deep_custody.qxp_Deep Custody 01/02/2016 12:33 Page 4 4.4 4.5 4.6 4.7 5 5.1 5.2 5.3 5.4 6 6.1 6.2 6.3 6.4 6.5 6.6 Conditions and regimes in CSCs Segregation and CSCs: time, problems, and practical benefits Time in segregation / CSC Problems in segregation/ CSC The practical benefits of segregation / CSC Health care People with learning disabilities or learning difficulties Inside segregation units and CSCs: culture, relationships and risk Culture and ethos Staff prisoner relationships Security, risk and the use of force Security levels Use of force Relationships and risk in CSCs 50 52 58 60 63 63 69 78 85 Mental health and well-being 91 Prevalence of mental health needs among segregated people 91 The negative health effects of segregation 92 Safeguards to minimise the exposure of very vulnerable prisoners to segregation 95 Prisoners at risk of self-harm 97 Support for prisoners’ mental health in segregation 101 Medication Removal from segregation on mental health grounds and prisoners who should have not been segregated 103 6.7 6.8 Individuals who found normal location unbearable Protective measures and mental health support 106 107 7 7.1 7.2 Leaving segregation and CSCs (avenues out) Segregation review boards Negotiating return to normal location What was at stake? (aims) Tactics (managers) Tactics (officers) Tactics (prisoners) Good practice recommendations Reintegration Leaving the CSC 109 109 113 Deep Custody Findings and Recommendations Findings Good practices we observed Arrival Staff communications Conditions Maintaining order 131 131 133 7.3 7.4 8. 8.1 8.2 123 126