Inmates killed in Indonesian prison fire

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On Tuesday 7th September at 01:45 local time a fire broke out at Tangerang prison, Indonesia. The fire blazed for just over an hour until local authority were able to put it out. 41 prisoners lost their lives. Whilst the cause is still being investigated, it is thought to have been due to faulty electrics that had been in place since the building was erected in 1972. Apparently, guards had managed to unlock some of the cells but then had to leave as the fire raged.

This truly heart-breaking event brings to light how important fire safety knowledge is, and how, in institutions, there should be precautions in place to protect those within them. A prison is no exception to this fact, and the detainees within should feel safe in the knowledge that protective emergency procedures exist and are regularly practiced.

At Integritas we campaign for those who do not have their own voice to try and improve prison conditions. We also partner with other NGOs to support their work such as @TripleBCareProjects @val.smithorr which help provide correct care and treatment for adults and children with burns in the Philippines.

Read more at: https://www.bbc.co.uk/news/world-asia-58483850

Still calling CMF members with hearts for health & justice!

Despite the pandemic, the inaugural year of our training partnership with Christian Medical Fellowship went swimmingly and the 2021-2022 intake of the Health & Justice Track will be starting on 14th September. However, as we have doubled the number of places this year, we still have room for twelve more trackers! So, if you’re a CMF member with a passion for serving the marginalised, why not send us an application form as soon as possible? But don’t delay because we expect these last few places to be filled fast and it’s first come, first served until 10th October when applications finally close.

Home sweet home?

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Almost a decade ago the Ministry of Justice published a harrowing report majoring on certain findings of Surveying Prisoner Crime Reduction.  Its take-home message is as true today as it was then: there’s no place like home.

Revolving doors

Three out of four ex-offenders who lack a place to call home get reconvicted within a year of finding freedom. That’s just one complete turn of the revolving door between cells and the streets. Countless people are going round and round and round and round.

Soggy tents

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Say the word ‘tent’ and most of us think back to family holidays and school excursions. It didn’t matter that you got soaked because soon you would be back home for a warm bath, hot meal and dry bed.

Yet camping is not a happy prospect for the many NFA (No Fixed Abode) ex-offenders released across the United Kingdom (UK) every week. For many of them, camping is joyless at best yet the nearest experience they will have to setting up in a place of their own. Yet these unhappy campers are luckier than others. As over half the women released in recent years from prisons such as HMP Bronzefield know, alternatives to camping include wet benches, drafty doorways, or even worse.

tangled knots

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Few people enter prison without a pre-existing tangled knot of personal problems. Rarely is it just one thing that prompts someone to commit a crime. It is more typically a series of unfortunate events: adverse childhood experiences, unhelpful adult relationships, homelessness, addiction, and health problems, to name just a few.

And it’s vital to remember that prison doesn’t miraculously undo knots. Sometimes it stops them enlarging - temporarily - but often it just makes them bigger and even more messy. And once released, how on earth can any ex-offender prioritise the unpicking of his soggy knot of personal problems whilst squatting precariously on a sodden park bench?!

A bit of Maslow

It’s impossible to over-estimate the vital role of holistic care for this particular vulnerable patient group.

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Consider Maslow’s Hierarchy of Needs and it’s evident that we’re too often failing to meet the most basic of ex-offenders’ physiological needs – food, water and shelter. Without these stable foundations, how can we expect them to rehabilitate and reintegrate into society?

Caring holistically also helps to ensure that any positive work that may have been done in prison is not promptly undone shortly after release. And of course, gold standard healthcare is more likely to be achieved when patients have reliable contact addresses.

Making it personal

I’ll never forget one man I met earlier in my medical studies, when I was doing a placement in a homeless shelter…

He’d been released from prison just three days previously, straight back onto the streets. He could barely walk. He hadn’t eaten a proper meal for days. And he confessed to having relapsed into stealing already.

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His leg ulcer dressings, which had been applied by his prison’s nurses, were soaked through. Yes, his nurses had tried to arrange for him to be seen in the community for follow-up dressings. But with no address and no phone, there was no way for his proposed follow-up team to get in touch with him.

And so he was looking like becoming another statistic in a sea of ex-offenders’ missed community appointments and unravelled prison healthcare interventions - until the street outreach programme I was with happened to come across him.

Glimmers of hope

That said, at last some rays of hope are starting to come through the clouds.

Rochdale Boroughwide Housing, for example, has implemented strategies of early intervention and planning prior to release, to try to secure a stable transition from prison. And St Mungo’s, a homelessness charity, has worked with both local authorities and probation services to set up a London housing clinic, which runs alongside probation hearings as well as reaching directly into prisons.

The common goal of these initiatives is to promote a planned transition. 

Jamming the revolver

There is no doubt that our society needs to prioritise ex-offenders being released to places of safety and stability. This ever-revolving prison-street-prison door needs to be closed off, with clear alternative signposting towards routes that have at least a chance of leading to rehabilitation. 

Miss Florence Kinder with Dr Rachael Pickering

Florence is a final year medical student doing a virtual elective with us,
and Rachael is a UK prison doctor and our medical director.  
                               

If you have appreciated this article, we welcome donations towards our pandemic work with offenders & ex-offenders.

Bad news in July

Locked up doc

A new monthly blog about health in justice

Capital news

This week I had to break some extremely bad news to a prisoner. He'd come into jail expecting to do the few years sentence imposed on him by his judge. I guess he'd been thinking that he'd then be going right back to whatever he used to do, which of course may or may not have been such a great idea!

Then out of the blue I came along with most unwelcome news of a drastic new sentence - and a capital one at that. Long story short: he’s going to die, there’s nothing we can do to prevent or postpone it, and most likely it’ll happen before his current sentence ends.

The need to impart such distressing news behind bars is somewhat of a communication crisis. And all crises require careful handling. What’s to be done in this case?

Breaking it well

Like many other aspects of medicine, breaking bad news is both a skill and an art. It should be as much part of a doctor's skillset as examining patients, ordering investigations for them, and performing treatments on them. And yet, even though the principle of equivalence of care is well established for all UK prisoners receiving healthcare on the NHS, it's so easy for equivalent communication to go missing from the prison roll count…

Before

Some things are easy on the outside and just a little bit more challenging on the inside. Breaking bad news though is never easy - in or out of jail. As with all hard tasks though, practice makes as perfect as possible and preparation really does help:-

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  • Will they need an interpreter and where on earth has the interpretation handset got to

    • A huge amount of UK prisoners don’t understand even simple health conversations delivered in English.

  • What time of day would be best for the consultation?

    • Imagine an officer bursting in, announcing that it's bang-up time just as you've said the fateful words!

  • Could a nurse be present who works on their wing on a regular basis?

    • Then they can touch base at the meds hatch now and again.

  • Where is that box of not-completely-horrible NHS tissues?

    • Paper hand towels are so very rough on crying eyes!

  • And will you need to pull strings to enable them to phone out to any loved ones later today?

    • Phone access arrangements vary from prison to prison.

During

Regardless of the location in which it's done, breaking bad news is something that gets easier with practice. However, there are some particular things to consider during such consultations that happen behind bars:-

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  • What do they prefer to be called?

    • Many prisoners use another name rather than their given one. If Prisoner number A1111AB answers to 'Buster' not 'Robert' then that’s what you should call him.

  • Do they have a faith that might help them at a time like this?

    • Ask them! They might like the prison chaplain to drop in on them.

  • Do they read well enough to digest any written information you might be about to give them?

  • Do they get on well with their cell mate and, if not, would it be possible to have them moved?

    • Sobbing into your pillow is tricky when your bunk mate is a hostile soul.

  • And are they at risk of doing themselves harm over the next few hours?

    • The ACCT process may need to be invoked.

After

And lastly, following things up:-

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  • When are they going to be seen again? They’ll have a lot to process so book them in for another appointment soon. If that consultation won't be with you, ask yourself: 'If my name disappeared from the prison's medical rota tomorrow, would others reading my notes know exactly what had (and had not) been communicated to this patient?'

    • Prison bars seems to distort the simplest of Chinese whispers.

  • Which other information is missing?

    • Ask the healthcare administrators to get copies of all relevant clinical correspondence and investigation reports.

  • Is their name down on the complex case discussion list?

    • If your establishment doesn't have one of these, it's time to start one!

  • Should they be considered for compassionate release?

    • I've only once succeeded in getting a detained patient released on compassionate grounds, but it's always worth a try.

  • And what about palliative care?

    • Again, if there isn’t a life-limiting illness register, it's time to create one. And palliative care services are excellent at advising on symptom control, even if your patient is still having curative treatment and/or has a prognosis of more than a year.

Dr Incog Nito, our resident blogger, is a doctor working behind bars in the UK.
We also welcome non-cynical guest bloggers who are keen to give Dr Nito a short rest.

International Day in Support of Victims of Torture

On June 26th we remembered the UN International Day in Support of Victims of Torture. This date was chosen as it marks the day when the UN Convention Against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment (CAT) was implemented as a legal instrument in 1987.

History of torture prevention

In 1948 the Universal Declaration of Human Rights was adopted by the United Nations General Assembly states in Article 5:-

No one shall be subjected to torture or to cruel, inhuman or degrading treatment or punishment.

Then in 1975 the General Assembly adopted the Declaration of the Protection of All Persons from Being Subjected to Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment, condemning torture and providing methods to prevent it.

Progress was made in the following two decades and eventually in 1984 the CAT was published, coming into force in 1987. This prohibits torture in all its forms and declares it cannot be justified under any circumstances.

How we support victims of torture

Regardless of whether they are signatories to national and international humanitarian laws forbidding ill-treatment, interrogation methods are brutal in many parts of the world both rich and poor. Rule of law may not prevail. And cultures of inter-prisoner violence (IPV) are often ignored or even encouraged by the authorities.

I signed my confession because I knew I would be beaten until I did. It was an easy decision.
(Detainee with strike marks on torso)

We utilise our expertise & advocacy in the detection and prevention of torture & ill-treatment. Patients, clinicians, relatives and legal representatives contact us for expert advice and advocacy. We also cooperate with the embassies of countries concerned that their citizens detained overseas are being torture or ill-treated.

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The Gerry Serrano Centre is an institution based at Integritas House Olongapo in the Philippines. It provides healthcare, expert witness, advocacy, research and training for and about detainees past and present, especially those who have been tortured or ill-treated within the Western Pacific and South-East Asia.

The Gerry Serrano Centre is named in honour of the late Mr Gerry Serrano who was a long-term detained patient we were proud to know, care, and advocate for. He spent more than two decades behind bars facing many challenges but eventually, after 22 years, he was found innocent and released. He was free but his body could not recover sufficiently and he sadly died a year or so after release. Before he died, Gerry agreed that his story should be used in our work - promoting offender healthcare and opposing ill-treatment. And so we decided to preserve his memory by naming this centre after him.

Our advocacy and expertise work are needed more than ever to oppose ill-treatment and torture. In Spring 2021 we highlighted the many forms that torture and ill-treatment may take and how, despite international legal standards, torture still continues to this day. If you have been moved to support victims of torture and you’d like to support our anti-torture & ill-treatment work, we welcome donations towards the Gerry Serrano Centre.

An Injection of Information

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In February we announced our exciting news that we had been awarded a £2000 grant by the British Medical Association’s Information Fund to stock our emerging resources centre at Integritas House, Olongapo in the Philippines.

Update on the resources

This week we are pleased to share with you that the books we have been able to purchase with this grant have now arrived! We look forward to populating the shelves of our library with these fantastic books, and allowing local healthcare and social care professionals to read and learn invaluable information from them.

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Thank you

We would like to once again thank the BMA for granting us this very generous funding, these books are a much needed educational resource that will really help many people!

C. René Padilla and the birth of Integral Mission

As an organisation that bases its principles on that of Integral Mission we remember Carlos René Padilla, the ‘Father of Integral Mission’ who sadly passed away in April this year.

CARLOS RENÉ PADILLA, 1932-2021

René Padilla was born in Quito, Ecuador before moving to Columbia with his parents at the age of 6 years. His father was a tailor by trade, and a Church-planter by faith; a difficult calling in a Catholic dominated society. Schooling was difficult due to his evangelical background resulting in several expulsions and exclusions. He went to University in the United States of America (USA) studying at Wheaton College (1953) and Manchester University (1963-1965), returning to Wheaton College in 1992.

As an economic migrant and as a member of a religious minority community, Padilla was shaped by a context of violence, oppression, and exclusion. The relationship between suffering and theology was an organic one for Padilla. As a young person, he recalled ‘longing to understand the meaning of the Christian faith in relation to issues of justice and peace in a society deeply marked by oppression, exploitation, and abuse of power’. The question for Padilla was not whether the gospel spoke to a challenging Latin American context, but how.

NEW THEOLOGY

In 1959 Padilla was Secretary to the Latin American International Fellowship of Evangelical Students. This meant travelling between institutions, providing him with an ‘ear to the ground’. In the 1960s, South America was gripped by politics and political unrest. Students were powerful and could cause turmoil, and often did with strikes. Evangelism was dominated by the large movements of the richer nations, with a model of separating out evangelism from social action.  Renée Padilla and his colleagues could not reconcile this style of working as he surveyed the young people and their political struggles. Working with Samuel Escobar and Pedro Arana, they began to generate a theology that would respond holistically from the Gospels to the pressing realities evident around them: social justice with an evangelical theology.

LAUSANNE MOVEMENT

In 1974, over 2,400 evangelical leaders met in Lausanne, Switzerland. This conference, known as the International Congress on World Evangelization (ICOWE) or the Lausanne Congress, brought participants together from across the world to share ideas on global mission for the first time. It was at this meeting that Padilla presented his theology on combining social justice and evangelism.

During his presentation, Padilla castigated American evangelists for exporting the American way of life, bringing solutions to local problems, devoid of any social responsibility. Mainstream protestant evangelism considered social action as implicit and not inherent with evangelism. Padilla argued that social action and evangelism were essential and indivisible components (opposite sides of a coin) or in Padilla’s words, ‘two wings of a plane’. And that belief in Jesus not only brought salvation but a demand to look after the immigrant, poor, needy, vulnerable, and widowed; a new societal way of thinking that remains valid today. The Christian faith was a way of life, not an added extra.

From this meeting the Lausanne Covenant was drafted, a document detailing the goals of evangelism, including Integral Mission. This eventually led to the Lausanne Movement, a way to connect ‘influencers and ideas for global mission’.

RADICAL DISCIPLESHIP

Seizing the momentum generated by Escobar and his plenary papers, Padilla, alongside John Howard Yoder, rallied an ad hoc group of 500 attendees they called the ‘Radical Discipleship’. This gathering sought to further sharpen the social elements in the drafted Lausanne Covenant. After the congress, Padilla recalled their radical discipleship document as ‘the strongest statement on the basis for holistic mission ever formulated by an evangelical conference up to that date’. He also declared the death of the dichotomy between social action and evangelism in Christian mission.

The proclamation of the gospel (kerygma) and the demonstration of the gospel that gives itself in service (diakonía) form an indivisible (indisoluble) whole. One without the other is an incomplete, mutilated (mutilado) gospel and, consequently, contrary to the will of God. From this perspective, it is foolish to ask about the relative importance of evangelism and social responsibility. This would be equivalent to asking about the relative importance of the right wing and the left wing of a plane.

It may have been ‘radical discipleship’, but Padilla did not invent integral mission. Integral mission is the core teaching of God’s word. Throughout the Old and New Testaments, God calls His people to be aware of the undervalued (poor, refugee, foreigner) and vulnerable (old, widowed, sick). He frequently laments that His people are not doing this and constantly exhorts and reminds us of our duty and responsibilities.

Wash and make yourselves clean. Take your evil deeds out of my sight; stop doing wrong. Learn to do right; seek justice. Defend the oppressed. Take up the cause of the fatherless; plead the case of the widow.

Isaiah 1:16-17

HOW CAN WE DO INTEGRAL MISSION IN HEALTHCARE?

The UK’s National Health Service (NHS) is one of the largest employers in the world, employing 1,093,638 whole-time-equivalent people who work alongside many ancillary staff employed by partner organisations. The NHS budget in 2018/19 was £130.3 billion, 9.8% of gross domestic budget.

The NHS has employed chaplaincy staff (formal and informal) to look after the spiritual needs of patients and staff for many years, but overt expressions of faith by Christian staff are discouraged and often obstructed. The law in the UK and many other countries reinforce this.

For too long the Christian Church has colluded with society, encouraging ordinary folk to keep their faith private, to take it off like a coat when they arrive at work or - better still - leave it at home. Yet the Gospels tell a different story. Christians are encouraged to share their faith (Matthew 28:16-20), not to hide their light under a basket (Luke 11:33-36) and to be the salt in society (Matthew 5:13). The Manila Manifesto (a 1984 elaboration of the Lausanne Covenant) states that the ‘Gospel must become visible in the transformed lives of men and women’.

We are never promised an easy life, rather one of hard toil and persecution. The Christian life requires total dedication, not attention just one day in seven.  The work place is the largest mission in field in the world. How often have we seen churches commission pastors, overseas workers, schools workers and Sunday school teams whilst overlooking those who toil in the secular world? We are called to witness to our friends, colleagues and families - to plant that small seed (Luke 13:18-21).

How can we be witnesses in the work place? Why, simply by demonstrating the love of God to our patients and our colleagues. We can be a beacon for God, a mirror that reflects His love and glory (Isaiah 43:10). We are His ambassadors to a troubled world.

Intercede for your work place. Pray for your colleagues and patients. Be prepared to be open and vulnerable, to share your story. This may come at a cost. It may be uncomfortable and difficult initially but rewards will follow. People will come to know God. Talk to your colleagues. Have a coffee or meal with them. Listen and share. Deliver a loving service to your patients, respecting their intrinsic value as beings made in the image of God. Demand justice and peace for them. Take any opportunity that is offered - the Bible on the bedside table, a throwaway statement or a direct question.

Tomorrow may be too late, so seize the day: ‘Carpe Diem!’

Dr David Smithard is a consultant physician for older age adults at a South East London hospital
and is a current participant on the
Health & Justice Track.

Volunteers' Week 2021

Volunteers’ Week is here! This is an annual opportunity to recognise and thank our volunteers.

We have had numerous volunteers support the HEART of our organisation since we began. In fact, between 2012 and 2020 we had a total of 8 long-term volunteers and 130 short-term volunteers! Even now we have a constant flow of volunteers in and out of service.

So this Volunteers’ Week we want to say a big thank you to all those past and present that have given their time, energy and skills to support our work, we couldn’t do it without you.

Some of our volunteers:

Note, most of these photos were taken pre-pandemic.

Fancy joining us as a volunteer? We welcome applications to join our team here.

Find out more about Volunteers’ Week here.

The Ms Maxwell Series: Is it torture?

This week we finish our series pegged around the topic of torture, which made British news headlines in early Spring 2021 when Ghislaine Maxwell’s brother, Ian, spoke out against what he felt were torturous conditions in her New York jail. She is apparently being continually observed in a 6x9ft (1.8x2.7m) cell with no natural light and terrible food & water rations.

Previously: is sleep deprivation torture?

During this series we have asked ‘What is torture?’, ‘How small is too small?’ for a jail cell, and ‘What’s diet got to with it?’. And most recently we asked, ‘Is sleep deprivation torture?’ Over in Europe, a landmark case in the European Court of Human Rights (ECtHR) concluded that sleep deprivation, used as part of five techniques used in interrogation, amounted to inhuman and degrading treatment, but not torture. For Ghislaine over in the United States of America (USA) though, sleep deprivation as a consequence of suicide monitoring during the night could be an over-reaction and indeed counter-productive, unless that monitoring matched her level of risk. Whether sleep deprivation is inflicted for the purposes of interrogation, suicide surveillance or it is a result of other biopsychosocial factors from living in prison, it can have lasting health consequences that no human deserves.

Conclusions

Is it ill-treatment?

If Ghislaine is indeed being held in a 6x9ft (1.8x2.7m) cell with no natural light, under constant surveillance, and with terrible food and water rations as her brother reports, then could this amount to ill-treatment? According to the Nelson Mandela Rules (NMR), which the USA (as a member of the United Nations (UN) General Assembly) has to abide by, it could well be the case:-

  • Has she been held for 22 hours a day, for more than 15 consecutive days as defined as solitary confinement, so breaching rules 44 and 45?

  • Has her microwaved food lost its nutritional value to the extent that it is inadequate for health and strength, so breaching rule 22?

  • Has there been insufficient attention to minimum floor space and lighting in her cell, so breaching rule 13?

If the answer to any of these question is an objective yes, then it may fairly be said that she has been subjected to cruel, inhuman or degrading treatment.

But is it torture?

Moving on from an objective yes to the above ill-treatment questions, then - as torture is a subset of ill-treatment - it may be that Ghislaine is being tortured. Let’s see…

We can’t use the European Convention on Human Rights (ECHR) or its more detailed Convention on the Prevention of Torture and Inhuman or Degrading Treatment or Punishment (CPT), as she is not being held in Europe. Even if we could use these conventions, they do not actually define the torture that they ban. Instead, ECtHR judges sometimes rule on whether a particular case of alleged ill-treatment could be said to amount to torture.

We can’t utilise the UN’s Optional Protocol to the Convention against Torture and other Cruel, Inhuman or Degrading Treatment or Punishment (OPCAT) and monitoring by its mandated Subcommittee for the Prevention of Torture and Cruel, Inhuman or Degrading Treatment or Punishment (SPT) to inspect her jail and look for evidence of torture, as the USA is not signed up to OPCAT. And even if USA jails did qualify for SPT inspections, this monitoring body does not have publicly available standards by which to judge cell size, nutrition, lighting and sleeping conditions.

However, the USA is signed up to the UN’s more basic Convention Against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment (CAT). And according to CAT, torture requires a particular action to have:-

  • caused severe pain or suffering, whether physical or mental;

    and

  • been intentionally inflicted for such purposes as:-

    • obtaining information or a confession from the victim or another person,

    • punishment for a suspected or actual deed committed by the victim or another person,

    • intimidation or coercion of the victim or another person,

    • or discrimination of any kind;

    and

  • been inflicted by a public official or other person acting in an official capacity.

Pain or suffering arising only from, inherent in or incidental to lawful sanctions such as corporal or capital punishment is specifically excluded.

So, to consider whether Ghislaine’s conditions are torturous according to the letter (as opposed to the spirit) of the USA’s legal obligations under the international humanitarian law it has chosen to sign up to, we must establish affirmative answers to all of the following questions:-

  1. Is it causing severe mental or physical pain or suffering?

    • Severity is a completely subjective concept. In healthcare, we use a scale from 0 (no pain) to 10 (agony) for people to rate their pain. The major downside to this though is that one person’s 10 is another person’s 5. So this severity stipulation within CAT is the major sticking point for our conclusion.

  2. Is its purpose to get information or a confession, or else to punish, intimidate, coerce or discriminate?

    • It’s difficult for third parties like us to establish the exact purpose or purposes.

  3. Is it not a lawful sanction of corporal or capital punishment?

    • This is easy to answer. Yes, it is most definitely not a lawful act of corporal punishment.

  4. Is it authorised or conducted by a state official?

    • Again, this is fairly easy to answer. Yes, it will be being authorised by her state prison managers and it will be being carried out by state prison officials (eg guards and cooks), although it’s possible that some of the poor cooking is being done by fellow prisoners.

Letter of the law

So, the long and the short of it is that no, according to the letter of the law, Ghislaine is not being tortured.

Spirit of the law

But really, is it right that a certain action may be judged torturous in one country yet non-torturous in another? Why is it that nations including ‘leaders of the free world’ such as the USA may belong to Club UN without ratifying OPCAT? Even signing up to the more basic CAT is optional. After all, Council of Europe member states are obliged to sign up to the CPT on top of the ECHR.

And as an aside, considering that information obtained under duress is often inaccurate, it is surely concerning that the majority (the USA along with China and Russia) of the five permanent members of the UN Security Council (the UN body charged with maintaining international peace and security) are OPCAT signatories.

But let’s return to the fact that what is deemed torture in one state is deemed non-torturous in another. Where is the equivalence? Where is the justice? So many of the world’s 11 million prisoners eat terrible food and live 24/7 in cramped, dark cells - with the full knowledge of their country’s officials. Others are kept alone for months and years at a time. At the very least, this is discrimination against people who are deprived of their liberty. It is surely perverse that we need to argue about semantics in order to decide if these poor people are being tortured! Just how malnourished, lonely, cramped and light deprived does a human being have to be before the law will consider protecting him or her?!

A higher law

As we are a Christian faith-inspired NGO, we also look to an additional set of rules to guide our work - God’s Laws as set out in the Bible.

The Bible has much to say about how to live in just societies. In a nutshell, it rests on how we treat one another. In the New Testament, Jesus teaches his followers ‘The Golden Rule’ as well as ‘The Greatest Commandment’:-

“So whatever you wish that others would do to you, do also to them, for this is the Law and the Prophets.”

Matthew 7:12

Jesus replied: “‘Love the Lord your God with all your heart and with all your soul and with all your mind.’ This is the first and greatest commandment. And the second is like it: ‘Love your neighbour as yourself.’ All the Law and the Prophets hang on these two commandments.”

Matthew 22: 36-40

Loving our neighbours - that is, others living within our culture - as ourselves is a wonderful principle, regardless of one’s faith. Let’s ask ourselves, ‘Would I wish to live day in, day out in a tiny, dark cell? Would I want to eat bland, unhealthy food for breakfast, lunch, and dinner? And would I want to live my life under constant scrutiny?’ If our answers are ‘No, No and No’ then consider: ‘How can I not speak up whilst this is happening to my neighbours?’

At Integritas Healthcare, we advocate for those who are tortured or otherwise ill-treated because we believe that every human being is made equal with innate worth and dignity. We are called to treat everyone with the kindness and compassion we ourselves would want. Taking inspiration from Matthew 25:37-39, whatever we do in the service of others, we do in love of our fellow man and in our love for God:-

“For I was hungry and you gave me something to eat, I was thirsty and you gave me something to drink, I was a stranger and you invited me in, I needed clothes and you clothed me, I was sick and you looked after me, I was in prison and you came to visit me.”… “Truly I tell you, whatever you did for one of the least of these brothers and sisters of mine, you did for me.”

A glimmer of hope

We end this series with some recent good news that provides a glimmer of hope for prisoners in solitary confinement in the USA.

From next year, the State of New York has agreed to ban solitary confinement exceeding 15 days, so as to ensure compliance with the Nelson Mandela Rules. This new law will include screening for suicide risk and the development of rehabilitation units for those who would otherwise have been sent to solitary confinement.

It may only be one law, but it could be the start of a nationwide change in how detainees are treated within the USA’s penal system. It is also the beginning of being able to hold certain USA detention centres accountable for any discrimination against vulnerable patient groups who are disproportionately sent to solitary confinement and who are generally more poorly treated within many of the world’s penal institutions. So watch this space!

If you have been moved by this series on torture and you’d like to support our anti-torture & ill-treatment work, we welcome donations towards the Gerry Serrano Centre.