CAT/OP/GBR/CSPRO/1 • Under Prison Rule 46 - Close Supervision Centre of a prison; • Under Prison Rule 53(4) (YOI Rule 58(4)) – Prisoner awaiting an adjudication to start may be kept apart from other prisoners pending the governor’s first inquiry; • Under Prison Rule 55(e) (YOI Rule 60(f)) – Cellular confinement for a prisoner found guilty of an offence against discipline. Cellular confinement is not permitted for Young People; • Under Prison Rule 55(h) (YOI Rule 60(g)) – Removal from wing or living unit for a prisoner found guilty of an offence against discipline; • The policy (PSO 1700) also covers the procedures to apply in relation to prisoners on dirty protest. A prisoner on dirty protest is moved to special accommodation in the segregation unit or other fit for purpose accommodation. Prisoners engaged in a dirty protest are normally held under Rule 45 (YOI Rule 49) Good Order or Discipline. 132. Prisoners with severe mental-health conditions should not be placed in segregation units as an alternative to normal accommodation, as per the Prison Rules above. Scotland 133. Under section 136 of the Mental Health (Care and Treatment) (Scotland) Act 2003, there are arrangements that allow a prisoner suffering from a mental disorder for which treatment is available to be taken to hospital for care and treatment to keep the prisoner and others safe. Depending on the care and treatment and the level of security required, there may be a wait until a secure bed becomes available. Once a transfer for treatment direction has been made the prisoner must be transferred to an appropriate hospital within 7 days. Clinical assessment and care within the custodial setting is carried out by NHS with health centres in all prison establishments. 134. The Scottish Prison Service is developing a new health and wellbeing strategy for those in their care with key stakeholders to ensure the strategy and policy within prisons provides parity with the community. The Strategy will include sections on addictions, physical health and mental health. The mental health section will have a bespoke component for children and young people. “75. The Subcommittee also recommends that all prison staff be trained to recognise the possible symptoms of mental health problems and apply prompt and appropriate referral procedures to medical personnel.” England and Wales 135. All prison officers have access to a range of training and guidance to support them in better understanding and supporting the mental health and wellbeing of prisoners. New and existing staff currently receive Suicide and Self-Harm Prevention training, which includes an ‘Introduction to Mental Health’ module. We are currently working to improve our safety training within prisons and as part of this will be looking to develop an enhanced mental health module which builds on the introductory module. As well as specific mental health training courses, key principles on this topic are also reflected in a range of other resources available to all staff. Scotland 136. The Scottish Prison Service has a ‘Talk to Me’ strategy which aims to assume a shared responsibility for the care of those at risk of suicide; to work together to provide a person centred care pathway based on an individual’s needs, strengths and assets and promote a supportive environment where people in custody can ask for help. This strategy was refreshed in 2019 and has been re-issued to all staff to make clearer the circumstances in which a risk assessment and / or health care assessment should be carried out and these remain in place throughout the COVID-19 pandemic. 21