SCOTLAND’S only all-female prison appears to be using segregation as a way to manage “high levels of distress” experienced by inmates with complex mental health problems, a new report has claimed.

The Mental Welfare Commission for Scotland looked at the treatment of prisoners with complex mental health problems, and found some were experiencing up to 82 days in segregation. This could see women spending some 22 hours a day in cells in Cornton Vale Prison, which were described as “sparse and lacking in comfort”.

However the Commission noted that the women “seemed more disturbed in the SRU (Separation and Reintegration Unit) environment and accounts of their stress and distressed behaviours more pronounced”.

The report added: “For women who were floridly unwell with acute psychosis or manic psychosis, the severity of their symptoms and level of disturbance significantly worsened in the SRU.”

The Commission went on to say it was “concerning to see how little mental health staff were sometimes able to engage with and support women who were acutely mentally ill or distressed”.

A total of 23 women prisoners were kept under Rule 41 – where a health professional requests they are either confined to their cell or put into segregation – for mental health reasons during 2020.

A total of 25 of these episodes were recorded, with these lasting from one day to 82 days, with an average length of just over a month (32 days).

The Commission said: “For those women with more complex mental health problems and vulnerabilities, for whom hospital care was often not an option, segregation appeared to be used as a way to manage their high levels of distress and behavioural disturbance in the custody environment, though it appeared to only lead to escalation.”

With a contract awarded last year to replace the existing prison with a new facility on the same site outside Stirling, the Commission noted that it was “planned that women with mental health needs will no longer be cared for in the SRU”.

Instead, the report told how the segregation unit in the new building would be “used solely for women requiring segregation for disciplinary issues” and that women with “high care needs due to mental health” should be cared for in what was described as an “enhanced needs area”.

The Commission said it has also been told by the Scottish Prison Service that it had updated training for new prison officers in autumn of 2020, to include “a more prominent focus on mental health and trauma-informed care”.