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From 2012, all high-secure forensic mental health services in England began operating a policy of confining patients to their locked bedrooms overnight to increase service efficiency and reduce costs. The purpose of this paper is to assess the views of staff and patients concerning the policy and examine the specific impact of the policy on patients.

Measures of patients’ sleep hygiene, patients’ behaviour, ward atmosphere, engagement with therapy and adverse incidents were taken both before and after the night confinement (NC) policy was implemented. Both patients and staff also expressed their views of the impact of the NC policy.

Results provide converging evidence that the impact of the NC policy on patients is negligible. There were no consistent negative effects of confining patients overnight. Rather, patients and staff were broadly positive about the impact that the practice had on patients.

Confining patients to locked bedrooms overnight does not exert any consistent influence, positive or negative, on patients’ sleep hygiene, behaviour or engagement with therapy, and patients expressed a broadly positive view of the practice of NC. Thus, a NC policy may have a contribution to make to the provision an effective high-secure mental health service.

The study provides convincing evidence that secure inpatient mental health services that are considering the adoption of a NC policy may do so without fear of a negative impact on patients.

Night confinement (NC) has been proposed as an appropriate and safe way to make cost improvements in a high secure NHS hospital. Given potential controversy, evaluating the impact of this change is vital. This paper aims to focus on the issue.

The study used a mixed methods design to assess the impact of a three month night confinement pilot on four high secure admission wards. In total, 158 staff and 42 patients were approached to complete questionnaires and interview prior to and following the pilot. Questionnaires were analysed using T tests, ANOVA and Mann Whitney‐U to asses perceived changes in ward climate, working environment and quality of life. Thematic and saliency analysis was used to explore themes arising from semi structured interviews. Hospital data were collected to identify behavioural changes.

The study found that NC had no adverse effects and incidents of self harm, other incidents and seclusion hours dropped by a third during this period. This was contrary to staff expectations.

Limitations include: a large number of researchers involved; average response rate and a disproportionate number of patients on Tilt restrictions on the pilot wards. Further evaluation is necessary if NC is to be adopted more widely.

This evaluation suggests that NC can contribute to providing an efficient and effective secure mental health service.

This study provides a unique opportunity to assess the impact of NC on patients and is of value to other secure units seeking effective cost improvements.

While the steep increases in rates of incarceration seen in the United States in the late twentieth century have begun to level out, one form of incarceration has seen more drastic reductions in rates of use in the 2010s: long-term solitary confinement. Across the United States, prisons that once isolated prisoners for decades at a time stand hauntingly empty. The solitary confinement reform movement provides an important lens for examining what happens when an entrenched punitive practice faces widespread and sustained criticism and reveals the multiple paradigms through which reform operates – through politics, litigation, or charismatic leadership.

This chapter calls attention to penal regime shifts, emphasizing the importance of comparing different periods of prison development. In particular, it examines different instantiations of prison across time.

I discuss three periods of prison development (1790–1810s, 1820–1860, and 1865–1920), focusing on the nature of prison diffusion across the United States. Specifically, I discuss the homogeneity and diversity of prison forms in each period.

I demonstrate that the first two periods were particularly homogenous, as most states that adopted prisons followed a single model, the Walnut Street Jail model (1790–1810s) and the Auburn System (1820–1860), respectively. By contrast, the post—Civil War period experienced the emergence of women’s prisons, adult reformatories, and distinctively Southern approaches to confinement. Using neo-institutional theory, I suggest this post-war proliferation of prison forms was only possible because the prison had become institutionalized in the penal landscape.

Scholars rarely examine multiple shifts in penal regime together, reducing their ability to make comparative insights. This chapter juxtaposes three historical periods of prison development, thereby illustrating the diversity of the third period and improving extant understandings of prison evolution.

In this chapter, I analyse the implementation of the reform to the regimen of alternatives to prison in Chile which occurred in 2013 and how the reform affected how punishment is conceived and translated into practice by professionals supervising probation and community services. The findings suggest the reform that led to the new ‘substitutive sanctions’ also introduced a new risk-oriented-managerial culture that has permeated how punishment is currently enforced and envisaged by supervision professionals; a situation that has been deepening over the years, not only through practice, but also via on-going training that has helped to generate the emergence of ‘cultural’ capital that distinguishes supervision professionals from the larger organisation. This has been combined with a rapid expansion in the use of substitutive sanctions, especially probation and ‘partial reclusion’ that can aptly be analysed under the ‘mass supervision’ premise.

In this chapter, we explicate the evolution of Canadian corrections, the political, social and judicial realities that have shaped punishment and imprisonment over history. We reveal how such factors continue to leave their mark on the current Canadian federal criminal justice system and its structures of incarceration.

A comprehensive review of accessible literatures detailing the nation’s development of punishment and incarceration is presented. The history of imprisonment is traced up to the current year and the role of penal populism as theorized by Garland (2001) and, later, Pratt (2007) is presented to discern the motivations for the current punitive correctional rhetoric, as well as its impact on conditions of confinement and program implementation in penitentiaries.

Canada’s correctional history is largely shaped by how punishment is defined and how such definitions are influenced by members of society; including victims, perpetrators, politicians and media personalities. The realities of current conditions of confinement have been impacted by social and political pressures that encourage increasingly punitive policies oriented towards ‘tough on crime’ initiatives. Current corrections are characterized by overcrowding, concerns about rehabilitative programming and resource allocation and mental health care.

Recent legislative amendments have solidified a ‘tough on crime’ agenda in Canada, however the process underlying the movement towards the acceptance, even public demand, for such legislative changes remain in need of dissemination; particularly in light of the decades of decreasing crime rates in the country.

Suicide is the main cause of death among prison inmates, comprising almost half of all deaths in penal institutions in the Netherlands. Suicides in prisons have major consequences. They are a cause of distress to prison staff, other inmates, relatives and partners. They may cause unrest among other inmates.Detecting suicide is difficult and requires the collection of information that may not be generally available on the ‘normal’ prison inmate.This paper describes research undertaken to identify factors that might indicate high suicide risk in a prison inmate. These factors were then weighted to provide a suicide screening tool that was able to identify 95% of inmates at risk of suicide.However identification of risk is only the first step; steps must be taken thereafter to ensure suicide does not occur. The effectiveness of preventive measures is an important area for future research.