Detention of Vulnerable Persons

Debate between Robert Goodwill and Lisa Cameron

Tuesday 14th March 2017 Westminster Hall

[Dr Cameron]

That is certainly not something I witnessed when I visited Dungavel, but perhaps the Minister would like to comment.

It is recommended that the presumption against detention be extended to include victims of rape and sexual or gender-based violence, including FGM, people with a diagnosis of post-traumatic stress disorder, people with learning disabilities and other vulnerable groups. As to the exclusion of pregnant women, surely we must agree that their care cannot possibly be managed adequately within detention. The Shaw report also found that rule 35 of the detention centre rules, designed as a key safeguard for victims of torture or those whose health would be at risk from continued detention, failed to protect vulnerable people in detention. The report highlighted a fundamental lack of trust in medical staff and advised consideration of independent GPs or professionals.

I should like to address several issues in the time I have: assessment of those with PTSD, assessment of those with a learning disability, and the important issue of the detention of vulnerable and traumatised individuals alongside foreign national offenders—something that I believe poses a risk in itself. As a psychologist, I can say that assessment of post-traumatic stress disorder is complex and cannot be done as a snapshot. I went on occasion, in a previous life, to Dungavel to assess mental health, but there is a brief timespan.

[Mr Goodwill]

I want to reassure the hon. Lady that the worst foreign offenders are detained in the prison estate and not mixed with other detainees.

[Dr Cameron]

I thank the Minister for that response. I shall come on to the concerns that I have. The situation involves some detail on which we need further information.

The time afforded for clinical assessment is extremely brief—perhaps only an hour. Meeting clients in Dungavel, alongside an interpreter, makes it even more difficult, because more time is needed to get accuracy. In my experience, the time afforded has not been enough. Building rapport in clinical practice takes time. To expect professionals to do a full, thorough assessment within a snapshot of time is not realistic. It takes repeated appointments. Trust must be built. After all, it is expected that people will open up about some of the most traumatic incidents or experiences of their lives. That does not happen in a few appointments. Clinically, that approach is not good practice, and from the point of view of humaneness it could be re-traumatising. Post-traumatic stress disorder and its symptoms mean avoidance and suppression of emotion, so people are being asked to do something very difficult in the context of their disorder.

Another issue that I found was that the background information needed for a full diagnosis was often not available. Perhaps it has not travelled with the person, or not much is known about their background, meaning that even more careful consideration and lengthier assessment are merited. How many trained psychologists are working in detention centres, and what time and space are they afforded to complete mental health assessments? My concern is that people are slipping through the net; that PTSD is not being diagnosed, that mental illness is not being recognised and that vulnerable and unwell people are being detained when they should not be.

Individuals with learning disabilities are likely to be extremely vulnerable, and in my opinion they should not be detained at all. Assessment to detect individuals’ IQ and history of developmental delay and significant impairment in everyday functioning is even more complex than mental health assessment, and IQ tests are often not culturally transferable. Once again, information for such individuals is often lacking, although background information on development is necessary. It can take multiple sessions speaking to numerous people involved in someone’s care to avoid missing critical information.

Oral Answers to Questions

Debate between Robert Goodwill and Lisa Cameron

Thursday 28th April 2016 Commons Chamber

[Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP)]

9. What steps he is taking to promote low-carbon transport.

[The Minister of State, Department for Transport (Mr Robert Goodwill)]

The Government are committed to delivering the emissions reductions needed to meet our climate change targets. That includes promoting the uptake of low-emission vehicles, reducing emissions from the road freight sector, and encouraging sustainable choices such as walking and cycling.

[Dr Cameron]

A quarter of the UK’s greenhouse gas emissions come from transport emissions, which the Government have pledged to cut. Will the Minister follow the example of the Scottish Government, who are committed to investing £62.5 million to create low-carbon infrastructure?

[Mr Goodwill]

I will take no lessons from the Scottish Government on low-carbon infrastructure. We have some very tough targets—for example, for the electrification programme on our railways—which we are determined to meet. We will set our fifth carbon budget later this year and publish our emissions reduction plan shortly afterwards.