Category: MNS disorders

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Prisoner Health, Human Rights and Social Recovery

By Martin Halliwell

On 21 October 2011, at a summit in Rio de Janeiro, the World Health Organization (WHO) released the Rio Political Declaration on Social Determinants of Health, its strongest statement yet of the need to tackle health inequities within and between countries. Focusing on the WHO’s commitment to health as a fundamental right rather than a privilege, the Rio Declaration recognised that to eliminate inequities would require the sustained ‘engagement of all sectors of government, of all segments of society, and of all members of the international community’. By viewing social determinants in both economic and psychosocial terms, the declaration made three policy recommendations: ‘to improve daily living conditions; to tackle the inequitable distribution of power, money and resources; and to measure and understand the problem and assess the impact of action’. The World Health Assembly’s adoption of this policy framework in 2012 was an effort to embed what the Rio Declaration called ‘an intersectoral approach’ to analysing how social groups are classified with respect to quality of life, comorbidities and access to health care.

A decade on from the Rio Summit, the governance role of the WHO is more critical than ever to ensure that economic pressures, polarizing ideologies and faltering international accords, which we have witnessed globally in the 2010s and early 2020s, do not compromise the ideal of health as a fundamental right. Despite this stated imperative, the WHO has been slow to attend to the psychosocial needs of prisoners, especially those incarcerated in the Global South. This sluggishness is despite a growing body of research across the humanities, social sciences and life sciences that shows how incarceration is itself a ‘chronic health condition’, with ‘social, biological, and psychological elements’ which are both ‘poorly documented and poorly addressed’. [1] As an April 2022 School of Oriental and African Studies (SOAS) workshop on the colonialities of incarceration makes clear, this trend not only privileges Euro- and US-centric analyses but it can lead to an exceptionalising (and sometimes racializing) of human rights abuses in the Global South.

The WHO’s Health in Prisons Programme
While heeding the warnings of the SOAS workshop, it is important not to overlook the ways in which WHO has addressed prisoner health, albeit with a largely European focus. We can pinpoint 1995 as a breakthrough year for WHO, with the formation of its Health in Prisons Programme (HPP) across eight European countries, with the aim of sharing good practice and raising national standards, as embodied by the Declaration on Prison Health as Part of Public Health. This 2003 WHO declaration states that economic pressures and social challenges faced by a nation state cannot excuse a government’s failure to uphold their duty of prisoner care, including ‘effective methods of prevention, screening, and treatment’.

This ideal is shared by NGOs, such as Penal Reform International (PRI), established in 1990 to raise global standards in prisons and share best practice, with a particular focus on prisoner support in Africa, the Caribbean and South Asia. In its worldwide emphasis, PRI highlights human rights violations, noting that reducing overcrowding and meeting (or exceeding) the UN Standard Minimum Rules for the Treatment of Prisoners (also known as the Nelson Mandela Rules) are ‘vitally important components of a prisoner’s journey’. [2] Nonetheless, as Katherine McLeod and colleagues have recently argued, there remains ‘a critical lack of evidence on current governance models and an urgent need for evaluation and research, particularly in low- and middle-income countries’. [3]

A case in point is the European focus of HPP. Despite its growth from an initial eight to forty-four national members, the 2014 HPP publication Prisons and Health acknowledges that incarceration falls disproportionately on poor and vulnerable communities, at a time when researchers across a span of disciplines were calling for attention to the health needs of women and older prisoners on a global scale. [4] Despite its Eurocentrism, Prisons and Health develops the insights of Good Governance for Prisoner Health in the 21st Century (2013), with the aim of facilitating ‘better prison health practices’ with respect to human rights and medical ethics; communicable and noncommunicable diseases; oral health; risk factors; vulnerable groups; and prison health management’. [5] Calling for prisoners to receive an equivalent standard of health care to other citizens, Prisons and Health defines the ‘prisoner as patient’ with the same rights as all other patients. We might take issue with the power dynamics of the ‘prisoner as patient’ concept, especially the implication that patients are powerless (or have only limited agency) in the face of diagnostics and interventions. Yet the report focuses as much on governmental responsibility as on ensuring that prisoners have basic health rights and benefit from prison health services that are integrated ‘into regional and national systems’, within and beyond their experience of incarceration. [6]

Clinical Recovery and Social Recovery
Estimating that 40 per cent of prisoners encounter mental health problems during their jail time (some reports suggest this percentage is much higher), not only does Prisons and Health highlight the multiple determinants and co-causalities of mental ill health, but it points to the psychosocial needs of prisoners, noting that ‘clinical recovery’ and ‘social recovery’ are two distinct processes with differing timelines. [7] One of the missing factors in assessing these recovery arcs, as medical anthropologists Johanna Crane and Kelsey Pascoe argue, is that often appraisals of prisoner health fail to engage with what prisoners themselves identify as their needs. Crane’s and Pascoe’s research in Washington State is closely informed by interviews with prisoners who often describe a ‘slow erosion of their well-being over the course of their imprisonment’ due to ‘a frustrating mix of regimentation and unpredictability that derailed their ability to transition to life beyond prison’. [8] This mix is particularly acute for prisoners who experience solitary confinement or who feel locked-in by an aggressive course of medication administered to manage erratic or psychotic behaviour.

Yet ‘erosion of well-being’ can also result from overcrowding, unsanitary conditions, prisoner-to-prisoner violence, mistreatment by prison staff, or health needs that might be either undiagnosed or overtreated. Not only are these realities in tension with the goal of ‘social recovery’, but they evoke what sociologist Erving Goffman calls a conspiratorial form of ‘secret management’ practised by social institutions beyond the prison, where wounds continue to be inflicted on ex-prisoners via tacitly aligned systems that collude with overt forms of carceral management. [9] The WHO’s reminder of health as a human right is pivotal to ensure this kind of collusion does not occur. However, this may not be enough to offset rights violations that can lead to long-term erosion of selfhood, which, in turn, may lead to further offences or to debilitating mental health experiences that jeopardise rehabilitation.

PAHO and Culturally Congruent Research
A related issue is the lack of regional and cultural specificity in these kinds of overview studies, even though PRI’s 2019 edition of Global Prison Trends provides brief case studies from Thailand and Australia to offset the Eurocentric focus of HPP. The dearth of regionally sensitive studies on prison health is particularly relevant for the Caribbean, as University of West Indies psychiatrists Frederick Hickling and Gerard Hutchinson have argued. [10] Although WHO and the Pan American Health Organization (PAHO) have raised awareness and standards of best practice for prisoner health care, their publications tend to ignore both the historical legacies of slavery and colonialism and the ‘clash of cultures and ideologies’ that cut across national identities. [11] At a basic level, in many PAHO publications, the Caribbean is often overshadowed by a Latin American focus on Central and South America, or where Anglophone and Francophone distinctions within the Caribbean are overlooked.

This need for culturally congruent studies is vital, but it is also important to recognise that PAHO has played a major role since the 1990s in working with national governments across the Caribbean to combat health conditions arising from poverty, ranging from pan-regional studies, including the 1998 survey Health in the Americas, through to country specific reports, such as the 2012 Guyana: Faces, Voices and Places in Guyana. These interventions include improving health surveillance; increasing epidemiological capacity; expanding the pool of trained health officials; tackling environmental health; promoting healthy lifestyles; and highlighting co-morbidities in prisons, especially around mental health and addiction. PAHO continues to advocate for good health-care practice and improving public health communications, but its reports tend to be oriented towards disease surveillance and, when they deal with mental health, fail to give a holistic account of what clinical and social recovery might mean within (and beyond) a carceral environment.

Faced with this regionally uneven advocacy and policy landscape, our ESRC-funded project, ‘MNS Disorders in Guyana’s Jails: 1825 to the Present’, shows why it is equally important to account for the long arc of colonialism in the Caribbean and to attend carefully to the intersectoral factors that exacerbate ‘the pains of imprisonment’. [12] Since 2019, we have witnessed the collaborative efforts of the Guyana Prison Service and Guyana’s Ministry of Health to improve systems and governance, including the adoption of holistic health care, with the aim of transitioning ‘from a penal system to that of a correctional facility’. [13]

Nevertheless, as our project publications show, the shadow of the colonial penal system still looms large in Guyana’s prisons. Not only do health screening procedures for new prisoners need improving, but overcrowding, unsanitary condition and inadequate care continue to jeopardise UN standards intended to safeguard prisoner health. [14] Intensified WHO and PAHO collaboration will enable Caribbean national governments to share best practice, but ministries also need to improve prison infrastructure and to facilitate a meaningful shift of discourse from ‘management’ towards ‘care’ and a reorientation from eroded to positive identities. A sharper emphasis on ‘social recovery’ may prompt officials to think about prison as a transitory phase within a life-journey rather than a defining experience from which it is difficult to recover. Not only it is crucial to recognise the multiple determinants of prisoner health, but to remember that it is the collaborative task of government, prison and health care officials to uphold human rights and prepare the ground for released prisoners to ‘lead meaningful and contributing lives as active citizens’. [15]

Martin Halliwell is Professor of American Thought and Culture in the School of Arts, University of Leicester. He is the author of American Health Crisis: One Hundred Years of Panic, Planning, and Politics (University of California Press, 2021) and his co-edited volume The Edinburgh Companion to the Politics of American Health will be published by Edinburgh University Press in August 2022. He is grateful for feedback while preparing this blog from Professor Clare Anderson, Dr Tammy Ayres and Dr Dylan Kerrigan.

[1]. Johanna Crane and Kelsey Pascoe. ‘Becoming Institutionalized: Incarceration as a Chronic Health Condition’, Medical Anthropology Quarterly, 35(3), 2020, 2–20.

[2]. Penal Reform International, Global Prison Trends 2019, ‘Healthcare in Prisons’ supplement: https://cdn.penalreform.org/wp-content/uploads/2019/05/PRI-Global-prison-trends-report-2019_WEB.pdf. On prison overcrowding, see also Morag MacDonald, ‘Overcrowding and its Impact on Prison Conditions and Health’, International Journal of Prisoner Health, 14(2), June 2018, 65–8.

[3]. Katherine E. McLeod et al., ‘Global Prison Health Care Governance and Health Equity: A Critical Lack of Evidence’, American Journal of Public Health, 110(3), March 2020, 303.

[4]. See, for example, Seena Fazel et al., ‘Mental Health of Prisoners: Prevalence, Adverse Outcomes and Interventions’, Lancet Psychiatry, 3, 2016, 871–81.

[5]. Stefan Enggist et al., Prisons and Health (Copenhagen: WHO Regional Office for Europe, 2014), i.

[6]. Enggist et al., Prisons and Health, 1–2.

[7]. Ibid., 87–8. See also David Pilgrim, ‘“Recovery” and Current Mental Health Policy’, Chronic Illness, 4, December 2008, 295–304.

[8]. Johanna T. Crane, ‘Mass Incarceration and Health Inequity in the United States, in The Edinburgh Companion to the Politics of American Health, ed. Martin Halliwell and Sophie A. Jones (Edinburgh: Edinburgh University Press, 2022), 520.

[9]. Erving Goffman, ‘The Insanity of Place’ (1969), in Relations in Public Microstudies of the Public Order (London: Penguin, 1972), 415.

[10]. See, for example, Frederick W. Hickling and Gerard Hutchinson, ‘Caribbean Contributions to Contemporary Psychiatric Psychopathology’, West Indies Medical Journal, 61(4), 2012, 442–6. 

[11]. Daniel Nehring and Dylan Kerrigan, Therapeutic Worlds: Popular Psychology and the Sociocultural Organisation of Intimate Life (London: Routledge, 2019), 29.

[12]. ‘Mental Health in Guyana’s Prisons: A Direct Legacy of the Country’s Colonial History?’, Stabroek News, 16 April 2021.

[13]. Guyana Prison Service, 2020 Annual Report (Georgetown: Guyana Prison Service, 2021), 1, 5.

[14]. See ‘Offender’s Mental Health Prior to Incarceration must be Assessed’, Guyana Chronicle, 28 August 2021.

[15]. Jerry Tew, ‘Recovery Capital: What Enables a Sustainable Recovery from Mental Health Difficulties?’, European Journal of Social Work, 16(3), 2012, 360. See also Jerry Tew et al., ‘Social Factors and Recovery from Mental Health Difficulties: A Review of the Evidence’, British Journal of Social Work, 42, April 2011, 443–60.

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Mental Health and Covid-19 Protocols in Guyana’s Prisons

By Queenela Cameron

Interviews conducted at the Georgetown and Lusignan prisons in 2019 as part of a collaborative research on the topic of “Mental, Neurological and Substance Abuse disorders in Guyana’s Jails – 1825 to the Present Day” revealed that a number of mental health challenges (diagnosed and undiagnosed) are experienced by both prisoners and prison staff, with depression seeming to be the dominant one. Depression in the context of Guyana’s prisons, is exacerbated by several factors; limited recreational activities, poor or limited work and education rehabilitation programmes, and an absence of, or limited contact with family members to name a few.

Image: Lusignan Prison 2019, Professor Martin Halliwell, University of Leicester

The Covid-19 pandemic and the measures taken (from March 2020 to early January of this year) to prevent and manage its spread in the prison environment, played additional roles in further alienating prisoners from the already limited activities which aim to contribute to their rehabilitation. It stands to reason, that an absence/suspension of these activities and programs (for approximately two years) as well as the pandemic itself, likely intensified feelings of stress and depression amongst prisoners.  Prison staff who too were subjected to strict Covid-19 guidelines including prolonged periods of confinement in the prison environment likely experienced increased levels of stress on their mental well-being.

Among the measures taken was the suspension of all religious activities and training programs within the prison. One of the key findings unearthed during the interviews conducted in 2019, revealed that religion is one of the biggest coping mechanisms utilized by prisoners, as attending religious services gives them comfort and relieves feelings of stress, depression and hopelessness. These findings are not unique to Guyana’s prison environment, as several studies conducted in other jurisdictions point to the effectiveness of religion in positively impacting the mental health of prisoners. Bradshaw and Ellison 2010, and Ellison et al, 2008 for instance, note that “Participation in religious activities can impact inmate mental health by promoting social support. Attendance at religious services has consistently been shown to be protective against mental distress.” 

The suspension of this vital stress-reliever and depression-combatant implies that many prisoners were likely to become withdrawn, easily agitated, disruptive, fight amongst themselves, experience appetite loss, and harbour escape and/or suicidal thoughts.

Given that the number of daily Covid-19 positive cases, both outside of and inside of the prison contexts of Guyana has drastically reduced from its peak of 1,558 on January 17 of this year to 5 cases as at March 25, 2022 (WHO), and also given that there is already inadequate mental help support in the form of counselling and therapy for convicted prisoners and that no such service exists for prisoners on remand, it is recommended that religious activities should be resumed, albeit in the contexts of social-distancing, sanitizing and mask-wearing guidelines. Conscious of the limited spacing available for religious worship due to massive overcrowding, small groups could be accommodated at various intervals in order to fulfil the right of prisoners to religious engagements which is vital to prisoners’ mental well-being as well as their rehabilitation.

With respect to training activities, those too were suspended for approximately two-years. However, between January 12 and 15 of this year, all of the Guyana dailies and Newscasts reported that 861 prisoners housed at the various prisons graduated in what is being referred to as “ground-breaking” training courses offered at the various prisons. The programs, prison officials’ note, aim to prepare inmates for life outside of the prison and to assist with their reintegration into society. The inmates had the opportunity to participate in a number of different training areas such as entrepreneurship, anger management, carpentry and joinery, family reconciliation, tailoring, culinary arts, art and craft, cosmetology, barbering, crops husbandry and veterinary sciences. The courses were extended to all prisoners including those on remand and also those who were convicted with several high-profile and special watch inmates taking the opportunity to rehabilitate themselves with the courses. (HGP Nightly News. January 15, 2022). Further, the “Fresh-start” program launched just last month by the Guyana Prison Service with similar programs and more, are all aimed at preparing prisoners for productive life outside of prison. (Stabroek News. February 18, 2022)

These programs must be commended for their role in fostering prisoners’ rehabilitation and likely reducing rates of recidivism as “the impact of education goes well beyond the walls of the prisons themselves, extending into the home communities of the incarcerated.” (North Western University Prison Education Program). Their importance in assisting the mental health of prisoners whose time would have been more than likely spent on unproductive activities which contribute to depression, anxiety, stress and other mental ailments cannot be overstated. Further, the inclusion of these programs to prisoners on remand must also be applauded for its progressiveness given that the current laws do not extend those privileges to remand prisoners, many of whom sometimes spend several idle years behind bars before sentencing or release.

Another of the measures taken was the suspension of the (external) work rehabilitation program. Prior to the pandemic, some prisoners were able to capitalize on work rehabilitation programs which not only helped in the provision of financial resources for them to supplement their prison-provided supplies, but also contributed to their families’ upkeep, occupied their time, helped provide meaning in their lives by providing them with something to focus on, and prepared them for post-prison productive life. North Western University Prison Education Program notes that work rehabilitation aids in preparing prisoners for life outside of prison as “reentry is far smoother and more successful for those who took classes in prison, especially insofar as gainful employment is one of the defining features of successful reentry.” The suspension of this privilege likely impacted the mental health of prisoners in a negative way.  Existing literature suggests that “inmate boredom caused by the lack of work and absence of recreational activities could be linked to depression and aggressive behavior.” (Tartoro and Leaster, 2009). Such behaviors could spread among the prison population thereby leading to prison riots, fires etc., all of which could make the work more challenging for an already thinly-stretched and over-worked prison staff.

The suspension of family visits was another measure implemented to prevent and manage the Covid-19 pandemic in Guyana’s prison setting. During the interview sessions with prisoners in 2019, many bemoaned the lack of/limited visits form their family members, while others were in praise for supportive family members who visit often and supplement their supplies. The complete removal of this social support privilege (though replaced by electronic means using the “Google Hangouts app” and/or telephone) likely increased feelings of depression and other mental health issues amongst prisoners. De. Claire Dixon, 2015 notes that “Visits help offenders to maintain contact with the outside world, promoting successful reintegration back into society and reducing recidivism. This scarcity of social support might make adjustment to prison more difficult, risking the use of maladaptive coping strategies.”

A further measure taken was the suspension of actual (face-to-face) court hearings, and the establishment of virtual courtrooms. While this measure must be lauded for its role in respecting the rights of prisoners to a trial within a reasonable time period as well as the possible reduction of time spent on remand, the positive mental-health benefits of actually leaving the confines of the prison environment for a trip (however temporary), to be in a setting with non-prisoners, to perhaps have a moment to socially interact with family members and their attorney, cannot be ignored.

While most of these measures impacted prisoners, their impact on the mental-health of prison staff cannot be ignored. Prison Officers were already in-line due to the prolonged March 2020 elections and they were forced to remain in-line (for time frames as long as two weeks) as a precaution against bringing the virus into the prison environment.  Devoid of the vital social interaction of family, being forced to work long hours in an overcrowded setting in the face of a massive human resource deficit, fearful of contracting a deadly virus in the contexts of agitated, violent, dangerous and scared prisoners are all factors which likely intensified the stress levels of prison staff.

It should be recalled that a number of undiagnosed prisoners, specifically those on remand, complained of experiencing bouts of depression and anxiety as a result of their incarceration. They also bemoaned the absence of competent mental health personnel on whom they could unburden themselves. Similar sentiments were expressed by officers and other prison staff who, like most prisoners, also use religion as a coping mechanism.

In light of the foregoing, and in the context of the almost- completed “modern” prison and proposed new prison headquarters at Lusignan, it is hoped that this facility would be equipped with a modern mental health facility and staffed by competent metal-health personnel, including therapists and counselors to assist prisoners (including remand prisoners who do not benefit from existing arrangements) and prison staff.

Such facility would greatly augment prisoners’ rehabilitation, prepare them for life outside of prison and ultimately reduce the rates of recidivism. For Prisons Officers and other staff, working in both one-on-one and group sessions with a therapist could help them cope with the challenges associated with a highly stressful, time-consuming, low-paying, and sometimes under-valued profession.

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Resisting Carceral Confinement in Guyana: Legacies of a Colonial State

Kellie Moss & Kristy Warren

In July of 2017, a fire destroyed the majority of the buildings that stood in the compound of the Georgetown Prison in Guyana’s capital. Four prisoners escaped and one warden was killed. Over 1000 people were imprisoned at the time in a space meant to hold less than 600 people. Just over a year earlier, in March 2016, 17 prisoners died and eight were injured after a fire spread in the Capital A Block of the prison. The setting of this fire arose out of prisoner’s frustration with structural deficiencies within the prison which included overcrowding, poor sanitation, and an infestation of pests. Also of relevance was that the overcrowding was caused in large part by the length of time individuals were being held on remand before trial. However, these events did not occur in a vacuum. The issues of overcrowding and the numbers of prisoners being held on remand for extended periods of time have been linked to varying forms of prisoner resistance since British rule.

Historically, prisons in British Guiana were used by colonial administrators to control and confine the labouring population, namely the formerly enslaved and indentured immigrants, within the plantation society. As a result, those of African and Asian descent were disproportionately policed and punished to deter others from engaging in ‘criminal’ activities. Most notably this occurred for breaches of contract and misdemeanours under the immigration ordinance. Whilst some prisoners adapted to the substandard living conditions and overtly punitive environment of the prison system, many sought to test these institutional practices. Critically, therefore, prisons quickly became sites of resistance and challenge for the labouring population as they attempted to alter their legal, social, and political situations.


Since the mid-nineteenth century, government inquiries and the reports of colonial authorities have urged change in the provision of the colony’s prison system, citing concerns disturbingly similar to those identified by the Commissions of Enquiry into the 2016 and 2017 fires. This included, among others, poor infrastructure, overcrowding, and unsanitary conditions. As in recent years inquiries into these concerns were often a direct response to violent, every day, or official forms of prisoner’s resistance.


Due to the limited number of warders the prison system was often reliant on the compliance of prisoners to adhere to rules and regulations rather than force. As a result, when the prisoners felt powerless, they would often resort to uprisings as a way to challenge the system. Habitual offenders frequently took advantage of the lack of trained warders required to maintain discipline with the creation of gangs that threatened to overwhelm the balance of control. These groups included a range of differing classes, such as first offenders, juveniles, and those awaiting trial. Whilst attempts were made in the 1930s to alter certain aspects of the prison system, such as the separation of different classes of prisoners, these efforts were ultimately hampered due to budget constraints, and the need to manage and discipline the prison population. A lack of space, and facilities within Guyana’s prison system mean that those on remand continue to be held in close association with those imprisoned for committing violent crimes.


Rum, cannabis, and opium provided an escape from the hardships of labouring on plantations throughout much of the nineteenth century. And, having become firmly established within the culture of the labouring class the increased legislation introduced around the turn of the twentieth century unsurprisingly led to a significant rise in this form of resistance both inside and outside the prison walls. For many prisoners, substance use provides an escape from the anxieties of being imprisoned. Thus, unlike uprisings that involve acts of violence, most acts of resistance have involved everyday negotiations that have taken place between the prison population and the staff. This has included the consumption and trade of illicit substances, such as alcohol and drugs, the latter of which has mostly been trafficked by the prison staff for financial gain. Recently, much has been done to improve fencing, with the introduction of night-time surveillance, to help stem attempts by friends and family to throw contraband over the walls.


Hence, it can be seen that the use of alcohol and drugs within the prison is a trend that has continued into the twenty first century. Whilst the introduction of technology has led to a wider range of contraband in recent years (cell phones and sim cards), alcohol, and drugs continue to play an important role in helping to relieve the strictures of incarceration. In particular, cannabis remains a key drug within the prisons in connection to both escapism and resistance. Additionally, images and videos of participation in other illegal or banned activities, such as human ‘dog fights’, bring attention to the conditions in the prison system, both physical (the overcrowding) and mental (frustration and boredom).


As Guyana’s prison system continues to attract media attention and the concern of prison reform and human rights organisations (United Nations), history can be drawn on to highlight continuities in terms of the challenges of managing large numbers of prisoners with limited means. Despite some temporary successes for the prison population during the nineteenth and early twentieth century, resistance often led to additional or continued oppression. Yet, such acts of resistance continue. Since independence, a lack of resources and poor infrastructure has meant that the several commissions of enquiry have not resulted in systemic change. Further uprisings occurred in the summer of 2020 in response to continued deplorable conditions and worries that COVID-19 was spreading in the prison. It also provides a final sobering conclusion that little has changed in terms of the high rate of imprisonment in Guyana and the detrimental effects the system has had since the beginning of British rule in 1814.

The authors would like to thank Mellissa Ifill for her comments/feedback on an earlier draft of this blog.

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Evaluation in a post-colonial context

By Diane Levine

In their 2020 chapter “The South against the destroying machine”, Lara Hofner takes an interdisciplinary approach to reflecting on the social realities of the Minority World, the ways in which they are hegemonic and violent, and the contrasting social realities of the Majority World,  considered ‘oppressed’ (see Hofner in Baumann & Bultmann, 2020). In this blog post I reflect on the challenges of evaluating the MNS Disorders in Guyana’s Jails project as we saw them at the outset, then share some of the key messages emerging from the mid-point evaluation, and consider some of the challenges we will face in the remainder of the project in ensuring evaluation does not become part of the “destroying machine”. [Note: I do not sit directly within the research team, which I hope has given me some small sense of distance and objectivity in delivering evaluative activity.]

What was

At the project launch stage the team’s planned evaluation and impact activities were founded on some shared key principles:

  1. We collaborate and align our efforts for the benefit of the project as a whole wherever possible,
  2. We ensure equity of access to data, including by considering gender, socio-economic and socio-cultural dimensions to our findings.
  3. Our research emerges from meaningful understandings of the complex environments in which we operate.
  4. We promote decolonising methods and perspectives.
  5. We learn continuously by analysing and reflecting on the specific and changing circumstances in which we operate.
  6. We harmonize with our colleagues outside the academy, committing to co-ordinating our efforts with others in the same space on their advice. 

The challenge ahead was not underestimated by team members. Impact and evaluation have already been problematized widely in the academy (e.g. Aguinis et al, 2014). With particular reference to this project were conceptualisations of impact that rely wholly on ideas of rationality and control that provide an unfortunately fantastical security in a context that does not in reality allow for non-linear ‘contradiction, complexity, or paradox’ (e.g. Shahjahan & Wagner, 2018, p.g.3). We all saw that this formulation made an incontrovertible link between the rational and the conqueror, and brought us dangerously into colonial practice: in this framing everything must be manageable, observable, knowable, and measurable, as the team sought to identify causal linkages between intersectional complexities and ‘impactful’ intervention.

As was expected across the funding landscape at the time (2018/19), the team intended to produce an evolutionary logical framework, and emergent classical Theory of Change goals that would: i) model pathways to impact, explaining the potential connection between activity, output, outcome, and impact, ii) provide rationales on how implemented activities and inputs are likely to lead to our desired outcomes, and iii) make assumptions and constraints explicit. The original logframe looked something like this:

Attempts to conceptualise impact in the context of a decolonial imperative have aimed to demonstrate multi-stratified perspectives of reality (e.g. Izutsu, 2008), and alternative ways of knowing that we cannot normally see through the common impact lenses of, say, policy citation (see Śūnyatā, as explicated in Shahjahan & Wagner, 2018). Change that might arise from our research activities as viewed through Śūnyatā’s lens is not change in itself. Rather, change depend for existence on everything else.

We realised that we would need to learn the lessons being taught to us by the limits and failures of tools such as logical frameworks and Theories of Change, whilst acknowledging our commitments to our funders, colleagues’ careers, institutional progression, and our partners. Following their first fieldtrip (March 2019) the team began to ask themselves some difficult questions:

  • Can we understand and evaluate in a pluriversal way that surfaces the interconnectedness between us all in the Guyanese context?
  • Can we accept the discomfort that our work may not ‘make a difference’ in the ways we conceptualise ‘difference-making’?

Alongside finding ways of addressing these questions, the team realised that parallel systems might need to be run for capturing the pragmatic requirements of funders and institutions. They wanted to formulate these new ways of evaluating and knowing without sacrificing their integrity. This seemed to me an excellent position from which to begin my observation (and learning) journey.

What is now

One of the parallel systems to which we had committed was a mid-point evaluation. Our original conceptualisation was of something that would be delivered in Guyana, with Guyanese stakeholders. Sadly, in March 2020 we had to rapidly re-formulate our approach with the onset of Covid-19. Fieldwork, workshops, focus groups and consultation would no longer be possible in the way we had envisaged. Not only that, but uncertainty within the Guyanese socio-political context, and associated significant workloads for everyone, meant that we could not in fairness ask people to give up their time for long virtual workshops.

In the interests of pragmatism we opted for a light touch mid-point evaluation comprising a content analysis of all meeting minutes to summer 2020, 1:1 interviews of all team members willing to speak, and a summary that would then be reflected to our Advisory Board for comment, critique, and critical friendship. Six key themes emerged.

What will be?

So what about next steps? Well, there are some practical things we need to do. For example, for large scale projects, we need to begin to consider costing/building in professional support for those gathering data in the field (including in archives), or possible training modules available to all teams in managing emotional responses to this kind of high-stakes work.

But the significant, intersectional task ahead for evaluation will be to continue to recognise that “evaluation is unavoidably and simultaneously in dialog with the prevailing contexts of colonization and decolonization vis-à-vis the location and moment in which it occurs” (Marama Cavino, 2013). We need to build a culturally-meaningful, Caribbean-aligned, model of evaluation that meets Guyanese needs, as well as our original commitments. Watch this space!

Dr Diane Levine is the Deputy Director and Manager of the Leicester Institute for Advanced Studies at the University of Leicester.

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Guyana’s Prison Officers: A Stressful and Dangerous Job

By Tammy Ayres

Guyana’s prisons have been described as ‘potentially life-threatening’ and ‘not  fit  for human  habitation’. These life-threatening conditions can be attributed to systemic and historically derived deficiencies that continue to plague Guyana’s Prison Service (GPS) today. These include overcrowding, poor infrastructure, violence, physical abuse and unsanitary conditions, all of which have a detrimental impact on the staff and prisoners that live and work there. Prison officers are not only detrimentally impacted by the prison environment and its decaying infrastructure (e.g., which induces psychological distress, depression, burnout, post-traumatic stress disorder, substance use, violence, corruption, disorder, absenteeism and a high staff turnover) but their responsibilities often entail ‘physical exertion and mental anxiety’. This helps to explain why the international evidence shows prison officers are at a greater risk of mental ill-health than other occupational groups. In fact, being a prison officer is a dangerous and stressful job that involves daily intimidation and on occasion, actual physical violence. Nowhere is this truer than in Guyana. While the experience of prisoners in Guyana has been captured elsewhere (see Cameron, 2020; Sarsfield and Bergman, 2017), this blog focuses on the frequently forgotten prison staff who work across Guyana’s five prisons; three of which are colonial era prisons that were constructed and operated according to the needs of the colony (see Anderson et al. 2020); colonial legacies that are still evident today.

The post-colonial prison is shaped – haunted – by the colonial past and this is true for prison officers as well as the regimes, infrastructure and policies. Staff played a key role in the colonial prison as they were expected to use ‘their moral influence to encourage good behaviour’, provide educational classes and enforce labour, which often led to guards using ‘cart whips and cat o’ nine tails’ on prisoners to ensure compliance and productivity. The cruelty and mistreatment of prisoners by staff that plagued the colonial prison was attributable to a lack of regulation, which had created ‘a regime of fear and cruelty’ in some of Guyana’s jails. Although Regulations were finally introduced in the late 1800s outlining the duties of prison officers, which were implemented in line with British practices (e.g., CO 111/67, CO 116/207 and CO 111/384), it did not stop these abuses. Abuses that have not only been documented in the past but as the ensuing discussion will show, are still prevalent in Guyana’s prison service today.

The lack of penological resources characteristic of the contemporary Guyanese prison were also prevalent in the 1800s; prison guards were difficult to recruit, while overcrowding and poor conditions meant that many prison officers ‘left employment, or retired early, due to stress and overwork’. Historical records show that even the medical officers – employed to care for prisoners – were responsible for the death of inmates, as their role often revolved  ‘around diagnosis and discipline rather than treatment and care’. In fact, the decaying infrastructure and overcrowding has  a negative impact on staff and prisoners today as well as in the past: ‘J.  Brumel  noted  in  1875, that incarceration  caused  terror  to  convicts,  but  also had  a  depressing influence on officers’ and their families, ‘who often lived inside prison compounds’. This remains the case today, with many prison officers and their families living in close proximity to the prisons in which they work, particularly at Mazaruni where officer’s families live on the prison complex, which is only accessible via boat (see pictures below). 

Her Majesty’s Penal Service was changed to Guyana’s Prison Service in 1957 and was established by the Prison  Act  No.  26. Guyana’s Prison Service (GPS) aims ‘to provide a secure environment for Staff and Offenders’ and has just over 500 staff working in the service – 58% are men and 42% are women (GPS, 2017) – with the Director of Prisons having overall responsibility for all of the prisons in Guyana, while the Deputy Director holds responsibility for Operations. As nearly half of all GPS staff ‘are women and civilian staff who do not secure the majority of male prisoners’ there is a shortage of staff for the male estate – about 295 male prison personnel for around 2,074 male prisoners that comprise 96% of Guyana’s prison population – that results in a low staff to prisoner ratio, which has had ‘a significant impact on the personal security of inmates and guards alike’. Feelings of safety and security are integral to rehabilitation and building healthy prisons. Feeling safe is also the most important determinant of distress among prisoners and staff, illustrating that both safety and security are important issues that need to be addressed since the majority of prisoners (89%) felt less safe in prison than anywhere else they had lived (Sarsfield and Bergman, 2017). In fact, safety and security are basic human needs, which if unsatisfied can actually exacerbate levels of violence, disorder and rule-breaking in prison (see Hoke and Demory, 2014).  Although prisons have a dual role of public protection alongside the rehabilitation and reintegration of prisoners, it has been unable to adequately fulfil either since its inception (see Ifill, 2019) as many of the problems facing GPS today, were also prevalent in the past.


A Warder at HMPS, The Illustrated London News, 1888.

The contemporary prison service in Guyana is plagued by the same problems evident in the colonial prison, which according to the Director of Prisons (2020) rests on ‘the absence of physical infrastructure and human resource’. In fact, the physical infrastructure remains the same as in colonial times, particularly in the colonial era prisons that have not really changed. Internationally, it is well documented that the prison environment (conditions and culture) can adversely affect staff and prisoners, particularly prisons described as ‘not  fit  for human  habitation’ like those in Guyana. Such conditions also feed into and influence the way staff see and treat prisoners detained in these prisons. Research from the global north has continually shown that ‘the routine and bureaucratic denial of humanity in prison and the tendency to construct prisoners as the other ‘them’ creates spaces where inhumane treatment may occur…making brutality possible, even inevitable’ (Crawley, 2004). The use of violence by staff against inmates, the depersonalisation of prisoners (prisoners are merely bodies to be counted) and staff detachment are also well-documented techniques implemented by prison officers to cope with their job, which can also precipitate corruption.  In fact, the prison environment, its culture and the high concentration of criminals in confined spaces ‘not only makes those  deprived  of  their  liberty  prone  to  instigating  corruption;  it  may  equally  serve  as  a  catalyst  for  corrupt  practices  and  abuse  among  prison  service  officers,  particularly  if  coupled  with  a  lack  of  accountability  and  oversight’ (UNODC, 2017). Thus, safety and security are also compromised by ‘widespread corruption, mismanagement, bribery, favouritism and dishonesty in the GPS’ as the correlation between levels of corruption and ill-treatment in prisons globally is well documented (see UNODC, 2017). Although incidents of violence and corruption are sporadic in GPS, they still occur. Prison officers often have fewer qualifications, less training, low morale, low salaries, fewer career opportunities and are often held in lower regard than other officials leaving them susceptible to corruption (Ifill, 2019; UNODC, 2017). This has led to calls to increase the pay of prison officers in Guyana to compensate for the daily risks they face and in attempt to eliminate corruption.

Corruption occurs on a continuum and can vary from turning a blind eye to contraband in prison to aiding escapes and undertaking financial misdemeanours. Although levels of corruption vary across Guyana’s prisons, levels of corruption have been described as concerning, with ‘High-Levels of Corruption’ being evident at the overcrowded and heavily criticised Lusignan prison (also described as ‘not  fit  for human  habitation’). In fact, Minister Benn said, ‘we are losing more prison officers than we are getting due to corrupt practices.’ In Guyana in 2016, two hundred and thirty-nine prison officers – just under half of all officers (47%) employed by GPS – were charged and sanctioned with misconduct, that fell into two main areas; the possession of prohibited articles and assault on one another (GPS, 2017).

Possession of Prohibited Articles: Cigarettes, Cannabis and Rum: it is acknowledged that prisons are not closed and total institutions (if they ever were), which means contraband flows freely in and out of prisons via visitors, prisoners, civilians and delivery drivers, as well as prison staff. In fact, staff are one of the main supply routes for contraband, with 28% of inmates in Guyana reporting that staff brought drugs into prison (Sarsfield and Bergman, 2017), which is supported by several high profile incidents across all of Guyana’s prisons (e.g., in New Amsterdam, Camp Street, Mazaruni and Timehri). The trade in contraband, particularly illegal drugs in prison, namely cannabis, is facilitated by prison wardens and Police Officers because it is ‘big business’ and there is a lot of money to be made. However, it also indicates corruption, illegal earnings and criminality, which is often accompanied by violence, and is increasingly being associated with (organised) criminal gangs (see Owen and Grigsby, 2012). 

Violence and Assault: Shivs and Shanks: there are incidents of violence by staff against prisoners, by prisoners against staff and prisoners against prisoners, some of which have led to death. In fact, eight out of ten prisoners had witnessed inmates being beaten and a quarter said they had been attacked or beaten in the previous six months illustrating why prison was deemed to be an unsafe place (Sarsfield and Bergman, 2017). Not only have there been instances of prisoners overpowering staff and stealing their weapons, which includes guns, but prisoners also create makeshift weapons which are then used to attack fellow inmates and/or staff, which has on occasion resulted in death:

‘sharpened spoons…boring out your eye…a sharpened spoon up an officer’s nose…they also had sharpened wires, which they could push up under your ribs.’

However, staff also perpetrate violence against prisoners, and according to Minister Benn ‘some unfortunate persons, who perhaps [have] money or from whom money could be extorted…they [prison officers] will take a picture or a video and put knives to his throat and say ‘pay money to us…or else.’ While most prisons are violent, the State have been accused of creating the ‘conditions’ necessary for violence to occur in Guyana’s prisons. The overcrowding, poor infrastructure and staffing issues, when combined with the toxic mix of prisoners, including those with mental health issues who have always been, albeit inappropriately, sent to prison rather than a mental institution, has led to violence, unrest and murder. In fact, reports suggest that:

‘If they (prison authorities) know that a person is not well behaved, they deliberately transfer them to the Capital Section where you will be beaten. It’s a dog eat dog situation.’

Corruption and violence varies across Guyana’s prisons. However, corruption at Lusignan prison is said to have ‘significantly increased after prisoners were transferred there following the deadly fire at the Camp Street prison in March 2016’. In fact, the confiscation and seizure of contraband instigated the 2016 fire at Camp Street, which was described as ‘a war zone… full of burnt bodies’ where anyone in uniform was seen as the enemy. The more recent fire at Lusignan prison last July was also related  to the seizure of contraband as well as the beating of a prisoner by four prison officers, incidents which subsequently led to the prisoners setting ‘fire to the building, demanding that the drugs be returned’. While it is unclear how rife corruption is in Guyana’s Prison Service, contraband, particularly cell phones and drugs, help prisoners to cope with imprisonment; a sentiment also iterated by prisoners at the Camp Street Enquiry: ‘they have to get them cause it wouldn’t be comfortable for them to serve their prison time.’ Therefore, it is difficult to ascertain if corrupt prison officers who collude with prisoners do it to make money or do it out of compassion due to the harsh conditions’ prisoners are forced to endure in Guyana’s jails. This is particularly pertinent since many of the prison officers come from the same communities as their custodians, which is further compounded by a lack of research/knowledge in this area. Although GPS have tried to eliminate corruption, by offering financial incentives (e.g. the Guyana Prison Service offer $25,000 to expose criminal activities in the prison system), as well as recruiting new staff who are currently being trained ‘to manage prisons without corruption’, the demand for contraband will remain as it makes life easier for prisoners and staff alike. Drugs like cannabis have a calming effect on the jail, which makes the job easier for prison officers and may help to explain why some prison officers occasionally turn a blind-eye and/or facilitate its supply (see Cameron, 2020). Unfortunately, due to market dynamics, while demand exists there will always be someone willing to take the risk to ensure their supply, meaning that eliminating corruption and violence is an ongoing challenge facing GPS, particularly while the demand remains amongst prisoners that is largely driven by the poor and ‘potentially life-threatening’ conditions prisoners are forced to endure.

Discharged Convicts Waiting for the Boat, The Illustrated London News, 1885

Therefore, it can be seen that Guyana’s Prison Service continues to be haunted by its colonial past, and that includes its staff. During colonisation, the British blamed isolation, overcrowding and a lack of prospects on the low morale of prison officers. There were very few rules and regulations outlining their role, which meant violence and mistreatment were rife, but justified, as prisons, like the plantations contained dehumanised and often animalised bodies that led to an increase in the number of punishments being administered within the prisons. It is in this context that prison officers and prisoners occupy historical spaces of distress, decay and violence. In fact, the conditions and problems facing GPS today are similar to those in the colonial past despite the plethora of reports, commissions and recommendations that have been made over the years. All grades of prison personnel in the contemporary Guyanese Prison Service – as they did in the past – experience physical  and  mental exhaustion, poor health, stress, anxiety as well as being over worked and under paid, that has for some resulted in excessive alcohol use that according to Governor  P.E.  Wodehouse, could result in death. However, there is very little research on prison officers in Guyana, which is something the MNS in Guyana’s Jails project seeks to rectify. The dearth of research on the experience of prison officers in the global south means that research from the global north is often extrapolated and applied to explaining the experiences of prison personnel – as in this blog – despite its inapplicability and irrelevance, illustrating the need for research that captures the lived experiences of prison officers working in Guyana’s prisons. The role and impact of effective, well-trained and committed staff at all grades should not be underestimated since research – albeit from the global north – shows it can impact on staff motivation and retention; determine the success of a prison or new regime; impact on safety and security; everyone’s health and wellbeing; levels of distress, violence, drug use, self-harm and suicide; as well as recovery and rehabilitation. Although there have been calls for more professionalism and training in GPS, caution must be taken to ensure that the institutional reproduction and dominance of colonial practices does not take precedence and obscure the epistemologies and experiences of the global south that removes the colonised from their own history. An ‘erasure and forgetting’ known as colonial amnesia (see Kerrigan, 2020).  

Tammy Ayres is an Associate Professor in the School of Criminology, University of Leicester, UK.

The author would like to thank Clare Anderson, Kellie Moss and Queenela Cameron for their comments/input on an earlier draft of this blog. Thanks, must also go to Kellie Moss for the photographs.

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Enhancing Mental Health Communications in Guyana

Martin Halliwell

Two of the trickiest aspects of mental health care to get right are psychiatric diagnosis and public health communications. The challenge for health providers around the world is to maintain consistent standards of classification for mental health and illness without imposing a rigid framework that overlooks social determinants and cultural specificities. Similarly, while public health education is part of the machinery of government – advising citizens about healthy behaviour or instructing them what to do in emergencies – this top-down model sometimes overlooks the importance of horizontal modes of communication within and between communities.

In this blog, I reflect on these two different types of health communications – the first directed towards health care providers, the second towards the public – to think through implications and challenges for developing a dynamic model of public health in Guyana, especially at the intersection of mental health and incarceration for a multicultural society.

Mental Health Diagnostics

Guyana, like the Caribbean as a whole, uses the International Statistical Classification of Diseases and Related Health Problems (ICD) for its diagnostics. This is a globally held standard for both physical and mental health, except for in the United States and parts of Canada, where the Diagnostic and Statistical Manual of Psychiatric Disorders (DSM) has more specifically informed psychiatric classification since the early 1950s. First established in Paris in 1900, the ICD has gone through 11 editions in the 120 years since and is closely wedded to health standards upheld by the World Health Organization (WHO). This compares to the DSM, established by the American Psychiatric Association in 1952 to provide consistency to the hitherto psychiatric categories deployed in the medical department of the US Armed Forces. DSM has expanded dramatically through five editions, moving away from psychoanalytic language in the third edition of 1980 to develop an organic framework for describing psychiatric disorders and, since 1994, a multi-axial system for understanding the various causes and components of mental illness.

The most obvious commonality between ICD and DSM is the word ‘disorder’ for describing a group of conditions that includes mood disorders, neurotic disorders, schizophrenia, personality disorders, neurodevelopmental disorders, and mental and behavioural disorders due to using psychoactive substances. As well as variance in scope, there also some key differences between the two systems. In a July 2014 article, Peter Tyrer points to the global reach of ICD and its attention to primary care in low and middle-income countries, in contrast to DSM’s focus on high-income countries and its specificity as a psychiatric manual. The ICD also stands apart from DSM’s links to health insurance, which determines whether a patient in the US with a diagnosed condition is eligible for co-pays, Medicare or Medicaid. Given its global reach and flexibility as a system, researchers like Cary Kogan and Peter Tyrer hope that ICD will eventually replace DSM in Canada and the US. Published in June 2018, for adoption by member states from January 2022, ICD-11 has moved away from a categorical to a dimensional approach to mental, behavioural and neurological disorders, offering a more nuanced account of a patient’s changes over time and seeking to integrate traditional medicine.

The main problem about both diagnostic models is that psychiatrists deem ‘disorder’ to be a neutral term referring to a disequilibrium or impairment within the human organism, yet from an analytical sociological lens it is a heavily coded word shaped by social determinants and cultural experiences. In clinical terms, diagnosing a disorder can sometimes lead to relief for a patient. Just as often, though, it can lead to the medicalization of a person who might be experiencing a temporary fluctuation in mood and behaviour; or who needs interpersonal support rather than medical treatment; or whose environment is not conducive to the best of health.  Crucially, sometimes the diagnosis of a major disorder can be stigmatizing and can resonate more forcibly within certain demographic groups. For example, there were numerous studies in the post-World War II period that linked ‘disorder’ to the perceived behaviour of Black males, with discourses commonly slipping fluidly between health, home and society. It is easy to see how the term becomes mired in ideology if a disorder in or of the self mirrors a breakdown in family or social order. This insight has led critics like Daryl Michael Scott in Contempt and Pity (1997) and Jonathan Metzl in The Protest Psychosis (2010) to critique what they see as the invidious racial coding of this kind of psychiatric language.

This does not mean that we should dismiss ICD and DSM as being part of the micropolitics of the state, especially as ICD seeks to cross borders and promote health access globally. Through their numerous revisions, the two manuals have attempted to balance questions of scale and duration and take into account multiple factors before reaching a diagnosis. However, even if we embrace the progressive spirit of ICD, the consequences of a clinical diagnosis for treatment and operational practice are subject to significant variations in national health infrastructures across global regions. This is especially the case if we think about the availability and cost of certain therapeutic drugs, if and how comorbidities are treated, and to what kind of interpersonal care a patient has access – whether it is in a state or private facility or within an outpatient setting. Used crudely, an ICD or DSM diagnosis can be life transforming in the wrong way. A diagnosis of a major disorder, particularly among some demographics, can lead to custodial care or a course of drugs that might not be in the patient’s best interest, leaving social determinants largely untouched.  

Public Health Communications

In contrast to diagnostics, public health communications seem to be, on the surface, less controversial. Surely, the balancing of official communications at state level and a sensitivity to the needs of a particular community offers a balanced way forward for health officials. This balancing of vertical and horizontal approaches is one that Chelsea Clinton and Devi Shridar uphold in their 2017 book Governing Global Health, aligned with WHO’s view that health is a right and not a privilege. The Pan American Health Organization, established in 1902, embodies the views of the WHO within the Americas, and in 2018 it mapped out a sustainable health model through to 2030, which places as much emphasis on human resources and crisis response as it does on access to medicine and the resilience of health systems. On this view, the most effective kinds of public health communication are less about the balancing of vertical and horizontal axes, and more about promoting a holisitic understanding of physical and mental health as part of an ecosystem of well-being.

This PAHO model shares with a ‘One Health’ approach a recognition of the interconnected nature of human health and animal and planetary health. Yet, this does not necessarily provide public health workers with easily distributable public health information. This is especially true when budgets are tight, or where there are barriers of language and literacy, or where some communities are hard to reach. This last factor is true of Guyana, which centres its state health apparatus on Georgetown and the seaboard, leaving a number of rural regions and localities (in the interior and close to the borders with Venezuela, Brazil and Surinam) underserved in terms of access to well-staffed health services, instead relying on sparse health units operating on a part-time basis.

On visiting all of Guyana’s prisons in April 2019, in collaboration with the Guyana Prison Service and Guyana’s Ministry of Public Health, members of our research team were struck with how patchy and out-dated health information was, and in some prisons was lacking altogether. Where we did see posters or leaflets in the prison system, or in allied medical facilities, they focused almost entirely on physical health and disease, such as malaria, anaemia or HIV/AIDS.

Only occasionally did we see very basic information on mental health. At the National Psychiatric Hospital near New Amsterdam Prison we saw three versions of the 2017 PAHO World Mental Health Day poster ‘Depression: Let’s Talk’, representing different ethnicities and genders (as illustrated here), despite the conditions of the hospital ward being almost unbearable and not conducive to talk therapy. We also saw a ‘Break the Silence’ poster on domestic sexual violence in the prison hospital at Mazaruni (a men’s prison), with an emphasis on abused women speaking up against hidden crimes that are often covered over, and with the tagline at the bottom of the poster: ‘A real man can control himself’.

Recommendations for a Dynamic Public Health Model

Whether or not health information in communities and prisons are improved and updated, it may still overlook the WHO’s view that health is a dynamic process that needs underpinning by care-oriented facilities, not simply a textbook issue to diagnose and treat. The implications of the WHO and PAHO model are that public health communications should not just be offered to a community as a service, but be embedded in that community in a co-owned space in which prevention is prioritized over treatment. We saw an example of this co-ownership in Georgetown, with the participation of many students in a World Suicide Prevention Day march on 10 October 2019 (see my December 2019 blog), alongside the Ministry of Education’s efforts to integrate classes on health and family life into school curricula from age 5 upwards. Nevertheless, there are three key aspects of an integrated public health model that might be usefully adopted.

The most obvious aspect is for an updated and more nuanced set of posters, leaflets and online resources about the signs and symptoms of mental distress that might help to deepen social views of mental health and would support the work of health officials in terms of education and outreach. It presents an opportunity, for example, to ensure health education among male prisoners does not simply skew towards anger management, as is the case in Guyanese prisons. This opportunity might link to a broader programme of prisoner rehabilitation classes, including sociological, historical and literary topics, in order to help inmates better understand their behaviour and to learn about harm prevention from a wider frame of reference.

Secondly, we could point to the need to ensure that public health literature brackets off discourses of ‘right behaviour’ understood in moralistic, religious or legalistic terms – which is particularly tricky when it comes to countries that criminalize recreational drug use across a broad spectrum. Such a move needs to be carefully considered and managed, in order to focus less on punitive discourses and more clearly on self-care, care of others, and how to access health services. The independent Drug Policy Alliance in the US, established in 2000, offers a model of this, given that one of its key values focuses on ‘empowering youth, parents and educators with honest, reality-based drug education’ that moves beyond ‘fear-based messages and zero-tolerance policies’.

A third important area would be to ensure that prisoners, as well as patients treated for lengthy periods in inpatient facilities, have broader access to two-way communications beyond the institution. Within the US prison system, one example is the Restorative Radio Project, run by Sylvia Ryerson, a researcher at Yale University. This project enables families of prisoners in Appalachia to share ‘audio postcards’ and music with imprisoned family members via toll-free public radio – and there is potential for inmates to reciprocate with their own audio postcards. Such an opportunity can help alleviate loneliness, isolation and a loss of self-esteem among prisoners, as well as what Johanna Crane and Kelsey Pascoe call the ‘chronic health condition’ of incarceration itself.

This radio-facilitated model can be linked to larger step changes, such as Yale University’s efforts to expand prisoner education via for-credit courses with the aim of imagining ‘a future beyond mass incarceration’ and ensuring that prisoners and empowered and educated rather than being treated or managed. The fact that this is an elite Ivy League institution with a $1.5 million Mellon grant to develop an educational initiative that dovetails with criminal justice reform takes us back to structural questions about capacity, economics and racism which are never easy to resolve. However, the initiative also speaks to other national models, such as in Norway in which all prisoners have a right to education and a commitment to rehabilitation through positive experiences.

Concluding Thoughts

There is much promise at state level in Guyana of meeting the challenge of tackling the burden of mental illness, as the development expert Ramesh Gampat recommended at the end of his two-volume 2015 book Guyana: From Slavery to the Present. In addition to the aim of the Ministry of Public Health to reduce suicide rates and destigmatize mental illness with the aid of WHO’s mhGAP Intervention Guide for use in non-clinical settings, we saw evidence of art therapy practised at Mazaruni Prison, alongside (patchy) library material and outdoor recreational facilities in most of Guyana’s prisons. This reveals a growing awareness that health and well-being are multifaceted.

The challenge remains for us, though, across the intersecting global communities of the early twenty-first century, to imagine a future where public health information is a shared resource rather than an arm of government that flourishes or withers on the strength of budgetary priorities.

Martin Halliwell is Professor of American Studies in the School of Arts and a research expert at the University of Leicester. His new book American Health Crisis: One Hundred Years of Panic, Planning, and Politicsis published by the University of California Press. He would like to thank Clare Anderson, Queenela Cameron, Dylan Kerrigan and Kellie Moss for their valuable help in developing this blog.

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Prison Conversations

Queenela Cameron

I never had cause to visit a prison. In fact, my only experience with the penal system was through visits to a nearby police station to take a meal for, or to offer support to a friend or relative detained for some minor infraction which did not require lengthy incarceration.

This situation changed for me when I became involved as Research Assistant on a University of Leicester-University of Guyana research project titled “MNS disorders in Guyana’s jails, 1825 to the present day,” which seeks to determine the definition, extent, experience and treatment of mental, neurological and substance abuse (MNS) disorders in Guyana’s jails: both among inmates and the people who work with them.

This blog offers a glimpse of my journey into prison research and the impact of this journey on my own personal awareness of the problems of incarceration.

A UK-based colleague with Trinidadian roots, Dr. Dylan Kerrigan and I were tasked with conducting interviews with prisoners housed at the Georgetown (Camp Street) and the Lusignan Prisons, in which a number of themes were explored including area/s of residency prior to incarceration, family life, education, childhood experiences, employment, reason for incarceration, experiences in prison life, hope for the future and so on. Twenty such interviews were conducted between the two prisons and included respondents that were clinically diagnosed with a MNS disorder and others who were not.

Prison security is “tight.” Once the reason for your visit is ascertained and accepted, everyone is then searched for prohibited substances and articles. I observed, how diligently and professionally the officers carried out this function. I recall observing a staff attached to an external janitorial company being refused further access to the facility after he refused to have his footwear searched. We were also required to lodge our handbag and backpack along with their contents (cell phones, money etc.) at the security hut; only writing materials, a voice recorder and other requisite paperwork were we allowed to take to the interviews.

 Lusignan Prison was built after independence, on the grounds and land of a former plantation hospital that today is also a current landfill and rubbish dump. The prison compound is however well-kept. One of the prisoners interviewed took credit for the well put-together flower garden located at the front of the prison. Most of the buildings are wooden structures; old and dilapidated and in dire need of repairs if not complete demolition.

Photograph of Lusignan Prison Walls, by Professor Martin Halliwell, University of Leicester.

One of the things that struck me on my first day at the Lusignan Prison was its tranquility. There was a hum, but it was heard only when you actually focused on it.  I think I was expecting that a facility in which hundreds of men are housed to be noisier; with chatter or laughter, or arguments. Prisoners in the prison yard also moved about quietly and purposefully and were always polite to us.

By day three, word must have gotten around about the nature of our research. On our way to the Chapel they (prisoners) would call out to us, some would request to be interviewed, some perhaps just happy to see two different faces which were becoming familiar to them.

The prison Welfare Officer was the personnel at Lusignan who organized and supervised our interviews with the prisoners. She was professional and courteous, and also happened to be a former student of mine. She would escort us to the Chapel which is almost always occupied with prisoners who had just concluded church services. The worshippers were always eager to assist with setting up the seating arrangements to our satisfaction and comfort.

Most of the prisoners, except for perhaps one, volunteered to be interviewed. We sought to understand the history and background of the prisoners; specifically, information which related to their early life; family, neighbourhood, education and employment. We also sought to ascertain the reason for their detention/incarceration, how they cope with prison life, their history of substance use and/or abuse both outside of and in prison, their mental health, views of themselves and society and their plans after release. The data obtained from the interviews was in some ways predictable, but it was also surprising, intriguing, shocking, and encouraging to me as a free individual.

Predictably, most of the prisoners interviewed were Afro Guyanese and followed sharply by Indo Guyanese. Mixed-race respondents followed and there was a tiny percentage that was indigenous Guyanese. The majority came from economically and socially depressed communities in Georgetown. There was also one Indigenous respondent who hailed all the way from Lethem, Region 9.

 In addition to their community of origin, many of the prisoners came from families of predominantly single-parent households with absent fathers in most instances, and many siblings. In several cases, children were raised by grandparents and or other relatives when parents were either working away from home, or in the event of death of the parents, or due to their parents’ inability to provide for them. Additionally, most of those interviewed were school drop-outs, some at the primary and others at the secondary level. Many never wrote or got the chance to write the Caribbean Examination Council (CXC) examinations and thus lacked the basic requirements for clerical employment and higher education. Many sought unskilled work in areas such as in construction, others became mini bus conductors and peddlers in order to assist the family. Some started selling and/or using drugs; predominantly marijuana, while some got into trouble with the law after getting involved in crimes such as robbery; theft of phones, handbags break-and-enter etc. These socio-economic findings are regarded as “predictable” because the literature is replete with similar findings in the context of developed as well as developing countries.

Despite these, there was at least one prisoner who grew up in a financially well-off nuclear family in an economically vibrant community and is highly educated in the medical field. There was also one who studied at an overseas university for a while before quitting and one who is an educated sports umpire.

The vast majority of prisoners we spoke with were at the time on remand and were awaiting trial. The reasons for prisoners’ incarceration were many, but the charges of murder, manslaughter and assault stood out. A few of the murders were allegedly committed while drunk or high on narcotics, and a similar pattern was observed with the assault-related offenses. One (educated) prisoner decried the fact that he was sentenced for physically assaulting his wife while drunk. For him, it was a personal issue, and should have been dealt with in the domain of the home. (I still hope that the shock I felt at that position did not register on my face.) Most felt that being a man meant that they were the dominant partner in relationships (of marriage and the family) and see their role as that of providers. Being a man means acting like a man; tough and masculine. These positions are historical legacies of colonialism with respect to hierarchy, masculinity, gender and gender roles, and remain largely intact even today, both in and out of prison in Guyana.

A small number of prisoners were detained for drug-related offenses and some for robbery and theft. Many (especially murder accused) decried the lengthy time it took for their cases to be heard, and said they were receiving little information regarding their case. The Welfare Officer said that such information is always provided to prisoners.

Life in prison is boring for the vast majority of prisoners. Most argue that they don’t do much per day, passing the time reading (the Bible especially), sleeping or interacting with fellow cell or dorm mates. Some work in the kitchen preparing meals, others in the store, in the prison garden, or on the prison farm, others clean the grounds. At scheduled times, batches of prisoners are allowed to play sports in the prison yard. Cricket is one such games played at Lusignan. The prisoner with umpiring experience told us with pride and happiness, that he umpired some cricket matches which helped to lift his spirit. We also noticed some prisoners exercising in a very basic gym located on the ground floor a few feet away from the Chapel, while others played dominoes. Some prisoners are able to work for wages, outside of prison mostly in the area of construction or on farms. Employment provides them with the opportunity to assist their families financially, and also to provide themselves with additional sanitary and other supplies.

 The majority of prisoners we interviewed are highly religious; predominantly Evangelical Christians, and attend church services frequently to pass the time. One respondent said he practices Hinduism on the outside, but would attend church services at times to help him cope with the stress of prison. Islam is also practiced at the Lusignan Prisons, and a separate space is provided for this purpose. Religion thus appeared to be one of if not the best coping mechanisms utilized by most prisoners. Almost every interviewed prisoner said that they are trusting God for his favour in terms of early trial, early release, light sentencing or even dismissal of their case. Even those against whom evidence seems stacked high remain optimistic that God will see them through. Apart from being an excellent coping mechanism, religious practice carries incentives to prisoners as attending religious services coupled with good behaviour aid in sentence commutation which translates to early release. Prisoners are not the only ones who lean on religion to cope. Some prison staff whom we spoke with informally also relied heavily on religion to help them deal with the pressures of work in the prison setting. One prison staff remarked that she talks to, and relies on her Jesus for strength in times of stress as there is no institutional mental health support for staff.

For most prisoners interviewed, cigarettes and marijuana have also been regarded as excellent items which aid in making life easier for prisoners. As a matter of fact, many said that they used either or both substances prior to incarceration. Prisoners including orderlies said that these two items have a calming effect on prisoners as they tend to sleep or lie quietly in their cell after using said items. This makes the job easier especially for prison officers as conflicts amongst prisoners (which require greater supervision) are drastically reduced.  I suspect that this is perhaps one reason why prison officers turn a blind eye to marijuana smuggling and cigarette and use in prison although marijuana is an illegal and prohibited drug.

Most prisoners said that they have never witnessed the presence, or use of crack or cocaine in prison. It is almost the same for alcohol, although media coverage highlighted this in the past. A few of the prisoners interviewed were alcohol users or perhaps abusers prior to incarceration. In fact, some are in prison because of violent inter-personal crimes committed while intoxicated. Though alcohol is not popular in prison, there have been instances of prisoners making home-made or prison-made wine called “kushung peng,” also a prohibited substance. This wine is made from the skin of fruits and vegetables which are soaked for approximately two weeks. One Prison Officer in an informal conversation noted that the making of this wine is prohibited especially because of its effect (temporary) on the behavior of some prisoners. Some of the prisoners’ exhibit violent behavior towards other prisoners, some become psychotic; claiming to see spirits or hear voices, while some become loud and disruptive. These behaviours make the work of prison officials more challenging.  

Some of the prisoners (approximately half) interviewed were clinically diagnosed with a mental health condition. These conditions include depression, psychosis, schizophrenia, multiple personality disorder, stress, compulsive lying and anxiety. One claimed to be a lion, and roared a few times for us. Another said he laughs out loudly at times, and because of this, persons seem to think that he is crazy. Some prisoners bang their heads against the cell walls while others almost never speak to anyone.  At least one prisoner reported that one of his deceased parents had mental health condition, a trait he might have inherited. All of the prisoners interviewed complained of feeling depressed regularly. There was one prisoner that exhibited symptoms of multiple personality disorder who claimed to have been physically abused by his father for displaying “girly” (feminine) behavior and entered a life of petty crime to prove his masculinity. This trauma perhaps contributed largely to his illness and might be responsible for his incarceration.

Most of the clinically diagnosed prisoners are housed in the “Chalet” (a space in prison dedicated to inmates with mental health condition/s) of the prison. All of these prisoners are patients of Guyana’s renowned psychiatrist Dr. Bhiro Harry who makes frequent scheduled visits to the Chalet. Tables are given to some inmates, while injections are administered to others. Some complain that the medications (especially the injection) have a negative effective on them, causing them to drool and feel lethargic. Others complain that the tablets make them sleep a lot. There was one inmate who praised Dr. Harry for finding the correct medication and dosage for his many mental health conditions, and plan to continue in the doctor’s clinic when released.  Of note is the fact that some of the diagnosed prisoners denied having a mental health condition. This could be attributed to the historical and continuing stigma attached to mental illness in Guyana, ignorance, or perhaps shame.

Some of these prisoners claimed to have experienced para normal activities in prison. Some said they have seen evil spirits and heard footsteps that turn out to be no one. One prisoner said that he was constantly tormented by a renowned ghost at the Mazaruni Prison. He said he begged to be transferred because of this, but continued to have the same experience at the Lusignan facility. Others claimed to have had sexual encounters with the beautiful spirits in their dreams who leave them “hanging.” There was one prisoner who suffers from epilepsy, and thinks that his condition could be helped if he gets to visit Suriname for “spiritual” healing because for him, his condition is not medical/neurological.

A small percentage of the prisoners said that they participated in the Anger Management Program. This program appears to combine religious teachings in its curriculum/application and is lauded by those who participated in it as a good initiative which aids in self-control.

Most of Guyana’s prisons seem to be overcrowded. This was exacerbated by the 2017 fire at the Georgetown Prison which destroyed several buildings including dormitories and cells, and resulted in the transfer of hundreds of prisoners to Lusignan. Some prisoners are therefore forced to live in cramped cells, at times having to share a single-mattress with another cell mate. One prisoner bemoaned the fact that some are forced to sleep in very close proximity to the toilet facility which is both unhealthy and inhumane. Concerns were also expressed about the lack of privacy one has when answering to calls of nature or taking a shower as the bathroom stalls are not equipped with doors or curtains. Food complaints were few, though at least one prisoner complained of needing larger portions.

Most prisoners regard many of the Prison Officers as “alright” or good people who don’t mistreat them. Violence towards prisoners by Prison Officers appear to be rare, and is utilized against prisoners who are extremely disruptive or violent towards each other. Similarly, the prisoners noted that there are not much prisoner to prisoner violence in the prison itself. Many of the news stories of violence and death at the Lusignan facility tend to take place in the holding bay; a make-shift facility erected at the back of the compound to house prisoners on remand.

For some prisoners, more televisions along with sports channels would make prison life a bit more bearable. The need to greater access to marijuana and cigarette to a lesser extent, seem to be the biggest desire for prisoners’ comfort. Marijuana is an illegal substance in Guyana which carries a maximum sentence of three years in prison. Despite this, most prisoners made it clear that they shall not stop its use in or out of prison.

Many miss their families and long to be reunited with them. For some, their relationship with family (especially their spouses) has suffered as a result of their prolonged detention. Some expressed their gratitude for the visits and material support offered by family members, a few lamented the lack of care and compassion given the absence of visits or any other form of support from family members, while at least one prefers that his family members not visit him at the facility in the interest of their safety.

Many prisoners seem optimistic that they’d be released from prison soon. Most place their faith and trust in God realize this dream even when the evidence seems stacked against them. While most claim to be innocent of all charges, there were a few who admitted culpability for their actions and pledged to lead a more productive and law-abiding post-prison life.

Life outside of prison might prove challenging for a few prisoners who claimed to be homeless with relatives unable but more so unwilling to house them, even temporarily. At least one prisoner expressed the need for temporary housing for former prisoners until they get back on their feet.

The position of one man accused of murder whom I recognized form being on the news, and who claimed to not recall the reason for his incarceration intrigued me. He said he does not wish to be released from prison; that he prefers to remain incarcerated. We tried to determine why this was so, but he refused to provide us with a response. I think that the combination of shame for his actions and fear of retribution by the family and community of his victim have made prison a safer place for him.

We sought some advice from prisoners before we concluded most of our interviews with them. The resounding advice revolved around the need for us to stay out of trouble to avoid incarceration; an advice well received.

The experience with prison interviews and prisoners have left lasting impressions on me as a free individual. I have a new-found respect for the capacity of humans to be resilient in the face of insurmountable challenges. Being confined in a small space with complete strangers for a prolonged period of time is enough to send one over the edge, but most prisoners cope; they remain optimistic about their future thanks largely to another colonial legacy – Christianity. The simple things that bring them happiness; marijuana and cigarettes, are things sometimes frowned upon by free peoples or may be prohibited by law. Policy makers need to revisit such laws, for I am convinced that prohibition or incarceration will not stop marijuana use.

The value of freedom is ever present in my consciousness and I often find myself utilizing the experience I’ve gained and the lessons I’ve learned during those prison interviews to caution as well as counsel many young men in my community. I trust that my words of counsel bear fruit.

Queenela Cameron is a research associate on the ESRC GCRF project Mental Health, Neurological and Substance Abuse Disorders in Guyana’s Jails, 1825 to the present day. She is also a lecturer in the Faculty of Social Sciences at the University of Guyana.

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Abolition and the Colonial Amnesia of Caribbean Prison Systems

Dylan Kerrigan

Introduction

Processes of historical erasure scar the Caribbean and remove transhistorical context. Across disciplines this erasure and forgetting is described as “amnesia” and writers of the Caribbean have described this malady in various ways, including, but not limited to: “dissociative amnesia” – Paula Morgan; “Collective amnesia” – Alyssa Trotz; “Institutionalised Amnesia” – George Lamming; “mass amnesia – Sunity Maharaj; and “Engineered Amnesia” – Charles Mills. Colonial amnesia as described by Haitian anthropologist Michel-Rolph Trouillot in Silencing the Past – as bundles of silences – can be imagined as an umbrella label for all these criss-crossing mechanisms erasing the ways cultural behaviours, social hierarchies, and borders, laws and exclusions in the Caribbean and elsewhere, emerge in response to longstanding social realities and political-economic processes.

What is the impact of colonial amnesia on the dignity, restitution and socio-cultural outcomes of Caribbean prison systems today? Colonial amnesia erases colonial continuities from the racist past to the neo-colonial carceral present. One consequence of this is the removal of solutions. In particular, the space to imagine solutions to the structural social problem of racial violence produced by the capitalist social arrangements that emerged from colonialism, and their consequences. These transhistorical consequences include pre-emptive criminalization; forced labour; and investments in the infrastructure of deportation today as prisons in the Caribbean expand, and “carceral surveillance states” become the next failed solution to authoritarian and racist immigration policies in the former centre of Empire, such as the state racism of Windrush and “hostile environments” in the UK.

Racial Capitalism

In confronting the colonial amnesia inherent to our project, previous blogs have discussed evidence of the shifts, continuities and differences between MNS in Guyana’s prisons past and present, and the broader connections to British Empire with its associated drives of conquest, accumulation and social control via hierarchal social class-based society. These include: changes in methods of rehabilitation; mental health and 19th century policing; a history of substance use and control; epidemics and pandemics in British Guiana’s jails; understanding the challenges facing the Guyana Prison Service and more.

In this blog, alongside the concept and consequences of colonial amnesia, I also want to add to this knowledge base Ruth Gilmore’s (2018) broader structural context and political economy of how prisons today, like colonial prisons, extract profit through incarceration and are produced by the logic of racial capitalism. Prison infrastructure, salaries, surveillance and the wider economies around prisons require capital, and the circulation and accumulation of capital for their existence. In this sense prisons from their colonial origin, and today, are not there for justice, families and societies, which are all destabilised by prisons. They are elements in global processes of extraction, capital accumulation and maintaining the social relations of class-based societies. The enforced “in-activities” of people and their bodies inside prisons means criminalisation and incarceration transforms bodies into tiny units of extraction for the accumulation processes of racial capitalism under what can be described in the Caribbean as contemporary Imperialism. As long as a body is incarcerated, capital flows, circulates and accumulates. Prisons, just like colonial slavery and plantations, extract and circulate capital through capturing and enslaving the time of particular racialised social classes.

“Racial hierarchies locate certain bodies in certain spaces, or unequally allocate resources and apply public policies to different territories depending on the bodies that inhabit them” (Castillo 2019, 3). In the contexts of punishment as currently experienced in Caribbean prisons, social class defines who is punishable and held on remand more than others. In a reflection of colonial times those most criminalised and punished by Caribbean laws and jails are also often from the most vulnerable social classes in society (Sarsfield and Bergman 2016, 2017). Racial and social hierarchies handed down from colonial times impact who ends up in jail in the Caribbean. Gilmore “suggests that prisons are geographical solutions to social and economic crises, politically organized by a racial state”. For Gilmore, the prison system is a part of the project of postcolonial state building that extends the racial and class hierarchies of the past. Caribbean prisons contribute to the maintenance of these inequalities through the detrimental impacts of imprisonment not just on individuals but also families and the wider community. These include: human rights violations, the erosion of social cohesion, the relationship between imprisonment and poverty, the public and individual health consequences of imprisonment, and the financial cost of imprisonment which diverts funds from non-custodial alternatives and systems. Yet in the Caribbean for many, a shared history of colonial and post-colonial violence has shaped common and syncretic socio-cultural values on punishment and the treatment of Caribbean people by their States under local systems of law, justice and imprisonment. This impacts what is deemed acceptable to say about Caribbean prisons and their abolition.

Colonial Amnesia and Caribbean Prisons

While colonial amnesia is a central component of how many anthropologists, sociologists, historians and cultural theorists imagine Caribbean worlds, there is a struggle to articulate what should be done about the loss of history and the sense of “pastlessness” in the context of prisons. Richard and Sally Price for example have provided a list of Caribbean writers who through the power of Caribbean imagination have “pointed the way toward possible escapes” (1997, 5). It includes Carpentier’s take on Haiti and the possibilities of “magical realism”, and Lamming’s reminder of “the redemptive potential of Caribbean folk wisdom” to subvert “the hegemony of Western History” through such devices as the Carnivalesque, ridicule, and speaking truth to power. Guyanese Wilson Harris also believed that in the “absence of ruins or a sense of pastlessness in folk thought” that “a philosophy of history may well lie buried in the arts of the imagination” (Harris cited in Price and Price 1997, 5). Glissant too urged for the “struggle against a single History, and for a cross-fertilization of histories, that would at once repossess one’s true sense of time and one’s identity” (Glissant cited in Price and Price 1997, 5).

But where can this escape and redemptive historical imagination take us if as Walcott advised “the imagination is a territory as subject to invasion and seizure as any far province of Empire” (1989, 141); and Caribbean worlds to a degree, whether completely, syncretically or under duress are already occupied by the superstructure of western epistemologies and narratives of the world around discipline and punishment? If the battle against mental occupation means that traditional Western models of history as progress “as sequential time,” is “basically comic”, “absurd” and “the rational madness of history” (Walcott 1974, 6); what does this mean for prison regimes in the Caribbean where structural violence and the consequences of coloniality across social, economic and ecological terrains haunts lives and entraps families? Walcott also wrote of the Antilles that “the love that reassembles the fragments is stronger than that love which took its symmetry for granted when it was whole,” and we can describe such sentiment as similar to what Merle Hodge described as “activist writing” against the legacies of indoctrination (Hodge 1990) and Sylvia Wynter’s suggestion that tackling the domination of historical inequalities in the Caribbean requires militant scholarship.

The seriousness of amnesia and its impact on what can and cannot be said about Caribbean prison worlds is captured in Ann Stoler’s term Colonial Aphasia (2011). Colonial aphasia steps beyond “amnesia” or “forgetting” to suggest three logics at play in the post-colonial inability to work for the abolition of prisons in the Caribbean and a new model beyond reform. These logics are; 1) an occlusion of knowledge; 2) a difficulty generating a vocabulary that associates appropriate words and concepts with appropriate things; and 3) a difficulty comprehending the enduring relevancy of what has been spoken. Within a transhistorical and geo-political context the features of colonial aphasia have great salience for the coloniality of Caribbean punishment regimes and prison worlds. Under colonial aphasia the structural legacies and facts of brutal conquest, genocide and racialised capitalism are anaesthetized external to the Caribbean nation state and become unsayable or individualised, as many postcolonial elites and the middle classes style their polities as modern and democratic in the image of the former imperial centre. As David Slater notes,

This imperializing perspective is anchored in a lack of respect and recognition of the socio-political and cultural value of the non-Western society. This kind of power/knowledge asymmetry does not only depend on the deployment of economic capacity and military force, but is also constituted in terms of a differential discursive enframing. The power to enframe and represent entails putting into place a regime of truth that subordinated nations are encouraged, persuaded, and induced to adopt and make their own. (2011, 455)

Independent democratic states in the Caribbean did not take off economically and develop socially under the same advantageous economic conditions that European countries did. Nor can many Caribbean states, including many small island nations survive in social welfare terms or develop in competitive economic terms under racialised global capitalism. This is particularly evident in the case of social development and climate change, and the role of brutal policing and prison regimes that are inherited from colonial contexts of state anti-black racism.

A Pathway to Abolition?

So, what can be done about the lack of political and policy reflection that Caribbean prisons are spaces where colonial logic and a plantation mentality of control and contain still dominates? Where are the reparations and restitution needed for transformation? And this cannot mean former UK PM’sDavid Cameron offering Jamaica $40m to help build a new prison to house both local inmates and some of the 600 Jamaicans serving time in British jails. How can we move beyond 200 years of unsuccessful prison reform, which has failed to develop Caribbean prisons from the cruel spaces of colonial logic and work, for a drastic change that can decolonise the transhistorical structural violence of racial capitalism? How can we see the road to the abolition of Caribbean prisons; because as Ruth Gilmore’s work connecting the accumulation strategies of racial capitalism to prison worlds recognises, we don’t need to design better prisons – as is the common rhetoric of Caribbean politicians; we need alternatives to prison.

The prison industrial complex as a residue of the European Empire and racial capitalism has travelled the world, and, in that sense, it is expansive, but its real effects, have been to shrivel rather than expand imaginative solutions and alternatives. Colonial amnesia has Caribbean states and their populations stuck in an endless cycle of prison reform that began in the 18th-century colonial world under the emergence of racial capitalism. Abolition in the Caribbean needs to move from a possible idea to something in restitution and reparations terms we can imagine, build, and pilot. In transforming Caribbean prison worlds, political education, mutual aid, and visiting Caribbean prisons to build community are ways to start healing colonial amnesia. While many people are in prisons for the crimes they have committed – and where these crimes were violent, in the context of abolition, solutions will need to be built – it does not erase that confronting the colonial amnesia of prison reform in the Caribbean and reckoning with such colonial aphasia, moves us to mourning, material address, and anger. Specifically, what are we going to do about the colonial regimes of incarceration, criminalisation and capital accumulation still operating in – and haunting – the 21st century Caribbean?

Dylan Kerrigan is a Lecturer in the School of Criminology, University of Leicester, UK.

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Barriers to Rehabilitation in Guyanese Prisons

Kristy Warren

The ‘Penal System’ is said to have two functions: the protection of society and rehabilitation. These are set out to sometimes be at odds and also both undermined by similar forces.

Guyana Prison Service Training Unit 1974

Last October, during an event held to mark Guyana Prison Service (GPS) week, Director of Prisons Gladwin Samuels addressed the importance of prisoner rehabilitation. He said that the punitive measures favoured by many do not help to increase security in the long term. Rather, Samuels explained, rehabilitation benefited not only prisoners but was also necessary for the security of individuals and society.

Samuel’s vision of rehabilitation includes academic and vocational training, alongside programmes for addressing the psychological and social needs of prisoners. The attempt to facilitate a robust rehabilitation programme faces a number of barriers within prison. This includes a lack of funding for rehabilitation programmes, issues of attracting and retaining qualified educators and trainers, overcrowding and a lack infrastructure suitable for such programmes. Some of these issues have existed for a very long time but have been exasperated in more recent years. This is in part because of fires which destroyed parts of two facilities over the past four years which led to an even further reduction of space available for holding prisoners. As a result, cafeterias and training areas have been turned into cells in a number of the facilities. 

The long term success of rehabilitation programmes is challenged by what ex-prisoners face once released from prison. For stigma against ex-prisoners remains along with decreased employment opportunities. Some former prisoners also face a lack of sustained support from family and friends.

The present goals for rehabilitating prisoners and the barriers faced echoes issues faced by GPS in the 1970s. In the summer of 1974 the ‘Crime and the Penal System in Guyana’ conference was hosted by the University of Guyana. This was the first such conference held in Guyana and the second in the ‘Caribbean region.’ It brought together researchers and practitioners to explore studies concerning crime as well as the experience had on the ground by those working in the criminal justice system and prisons. The aim was to create a ‘cooperative approach’ among the various ‘branches of the criminal justice system’ in Guyana in order to better face the issue of crime in society.

Cover of the Proceedings of the First National Conference on Crime and the Penal System in Guyana

At this conference Edwin Pratt presented a ‘Report on the Operation of the Guyana Prison Service’ which had been prepared by the staff of the GPS Training Unit. The report began by outlining what they felt was the purpose of the ‘penal system’ which is outlined in the quote at the beginning of this blog. The report explains that the tension between rehabilitation and security is in part due to prison infrastructure. For maximum security prisons were set up to keep prisoners inside and did not have the facilities needed for the ‘meaningful rehabilitation of inmates.’ It explained that a certain amount of freedom was needed in order to bring about true rehabilitation which was in conflict with the aim of maintaining maximum security.  Furthermore, a lack of finances meant that there not enough money to run an effective rehabilitation programme or maintain security. The report called on the government to make ‘the penal system’ more of a ‘priority.’

Later on in the report is a description of prisoners as a ‘section of the nation’s human resources.’ The way in which prisoners are described here gives some indication of an inclusive idea of citizenship in which all members of society should contribute to the nation. These ideas, at least in part, stretched to approaches to the treatment of those who had been convicted of crimes and imprisoned. This focus on the nation, which was less than a decade old, was also found in the desire to use ‘modern’ methods of rehabilitation as opposed to colonial forms. Interestingly, these new forms were in part learnt from prison officials in Britain, Guyana’s former coloniser. And while these methods offered a shift away from what had come before, they did not provide a comprehensive critique or alternatives to the use of prison for the punishment and reform of those convicted of crimes.

And yet, the focus on modern forms of rehabilitation did require a new way of thinking among prison officers. In the report, ‘a purely punitive traditional philosophy’ is set in contrast to ‘the modern concept with its emphasis on the rehabilitation of the inmates.’ The emphasis on incorporating ‘modern techniques of rehabilitation’ was thus said to necessitate the recruitment of ‘suitably qualified and interested persons.’  This call for improvement can thus be seen as being part of a process that had already begun. For example, some changes were said to have already been made with regards to the ‘promotion to the rank of Principal Officer and above.’

How was rehabilitation conceived in the 1970s? It involved ensuring the physical and mental health of prisoners, instilling a firm work ethic, providing religious support, giving individuals the chance to gain vocational and academic training, and providing opportunities to play games and participate in sports and the arts. These programmes were seen as being important for keeping prisoners busy while in prison as well as teaching them new skills and habits to prepare them for life after prison. In this we can see both change and continuity within the system of rehabilitation that had come before. Critically, the historic focus on labour continued as the majority of most prisoners’ days were spent working.

Vocational training was ideally meant to form a part of this labour. The report explains that attempts were made to align work assignments with prisoners’ ‘interest, abilities, training needs and trustworthiness.’ However, a lack of training facilities meant that this alignment was not possible with ‘training in the various trades [being] incidental rather than deliberate.’  Also noted was an emphasis on ‘production at the expense of positive training.’ So both an absence of training and a focus on production meant that many prisoners did not receive skills training that would assist them after they left prison.

As evidence of this focus on labour, the report explained that at New Amsterdam and Mazaruni prisons most inmates were employed in agriculture, even though the majority were from urban areas and not interested in agriculture because they would not be returning to a place where they could use these skills when their sentences were done. It was suggested that the emphasis of the agricultural programme needed to change in order to ‘bring about [a] change of attitude and emphasis[e] self-sufficiency.’

Another issue that obstructed rehabilitation aims was overcrowding. The numbers of people incarcerated at Georgetown Prison was described as ‘alarming’. The report explained that the prison, which was meant to accommodate 278 people, was ‘housing almost twice the number that it should normally hold.’ Such conditions were linked to ‘social and health problems.’ New Amsterdam was noted as having ‘acute’ overcrowding and Mazaruni, though described as being ‘far from ideal,’ was said to be better than the other two sites as it held 418 men who each had their own cell. The reports explains that the increase in the prison population hadn’t been met with ‘additional physical accommodation.’ The report offered no consideration of the benefit of reducing the number of prisoners who came to jail in the first place.

Despite these challenges, there were attempts to carry out some programmes even when this fell short the ideal. For instance, education aims included teaching reading to illiterate prisoners as well as providing resources to explore the arts and general interests. Yet, in 1974, there hadn’t been a trained teacher ‘for some time’ with the role of teaching those who were illiterate or who had low literacy levels being the responsibility of ‘a non-specialist member of the prison staff.’

Other education aims had more success. Basic arithmetic was taught, while those who were already literate were facilitated in their studies which included assistance in receiving books and taking exams. Prisoners were given wide scope of what they pursued with education not being narrowly fixed to the process of formal education. The report noted that ‘a prisoner is permitted to pursue any area which is educational in the broadest sense in order to stimulate healthy interests and enlarge his mental outlook.’   As well as individual pursuits, prisoners were able to participate in group events that happened after work such as ‘concerts, debates and plays.’

This report shows GPS’ desire to bring about change by instituting ‘modern’ methods of rehabilitation for prisoners in the 1970s. The attempts were made to incorporate new methods of rehabilitation were hindered by a number of factors including: the maximum security nature of prisons, the focus on labour as production, overcrowding, an inadequate number of trained officers and a lack of funding. This period shows that while an attempt was being made to shift away from colonial forms of imprisonment, the legacies of this system remained in the prison infrastructure and punitive approach to prisons and prisoners that many still had. 

Although there are several parallels between now and the 1970s there are of course differences as well. All three of these maximum security prisons are still in use, though they have been joined by two other sites at Timehri and Lusignan. Despite this expansion of facilities, overcrowding remains a significant problem. Both the structure of most prison sites and the numbers of those in prison make it difficult to find adequate and suitable space for rehabilitation programmes. Insufficient funding for rehabilitation programmes is also an issue that is yet to be fully addressed.

The 1974 report notes how some saw the protection of society and rehabilitation as being at odds. Yet both the report and Samuels explain that rehabilitation is necessary for the security of society. Most prisoners have a fixed sentence after which they leave prison. Therefore, the question of security depends in part on recognising these men and women as members of society. The stigma faced by ex-prisoners impacts rates of reoffending by keeping many of them on the margins of society. This adds to insecurity in society by creating more rather than less chances of recidivism.

The author would like to thank Mellissa Ifill for her feedback on this blog.

Kristy Warren is a research associate on the ESRC GCRF project Mental Health, Neurological and Substance Abuse Disorders in Guyana’s Jails, 1825 to the present day.

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Police Lockups and Mental Health in Colonial British Guiana

Shammane Joseph Jackson 

“Left Plantation 41 for Fort Wellington. As I baited my horse at the police station here, I heard a loud commotion outside of the station house. Upon enquiring a reason for such a commotion, I saw a group of about eight women and one young man only 18 years old. This young man named Georgie seemed in great mental distress. He claimed to be the Governor of the colony and many times his ramblings were incoherent. The women were pleading with Stipendiary Magistrate De Groot for help and when they saw me turned their pleadings also to me. One woman, whom it was later revealed to be his mother, stated that her son had always behaved in this manner for years, however of late this behavior is daily. After much back and forth and me intervening by speaking to the young man, Stipendiary Magistrate De Groot placed him in the small lockup at Fort Wellington for a few days at which time I am sure he would return to his normal self.”

C.H. Strutt, Stipendiary Magistrate, 1843.

This extract taken from the Stipendiary Magistrate C.H. Strutts’ annual report provides some insight into the connection between mental health issues and police lockups in post emancipation British Guiana.  For much of the period, local officials used these facilities as a substitute for asylums to deal with individuals suffering from mental health issues.  Even before the first official asylum in the colony began operations in New Amsterdam 1867, police lockups served as unofficial holding spaces for persons considered insane.

Post-emancipation British Guiana saw to the introduction of police stations strategically located at the edge of African Guyanese villages. These villages emerged on the colony’s Coastal Plane along the plantation belt from Essequibo to Berbice. For example, on the West Coast of Berbice, in the villages such as Hopetown there is Fort Wellington police station, at Blairmont there is the Blairmont police station at the front, at the intersection of Weldaad and Belladrum villages there is the Weldaad Police Station. This distinct pattern continued in Essequibo where there were the Stewartville, Den Amstel, Parika, Anna Regina and Aurora police station and for Queenstown there is Capoey. Throughout the colony’s capital and along the East Coast of Demerara, police stations were located at Kitty, Plaisance, Beterverwagting, Vigilance, police station is found at the edge of Buxton/Friendship, whilst there was Cove and John (at the boundary of Victoria, Nabacalis and Golden Grove), just to name a few (History Gazette, No. 71, 1971).  Because the administrators of British Guiana were struggling to deal with many of the social problems such as mental health in these villages and the rest of the country, these stations served as quasi-asylums for villagers who displayed signs of “insanity (Gramaglia, 2013).”

Having lost control over the freed people who bought plantations and became villagers, colonial officials stereotyped them as “problematic,” “raucous to law and order” and “belligerent.” Some villagers, who were maroons that came out of hiding after slavery ended, were labeled as “aggressive.” Their mental soundness was always in question whenever there were confrontations with the rural constables and colonial officials. Many were quickly labeled insane, which meant that they were a danger to others. Oftentimes it meant that they were detained for weeks in police lockups, without seeing the magistrate.

The villagers also regarded the police stations as an intrusion since the planters always used these institutions to persecute and control them. There are several instances of villagers being locked up for extended periods with due recourse of the law or on suspicion of their mental incapacity.  For instance, in 1855 two men from Buxton village were locked up at the Vigilance police station for three months, because the rural constables labeled them insane. The police stations were therefore a daily reminder of villager’s inequality and inability to challenge the powers that be (Gramaglia, 2013). It is because of these experiences that the police stations became alien to these communities.

The New York Public Library. “British Guiana police.” The New York Public Library Digital Collections. 1910.

Villagers also viewed rural constables in charge of these police stations with suspicion and fear (Danns, 1982). According to Allan Bent, the police in colonial society did not “exist to serve the expectations and needs of society;” (Bent, 1974) they were there to protect the colonizers. The result was further disdain for rural constables throughout British Guiana. The dislike also developed from the fact that the persons in charge of the police stations were white and although by the 1860s some rural constables were black; they were not creole blacks. Most of the rural constables were islanders, especially Barbadians. These circumstances only cemented the belief that such an institution was alien to the creoles (Danns, 1982).

Further, creoles from the villages developed their own biases for the rural constables. The rumors that followed the rural constables were many times fabricated and exaggerated due to these biases. The accusations increased even more when local newspapers constantly highlighted the wrongs of the “foreign constables (Daily Chronicle, 1865).” Creoles always questioned the rural constables’ “morals and values.” Villagers stereotyped the Barbadian rural constables which sometimes destroyed rural constables’ careers (De Barros, 2003).  There was a case involving rural constable R. Wren attached to Weldaad police station. A villager accused him of “improprieties.” The accusation sounded so authentic that the rural constable was suspended pending a hearing. It was during a confrontation between the accused and accuser that it revealed that it was all lies (Daily Chronicle, 1871). Instances like these cemented those stereotypes and ensured the mass “locking-up” of villagers as their mental health constantly came into question.

Most police stations were unsuitable to detain anyone as events following the Angel Gabriel 1856 Riot, which began in Georgetown quickly advanced to the Berbice, demonstrated.  During the riot Portuguese shops in Belladrum, Blairmont and in many other villages were destroyed. However, in Hopetown many villagers prevented one particular shop, owned by L. Gonsalves, from being burglarized and raged. When the rural constables from Fort Wellington police station and reinforcements from the other stations arrived on the scene, they arrested everyone they found outside the shop, including those who were protecting the business.  Those arrested, including three “lunatics” as the report noted were locked up at Fort Wellington police station. Twenty-three persons (both males and females) got placed in the lockup together. It was built to accommodate only three persons at a time. Two women and two men were eventually convicted, and several villagers were fined (Guiana Graphic Newspaper, 1856). Further, the lockup was poorly ventilated, and the police station did not have the cells to accommodate such numbers. The two elderly men fell who fell sick got released. Examples like these widened the rift between the villagers and the rural constables for a protracted time.

            Given the turbulent history that existed between the police stations, colonial officers, and the villages, Stipendiary Magistrate C.H. Strutt’s response to Georgie is no surprise. His attitude towards the young man’s state is indicative of the responses of villagers and many others in post-emancipation British Guiana. Whenever a villager portrayed mental health symptoms and other behaviors which were deemed troublesome, they were placed in the police lockups for periods ranging from a few hours to several days, until he or she “returned to their normal self.”

Rural constables during this era got no formal knowledge or training about mental health issues. The stigma affixed to persons suffering from such issues also gave the rural constables the “permission” to “brutalized” them. According to C.H. Strutt, upon his return his return to Fort Wellington police station days later, he enquired from Stipendiary Magistrate De Groot as to the welfare of Georgie.  Magistrate DeGroot reported that Georgie got a “sound thrashing” from the rural constable and “he quickly found his sanity and returned to the neighbouring village where he shares a house with his mother.”

Even the churches reached out to the rural constables to assist them in dealing with “lunatic” members of their congregation. In an 1853 report from St Michaels Church in, the catechist stated that it was a constant battle between himself and men from the neighboring village who were bent on disrupting Sunday morning church because of their “intoxication and lunatic behaviors.” He further noted that on two occasions he sent members of the congregation to Fort Wellington police station to get the rural constable who “promptly arrested the drunkard.” Later he found out that the congregant was not drunk but periodically would behave “irrationally even when unprovoked (HCPP, 1853).” In another report dated 1858, the catechist stated that church members identified three young men smoking “something” which was “highly repugnant to the nose” (the assumption here it might have been marijuana) behind the church building. They tipped off the catechist, when one man reacted to whatever he smoked by breaking the church windows. He was arrested, charged with vandalism, and locked up at Fort Wellington police station.

Persons who lived in proximity to these police stations and who suffered from any signs of mental illness were taken to the station houses. The responses of the rural constables and colonial officials were incarceration of the affected. This response for obvious reasons did not work and only worsened the mental state of the sick. British Guianas’ earliest asylum system to deal with the psychologically ill came into effect in June 1842. The system was part of Governor Henry Light’s social welfare project to ensure some form of common advancement in the colony. For many years, the conditions at the asylum were so unwholesome that the officials moved the structure. They eventually founded the “lunatic asylum in 1867 at Fort Canje near New Amsterdam, adjacent to the Berbice General Hospital (Gramaglia, 2003).”

Shammane Joseph Jackson is a research associate on the ESRC GCRF project Mental Health, Neurological and Substance Abuse Disorders in Guyana’s Jails, 1825 to the present day. She is also a lecturer in the Department of History and Caribbean Studies at the University of Guyana.