The image used in this report is a detail from Inside out, a mixed media artwork by a detainee at the Atkinson Secure Unit, a secure children's home (copyright © 2018 The Koestler Trust, all rights reserved). The Koestler Trust is a prison arts charity, inspiring offenders, secure patients and detainees to take part in the arts, work for achievement and transform their lives. For more information visit: www.koestlertrust.org.uk Produced by Design102, Communications and Information Directorate, Ministry of Justice CCS0118737136 978-1-5286-0184-9