This article presents an overview of an evaluation of the support services for autistic individuals and those with learning disabilities in prisons and outlines the development of a universal care pathway across the criminal justice system (CJS). Conducted by the University of Lincoln and commissioned by NHS England, the service evaluation involved literature searches and primary data collection from 24 prisons in the Midlands, including staff questionnaires and focus groups with people in prison. The findings highlighted inconsistent screening practices, a need for more staff training, and gaps in support services. Four core recommendations were made: developing a universal care pathway, enhancing staff training, improving information sharing, and increasing resources.
The second part of the article details the development of the universal care pathway by REACH Out, commissioned by NHS England. This involved literature reviews, co-production with service users, and engagement with key organisations. The pathway was divided into sections covering police, courts, prison custody, secure hospitals, and community release, but demonstrating how the pathways linked together for continuity of care. Key themes included effective communication, appropriate support, clear processes, adequate resources, and supportive environments. The article concludes with recommendations for implementing and refining the pathways, emphasising the need for a whole-systems approach and the involvement of neurodivergent individuals in service development and evaluation.
