COVID-19 in Guyana’s Prisons

By Clare Anderson, Mellissa Ifill, Remi Anderson & Shammane Joseph-Jackson.

All over the world, the COVID-19 pandemic has impacted on prisons, particularly where institutions are overcrowded. In Guyana, where prison capacity hovers at around 125%, until 15 September 2020, no prisoners were known to have had the virus, but on that day two prisoners at Lusignan Holding Bay tested positive. COVID-19 quickly spread in the prison, and by the end of the month 218 inmates had returned positive tests. To date, the overwhelming majority of infections in the prison system are in this location (around 70%). This is due to the fact that Lusignan is the main prison for new admissions, which accounts for the majority of new cases.  The others were mainly split between Timehri and Mazaruni, with smaller numbers in New Amsterdam and Georgetown (Camp Street). Up to now, October 2021, one prisoner has died at Mazaruni, though following the Lusignan infections a hunger strike and attempted outbreak led to the death of two inmates who were shot dead whilst trying to escape.

In the current pandemic, Guyana’s prisons have attracted even less than normal attention and resources. With the exception of public statements by the Guyana Human Rights Association, civil society has largely been unresponsive to the plight of prisoners in COVID-19. It has recommended that all sentences for possession of marijuana or other secondary category drugs be commuted to time served, all remand prisoners for non-violent crimes be reviewed and bail reduced, all prisoners whose sentences are within three months of completion be released early, and all women prisoners for non-violent offences be commuted.

Pandemic prison guidelines were initially developed from the more general guidelines issued by the Ministry of Public Health and National COVID-19 Task Force, and also influenced by best practices yielded from the 2020 International Conference for Prison Services in Latin America and the Caribbean. Guidelines included the establishment of isolation and quarantine areas, early release of some inmates, setting up of virtual courts, suspension of prison visits, new staff work schedules (14 days on/ 14 days off, to reduce ingress and egress), and new sanitation and cleaning practices. Since last autumn, these were augmented with the mandatory use of facemasks for inmates and staff, testing of new admissions, and the provision of buses for staff – to mitigate the risk of infection while travelling to and from work. Staff are briefed in daily meetings, with frontline officers required to oversee daily operations, ensuring that safety measures are adhered to or alternative arrangements put in place.

The safety measures seem to have worked well within the institutional, systemic, resource and infrastructural constraints of the prison system. There has been a reduction in the inmate population, the result of close collaboration between the judiciary and the prison system, and the more routine use of bail and community service sentencing. However, there is no question too that the pandemic has exacerbated chronic staff shortages, including through fear and concerns about safety. The remoteness of some sites, such as Mazaruni prison, has further added to these concerns as vaccination rates among staff remain significantly lower than elsewhere in the service. Staff absenteeism led to increased incidences of agitation among inmates, and complaints and demands to see the welfare and medical officers. Prisoner concerns included lost opportunities to work and earn; remission of sentences; loss of family visits; inability of some families to take advantage of virtual visits; and poor internet capacity which interrupted virtual visits with attorneys and families and caused trials to be rescheduled.

Prisons present ideal conditions for viral transmission, and the prevention of social contact in them has been a priority in numerous global locations. Overall, the cautious and pragmatic approach of the Guyana Prison Service during the early months of the pandemic impacted on prisoners’ access to justice and rehabilitation, and increased tensions inside the jails. Moreover, though there have been attempts to limit it, the ingress and egress of staff and supplies means that it is not possible altogether to eliminate the entry of the virus into prisons.

Later on, digital technologies enabled the resumption of trials and visitations. However, these digital strategies, while useful and reportedly spurring the courts on to increased productivity, have removed the human centred approach in circumstances where prisoners and their families are not entirely familiar – or even familiar at all – with new technological innovations. It is important therefore, that care is taken not to perpetuate inadvertent discrimination in such contexts. And, as Guyana rolls out its vaccination programme the cost of this is in terms of enhancing inequalities for some sectors of the population remains to be seen. Important questions for the future also remain. Will the measures instigated over the past year remain effective? And what will be the long-term impact of the pandemic on the health and mental well-being of staff and inmates?

This research was a collaboration between the University of Leicester and University of Guyana, in partnership with the Guyana Prison Service. It was funded by the University of Leicester’s QR Global Challenges Research Fund (Research England) and led by Professor Clare Anderson.

Historicising the Camp Street Commission of 2016: colonial-era prison inquiries in British Guiana

On 2 March 2016, unrest broke out in Guyana’s oldest and largest prison, Camp Street in Georgetown. Prisoners set fires, leading to the death of seventeen inmates and the partial destruction of the facility. The day after order was restored, President David A. Granger ordered the establishment of a Commission of Inquiry. Inmates had released video footage from inside the prison, blaming individual officers for events, and alleging that they had been locked in their cells and left to die. Granger thus directed the Commission to report on the ‘causes, circumstances, and conditions’ of events, to establish the nature of the prisoners’ injuries, to assess whether the staff of the Guyana Prison Service had followed correct procedure, and to determine whether the inmates’ deaths were caused by the ‘negligence, abandonment of duty, disregard of instructions, [or] inaction of the Prison Officers’. He also ordered it to make recommendations necessary to secure the future safety of the prison.

The commissioners undertook an expansive investigation, visiting the prison and interviewing numerous witnesses. They concluded that ultimately inmates themselves were responsible for the deaths, because in the intense heat prison officers had been unable to open cell doors. However, they also laid the blame on ‘a myriad of institutional deficiencies’ that were products of Guyana’s punitive attitude to crime and public apathy about prison conditions. The Commission described the huge backlog of court cases, which meant that at the time of the fire two thirds of inmates in Camp Street were on remand, with the prison at 184 per cent capacity. It noted that these delays were in part a consequence of the courts’ under-use of defendants’ constitutional right to bail, but that overcrowding generally was also the result of harsh sentencing policy, including for relatively minor drugs-related offences. Further, the Commission blamed the system of preliminary inquiries, the lengthy pre-trial process of gathering oral evidence, which slowed the progress of cases through the courts.

Cover page of the 2016 Camp Street Commission

Its recommendations for the Guyana Prison Service included enhanced training for officers, greater attention to inmate welfare, and the development of infrastructure. For the judiciary and magistracy, it advised more routine granting of bail, and the abolition of minimum sentences, the decriminalisation of cannabis for personal use, alternatives to custody for petty drugs-related offences, and greater attention to proportionality in sentencing. Finally, it highlighted the desirability of a publicity campaign to address punitive attitudes and educate the public about the importance of rehabilitation.

The 2016 Commission of Inquiry was by no means the first investigation into prisons in Guyana. Indeed, such commissions have a long history, and date from the British colonial era. Commissions were appointed and instructed by the governor, and they had the right to call witnesses and take evidence on oath. Commissioners reported to the legislative council, which discussed their findings and could pass resolutions. Following Independence in 1966, this practice (as codified in a 1933 Act) was incorporated into Guyana’s constitution. Whereas during the British period, the governor was responsible for instigating enquiries, after 1966 this power became the gift of the nation’s president. There are other procedural continuities between the colonial and modern periods. Then as now, commissions are independent of government, and charged with establishing and regulating their own procedures. Whilst previously the British announced commissions in a special supplement of colony’s official newspaper, The Royal Gazette, today they appear in Guyana’s The Official Gazette.

The first prison commission that I have been able to locate in the archives took place in 1847. It was focused on Mazaruni, as were the majority of the inquiries of the colonial period – a 1906 inquiry into Georgetown is the key exception. This was probably due to Mazaruni’s remote location, which at the time was seen as the cause of the allegations of violence, cruelty and corruption that surfaced periodically. Since Independence there have been further commissions, again centred on Mazaruni and Georgetown, but also on New Amsterdam and Lusignan. In sum, I have found evidence that there have been a dozen commissions into prisons since 1847. Given the fragmented nature of the archives (not all documents survive) there may have been more.

Together, these inquiries – including interviews with British and Guyanese personnel, and inmates – tell us quite a lot about ideas about punishment and rehabilitation. Where commissions published summaries of interviews with prisoners and front-line personnel, they also enable rare glimpses of the experiences of ordinary Guyanese, and in particular of the nature of everyday life in jail. Witness statements were taken formally and verbally. During the colonial era, where an individual was the subject of an inquiry (e.g., when a British officer was accused of violence), they were present at cross-examinations and allowed to ask questions. Though in law inquiries were not judicial trials, they certainly mirrored their form.

Reading archives of prison inquiries against our knowledge of present-day practice leads us to ask certain questions. Historically, were commissions an effective tool of governance? To what extent did they address crisis and controversy, rather than structural or deep-seated issues? Did they legitimize state authority and maintain colonial interests rather than push for change? To help to think these issues through, let us explore some historic examples.

The 1847 commission that I mentioned above was set up to investigate an alleged plot by inmates to murder the superintendent, poison the guards, and set fire to the buildings, against a background of widespread social unrest following a dramatic drop in wages in the years after emancipation. The Commission did not contextualise events at Mazaruni, or connect the colony’s jail building programme to the end of enslavement, but instead resolved only to open negotiations on the establishment of a military post nearby, to enhance security.

A second inquiry of 1848, again at Mazaruni, was ordered in the aftermath of the deaths of twelve inmates, due to the violence and neglect of the medical officer. He fled, and though the inquiry took evidence, and a warrant was issued for his arrest, the legal process against him could not begin in his absence, and there were no changes to prison management as a consequence. These were put in place only in 1854 and 1855, following the removal of a second medical officer from Mazaruni, for frequent drunkenness. The most important stimulus to change here, however, was not the inquiry itself, but simultaneous Colonial Office pressure on the colony to bring jail rules and regulations into line with those in place in Britain. (That did not happen, though there were some minor alterations).

Printed for the Colonial Office – the 1872 report

The biggest changes came in the 1870s, when a request was sent to the governor, asking for a change in practice in medical postings at Mazaruni, alongside extensive details of the prior history of the site. The issue was referred to the colonial secretary, the 1st Earl of Kimberley, and referring to previous ‘abuses and cruelties’, he expressed regret that Mazaruni was still open. A new commission was set up, and this made various recommendations about the rotation of officers and the building of better officer accommodation. Backed by London, these were put into force. If the picture of change and continuity is somewhat variegated in the colonial past, how about the outcomes of prison commissions since Independence, and particularly that of 2016?

Almost five years on, the Commission does seem to have catalysed the construction of new accommodation at Camp Street, as well as at Mazaruni, though neither is yet open. Work on better officer training is underway, and there has been a little movement in regard to issues such as the granting of bail or the abolition of minimum sentences, particularly to address overcrowding in light of the Covid-19 pandemic. The country is now also experimenting with the use of a separate Drug Treatment Court. Until the new facilities are open, however, the Guyana Prison Service cannot properly address the key issue highlighted by the Commission: overcrowding. Bodies such as the Inter-American Development Bank are now working towards a reduction in the prison population across the Caribbean. Whether these initiatives are enough to reduce punitive public attitudes remains to be seen. Certainly, evidence-based research, such as that generated through the MNS Guyana project, can only assist in that endeavour.

Author’s acknowledgement: Thanks to Kellie Moss for photographing the 1872 report, and Mellissa Ifill for comments on an earlier draft.

Epidemics and pandemics in British Guiana’s jails, in the 19th and 20th centuries

Clare Anderson and Kellie Moss

As has become evident as the Covid-19 pandemic extends its grip all over the world today, jails are environments in which infectious diseases can be easily spread. This is especially the case in overcrowded conditions, most especially where prisoners share accommodation and washing and toilet facilities. Historically, outbreaks and epidemics of diarrhoea, dysentery, respiratory illnesses, and whooping cough were the most prevalent diseases in the colony of British Guiana, including in prisons. To these can be added the mosquito-borne illnesses malaria and yellow fever. Limited levels of healthcare and poor sanitation within the prison system meant that after the British began its jail building programme from the 1820s, containing the spread of disease was an ongoing problem. In Her Majesty’s Penal Settlement (HMPS) Mazaruni in 1871, for example, over a third of the prisoners in hospital were suffering from diseases incurred by overcrowding, bad ventilation, and a ‘total lack of any sanitary measures’. The following year, fears were expressed that in the event of an epidemic, Georgetown jail was so overcrowded that the consequences would be disastrous. In fact, this scare underpinned a call for a reduction in the number of prisoners overall, though this did not follow until the first part of the 20th century.

Plan of New Amsterdam Jail, 1841, showing the hospital (“C”)

Despite this recognition, a general lack of concern regarding the welfare of prisoners ensured that epidemics continued to plague the prison system in the decades that followed. Furthermore, once an infectious disease entered the system, the authorities were unable to keep it contained. For example, following an initial case of influenza at HMPS Mazaruni in 1895, recurring outbreaks of the disease were reported in Georgetown, New Amsterdam and Suddie prisons until 1899. The medical officers however, routinely denied any connection between ‘prevalent diseases’ and living conditions. The outbreaks were, instead, attributed to the debilitated condition of the inmates prior to their admittance to prison. This, the medical officers noted, left many prone to catch the disease after only the ‘slightest exposure to chill’. It would be almost 20 years before colonial prison authorities were willing to take responsibility for the conditions that facilitated the spread of infectious diseases.

HM Penal Settlement on the Rio Massaruni, c. 1870-1931. Source: The National Archives UK CO1069/355
‘This view is taken from the side gallery of the Superintendent’s house. The Prison faces East, towards the river. These Halls … are now the oldest portion, and are built of stone … The Union Jack is hoisted on Sundays and special festivals. The Convicts are fallen in on parade, for muster and search before proceeding to labour after their dinner, and represent about 300 men. The end of the roof of the Commissioners’ House is seen to the right among the trees.’

In September 1919, the Acting Surgeon-General of British Guiana J.H. Conyers submitted his usual annual report to Governor Sir Wilfred Collet. In it, he noted the prevalence of the ‘influenza epidemic’, or what we now commonly refer to as the ‘Spanish flu’. What had started out as a mild strain in August 1918, had by November become a severe epidemic that had penetrated the furthest reaches of the colony, including especially dwellings on the plantations. The hospitals of Georgetown and New Amsterdam were, Conyers reported, ‘sorely tested’. In words that resonate today as the Covid-19 virus challenges health systems all over the world, he concluded that the medical service had only managed the situation through deferring all non-urgent operations and other hospital work. Efforts were also made by the health authorities to isolate patients, and their visitors, to eliminate the possibility of the spread of the infection by acute carriers. We now know that the Spanish flu killed between 25 and 30 million people worldwide. The most devastating pandemic in modern history, it affected the whole of the Caribbean, including the colony of British Guiana. It was estimated at the time that out of a total mortality of 8,887 in the months of December, January and February, influenza was responsible for 6,378 deaths. Historian David Killingray puts the figure even higher, at perhaps as many as 20,000.

The influenza pandemic also impacted on the colony’s prisons. From the first recorded patient in Georgetown jail, in December 1918, a virulent strain of the disease spread rapidly throughout the prison population. The transfer of inmates between prison sites meant that cases of the disease emerged soon after in Mazaruni, New Amsterdam, and Suddie. In comparison to previous years the total number of deaths recorded tripled. In 1917, 17 inmates had died in hospital. In 1918, the figure was 30, or 6.5% of the daily average (i.e. the number of prisoners in jail on any given day, not the total number admitted during the year). Although we do not have details of the cause of all these deaths, the Acting Surgeon-General noted the pandemic was to blame for ‘a considerable part’. It was also noted, at the time, how prompt preventive measures by prison authorities, such as the isolation of those displaying symptoms, and improved sanitary measures helped to prevent an even greater spread within the system. This was a difficult task given that fever and dysentery was rife amongst members of the prison staff. Most significantly, however we have no sources that indicate how prisoners and prison officers – or the population at large – understood and experienced the pandemic. Whatever the case, we do know that the overall mortality from the influenza pandemic in the colony was high, as 17.7% of those who contracted the disease died. This figure rose to 21.1% in the colony’s prisons. This means that although a relatively small number of inmates died, they died in larger numbers than the free population. Furthermore, the colonial authorities used prisoners to dig graves in the colony’s capital of Georgetown.

New Amsterdam Hospital, c. 1950. Source: Government Information Agency, Guyana

In the wake of the outbreak, a concerted effort was made by the prison system to enhance levels of hygiene. From this point a small group of prisoners were designated the task of improving sanitary measures within each prison. Efforts to isolate sick inmates and disinfect their cells were also strictly adhered to, although these attempts were not always successful in impeding the spread. Medical officers were often required to convert association wards into temporary hospital bays due to the number of cases, and the lack of suitable medical facilities. At a senior level further attention was also paid to reducing contaminated water supplies, and the breeding of flies, common sources of dysentery and diarrhoea. Yet, despite these efforts intermittent outbreaks of disease continued to plague the colony, although never again on the scale experienced in 1919. For example, there was a localised epidemic at the end of 1933. This caused higher rates of morbidity and mortality overall across the whole colony, but for reasons which are not entirely clear did not impact on prisons.

Clare Anderson is Principal Investigator, and Kellie Moss is Research Associate on the ESRC GCRF project MNS disorders in Guyana’s jails, 1825 to the present day.

Sources:

Papers relating to the improvement of prison discipline in the colonies (London: Harrison and Sons, 1875).

The British Library, Surgeons-General Reports, 1894-95, 1895-96, 1897-98, 1898-99, 1917, 1918, 1919, 1933, 1935 & 1938.

The British Library, Inspector of Prisons Reports, 1894-95, 1895-96, 1897-98, 1898-99, 1917, 1918, 1919, 1933, 1935 & 1938.

The National Archives UK, British Guiana original correspondence, 1872; Colonial Office Photographic Collection, c. 1870-1931.

Richard Coker, ‘Expert Report: Covid-19 and prisons in England and Wales’, 31 March 2020

David Killingray, ‘The Influenza Pandemic of 1918-1919 in the British Caribbean’, Social History of Medicine, Volume 7, Issue 1, April 1994, pp. 59–87.

An historical perspective on Guyana’s jails

Clare Anderson

In the nineteenth and twentieth centuries, the colonial administration of British Guiana managed over a dozen jails, three of which still stand today. These are: Camp Street (Georgetown), New Amsterdam, and Mazaruni. The history of prison building and incarceration in British Guiana was the focus of a recently completed project, funded by the British Academy and conducted by researchers from the University of Guyana and the University of Leicester. The project asked questions about the role of prisons in the colonial justice system, and about historical patterns and experiences of imprisonment. It sought to find out whether history can offer lessons from the past that might be useful for understanding jails today.

HMPS Mazaruni, 19th century

The project team comprised myself and Dr Kellie Moss (Leicester) and Dr Mellissa Ifill and Estherine Adams (Guyana). Together, we undertook extensive research on colonial-era records held in our respective national archives, where we discovered a rich history of continuity and change. We found that colonial prison administrators kept coming back to the question ‘what is prison for?’ From that stemmed near-continual discussion of the same topics. These included the desirability of the separate treatment of different kinds of offenders (and adults and juveniles); the role of religion in rehabilitation; the deficiencies of prison infrastructure; prison security and escape; the morale of prison officers; and the education and training of inmates.

We presented some of our research to a group of serving prison officers, in autumn 2018, and had the opportunity to visit Mazaruni and New Amsterdam. Three things became immediately apparent. First, a great deal of colonial-era infrastructure survives today. Second, at least some of the daily rhythms of incarceration (including modern prison regulations) date from the British period. Third, there remain many parallels between the past and the present, regarding the active debate of exactly those issues that were discussed in the past.

Estherine Adams and Kellie Moss, project workshop, Georgetown, November 2018

New Amsterdam and Georgetown Prisons are the oldest operating prisons in Guyana. They were built by the Dutch, and extended by the British after they took control of the colony in 1814. Later, in 1843, the British constructed Her Majesty’s Penal Settlement (HMPS) Mazaruni, near Berbice. They also built numerous other district prisons, along with several ‘lock-ups’ in the more remote regions. The government of Guyana built the other two modern institutions, Timehri and Lusignan, following Independence in 1966.

The project found that the history of Guyana’s jails is intertwined with the history of colonialism, notably enslavement, immigration, and population management. During the era of slavery, the owners of enslaved persons punished their human property for what they perceived as labour infractions or ill-discipline, often using extremely brutal measures. After emancipation, the colonial state took on this role, and this was the background to the development of prisons in the 1830s and 1840s. The British imprisoned emancipated slaves and others, including Asian indentured labourers, for a range of offences. These included crimes against property, but also what they called ‘idleness’, and breaches of harsh labour laws, including unauthorised absence from home or work.

Indentured Indian sugar workers, early 20th century

The project also discovered that the architectural design of and daily regimes instituted in Guyana’s prisons were strongly influenced by changing European and American thinking about their ideal form and function. The British adapted and built jails according to ‘modern’ prison design. Ideally, prisoners would occupy individual cells, and they would be punished and rehabilitated through a programme of education, work, training and Christian instruction. One notable feature of nineteenth-century punishment was the use of prisoners in colonial building projects. Inmates built and repaired streets and pavements, and constructed parts of the Sea Wall – in the latter case including through the draft of prisoners from Mazaruni to Georgetown. However, despite Britain’s claim to penal ‘modernity’, prisons could be violent places in which prisoners were chained, flogged or placed on harsh rations. Georgetown prison even had a treadmill, which constituted an extreme form of physical punishment.

Mazaruni Prison, 2017. Photograph: Obrey James.

From the very earliest days, where there were efforts to reform and rehabilitate prisoners, they were often frustrated by a lack of resource and difficulties in recruiting guards and other personnel. In large part, these failures reflected the fact that the British never came to a firm conclusion on the rationale for incarceration. Rather, jails always served a variety of purposes, and these were often incompatible with each other. For example, though the British wanted to use jails for different types of offenders, the pressure of numbers meant that prisoners were often transferred to inappropriate locations, and this put a strain on prisoner training, education and work. Also, guards often left employment, or retired early, due to stress and overwork. There even erupted various scandals where it emerged that guards had violently beaten and mistreated prisoners. This led to the establishment of a Board of Prisons in 1862, and the appointment of an Inspector General of Prisons from 1879. These measures increased government regulation over prisons, and enabled some positive interventions such as the introduction of tickets-of-leave (or what we would now call probation), which helped to rehabilitate and resettle inmates.

Several other themes emerged during our research project, notably regarding the mental health of inmates and guards. For example, we found archives that suggested that historically there was excessive consumption of alcohol (by inmates and guards), and that inmates routinely smoked marijuana. We also discovered that some prisoners hallucinated or had delusions, became suicidal, or were transferred to the ‘lunatic asylum’ in New Amsterdam. This led the research team to develop a more focused project, with the goal of exploring issues around the prevalence of mental, neurological, and substance abuse (MNS) disorders in Guyana’s jails. A collaboration between the universities of Leicester and Guyana, in partnership with the Guyana Prison Service and HMP Leicester, this project is both historical and contemporary. Funded by the Economic and Social Research Council, it will run until the autumn of 2021.

Social scientists know that attention to the relationship between lives and environments, and the production of an evidence base, are vital for successful research impact in a field now known as ‘global mental health’. As well as understanding individual health, we need to be sensitive to history, society and culture. Recently, researchers have argued that western concepts and models of MNS disorders require refinement, so that they do not produce misconceived diagnosis or become neo-colonial in their application of knowledge on a problem defined in the West. Our earlier historical research, against the background of this concern, forms the background to our new project.

The project team, University of Guyana, April 2019 – from left, Di Levine, Queenela Cameron, Deborah Toner, Clare Anderson, Dylan Kerrigan, Martin Halliwell, Estherine Adams, Shammane Joseph Jackson, Kellie Moss, Kristy Warren. Photograph: Mellissa Ifill.

The historians on the team, now including also Shammane Joseph Jackson and Dr Deborah Toner, are returning to the archives. Our team of anthropologists, criminologists, political scientists, and sociologists – Dr Tammy Ayres, Queenela Cameron, Professor Martin Halliwell, Dr Dylan Kerrigan, Di Levine and Dr Kristy Warren – are currently examining modern records and undertaking interviews, and will be running focus group workshops, with prisoners, prison officers, and prisoners’ families. Some of the things we want to find out about are how different communities – and men, women and youths – define/ defined and experience/ experienced MNS disorders; what constitutes/ constituted MNS disorders management and welfare provision; and how Empire and Independence impacted on prevalence, representations and experiences.

We want to see if it is possible to connect present-day challenges associated with MNS disorders to the history and legacies of the British Empire in Guyana. Our hypothesis is that the existence of MNS disorders in jails today can be traced back to the British colonial period. Thus, they cannot be disconnected from the country’s history as a sugar colony that employed and controlled indigenous people (Amerindians), enslaved Africans, and indentured labourers. We hypothesize that Empire created particular forms of trauma, shaped demography and religious practice, and instituted patterns of population control including through the building of jails. We seek to render this history actively part of the process of change today, by connecting new historical work to new research in and around prisons in Guyana today.

Clare Anderson is Principal Investigator of the ESRC GCRF project Mental Health, Neurological and Substance Abuse Disorders in Guyana’s Jails, 1825 to the present day.