her own vomit. Michalla Sweeting arrived in Eastwood Park after three days in police custody. She was put on a methadone detox program. She started vomiting, staff noted that and did nothing, she died. This May, two years later, the inquest jury found that Michalla Sweeting died of gross negligence committed by prison and healthcare staff.

That’s the same prison and healthcare staff that supposedly is addressing the “complex needs” of Eastwood Park prison population. In 2016, seven women died inside Eastwood Park. Three of those were “self-inflicted deaths.” In 2017, no one died in Eastwood Park … but the self-harm continues.

There are no women’s prisons in Wales, and so Welch women are sent to primarily to Eastwood Park and to HMP Styal, another hellhole. Eastwood Park holds a little over 400 prisoners, of whom 40% are from Wales, which means their families and home communities are far away. Eastwood Park is supposed to have a mother-and-baby unit. In November 2016, it was reported as temporarily closed. Today, two years later, it’s still closed. Eastwood Park is hard on everyone, and particularly on Welch women and on mothers.

The rate of self-harm in Eastwood Park is 449 incidents per 100 prisoners. In 2017, there were 1,770 incidents. While that’s down from the record high of 2016, it’s the second highest number of incidents of self-harm since 2010. “On average, there were four incidents of self-harm a day at HMP Eastwood Park in 2017.”

On January 2017, the Chief Inspector of Prisons reported on Eastwood Park: “The population remained vulnerable; many women were a long way from home, which was a problem for the large number who had dependent children. Nearly half of the women had a disability, and over three quarters reported mental health or emotional well-being issues. Eighty-four per cent of women said they had various problems on arrival at the prison, and over half said this included issues with drugs, while over a third reported having alcohol problems. Levels of self-harm had increased and were overall relatively high.”

Against this backdrop, the Inspector concluded, “We still considered Eastwood Park to be a well-led, generally safe and decent prison, but it was showing signs of being under strain. Staffing levels had not kept pace with the rise in population, nor with its increasing complexity.”

Nineteen months later, the rate of self-harm is four per day, and 449 incidents per 100 women. That’s safety and decency in a State committed to locking women up. It’s not the prison that’s under strain; it’s women, and the strain is public policy. In July, the Inspector noted, “The number of women prisoners is growing for the first time since 2012, putting a strain on the system and emphasising the need for a strategy for women’s prisons …  The high rate of self-harm among women prisoners is indicative of the very complex needs of many women.”

The Inspector noted that the two women’s prisons inspected “were not doing enough to address the very complex needs of women prisoners.” Not doing enough. Very complex needs. This is the language of neoliberal State alibi that suggests, implicitly, that the reason women prisoners have rising, and astronomical, rates and incidences of self-harm is the set of “very complex needs.” This is nonsense. The State refuses to address women’s needs and, even more, women’s lives, and that is reason for the rates and numbers of women prisoners’ self-harm. Period. At HMP Eastwood Park, women self-harm four times a day, every day, and absolutely no one cares. If we did, we’d stop it.

 

(Photo Credit: Gloucestershire Live)

For women in England and Wales, `safety in custody’ means harm, death, hopelessness

On Thursday, the United Kingdom’s Ministry of Justice issued its Safety in custody quarterly update to September 2014. The report is grim. In 2014, 84 people killed themselves `in custody’ in England and Wales That’s the highest figure in seven years and an increase of 12% over the year before. The rise in suicide is surpassed by the rise in self-harm, up more than 25%. Overall, it was a banner year for the prison state, with 243 deaths in custody: “The 243 deaths in prison custody was an increase of 28 on 2013 and is the highest number of deaths recorded in a calendar year. This increase has been the result of both natural cause and self-inflicted death.”

Wrong.

The increase has been the result of rapidly rising prison populations, decreased access to mental health and other services, overworked prison staffs, and the general toxic soup that goes under the genteel name of `austerity.’

For ten years, the prison population has increased. The rise in prison suicides has more or less kept pace with that rise, but the rise is self-harm far exceeds the rise in population. And that’s where gender kicks in. Of the 84 people who committed suicide, three were women, up a bit from the one in 2013, but still low. Self-harm, on the other, is another story. According to the Ministry’s report, “Females are more likely to self-harm than males.”

Women make up 5% of the prison population and 27% of the incidents of self-harm in prison, over the past year. Where men had 222 incidents of self-harm per 1000 male prisoners, women had 277 per 1000 female prisoners. Even more telling, of those men who engaged in self-harm, each did so 2.8 times. Of those women prisoners who engaged in self-harm, each individual did so 6.2 times within a twelve-month period.

This what passes for safety in custody. As Frances Cook, of the Howard League, noted, concerning the rate of suicide in prison, “The numbers hide the true extent of misery inside prisons and for families.”

While the gender maths didn’t make headlines, they should have. As Soroptimist UK Programme Action Committee along with the Prison Reform Trust have noted, too many women are being sent to prison [a] for too little cause,[b] for too long, when [c] they could easily receive alternative sentences in their home communities. Furthermore, women prisoners know what the deal is when they leave prison: fewer than one in 10 women released from a prison sentence of under 12 months managed to secure a ‘positive employment outcome’ within a year of release, three times worse than the equivalent figure for men. Once in, there’s no way out.

There has to be a way out, and it begins with closing a so-called justice system that reflexively sends increasing numbers of women into overcrowded and often distant prisons for little or no reasons. If women are committing self-harm six times in a year, the problem is not `criminal justice.’ The problem is the criminal denial of access to health care. There is no justice where, for women, “safety in custody” means hopelessness, self-harm, and suicide.

 

(Image Credit: The Mental Elf)