The potential of prison-based democratic therapeutic communities

Int J Prison Health. 2017 Mar 13;13(1):19-24. doi: 10.1108/IJPH-08-2016-0036.

Abstract

Purpose The purpose of this paper is to describe the work of HMP Grendon, the only prison in the UK to operate entirely as a series of democratic therapeutic communities and to summarise the research of its effectiveness. Design/methodology/approach The paper is both descriptive, providing an overview of the work of a prison-based therapeutic community, and offers a literature review regarding evidence of effectiveness. Findings The work of HMP Grendon has a wide range of positive benefits including reduced levels of disruption in prison, reduced self-harm, improved well-being, an environment that is experienced as more humane and reduced levels of reoffending. Originality/value The work of HMP Grendon offers a well established and evidenced approach to managing men who have committed serious violent and sexually violent offences. It also promotes and embodies a progressive approach to managing prisons rooted in the welfare tradition.

Keywords: Criminal justice system; Prison; Prison psychiatry; Prisoners; Psychological health; Rehabilitation.

MeSH terms

  • Female
  • Health Services Accessibility / organization & administration*
  • Health Status
  • Humans
  • Male
  • Mental Disorders / therapy*
  • Organizational Culture*
  • Prisoners*
  • Prisons / organization & administration*
  • Therapeutic Community*
  • United Kingdom