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Innovative project to deliver crisis support to people in prison enables prisoners to access 24/7 mental health support via the Shout messaging service, facilitated by In Cell technology partner Unify.


Since the pilot launched at HMP Thameside in April 2023, Shout has taken 800 conversations with prisoners reaching out for support with their mental health. While people normally access Shout via mobile phone, the Serco pilot project gives prisoners a device that allows them to confidentially and anonymously message the service from inside their cell.

The service was developed in consultation with prisoners and also opens doors to other self-care strategies such as healthcare information, calculator and work book applications. While Shout's tried-and-tested training model remains robust in supporting anyone in crisis, Shout Volunteers have also been provided with specific resources and guidance to be able to support texters as part of this project.

The service was developed in consultation with prisoners and also opens doors to other self-care strategies such as healthcare information, calculator and work book applications. While Shout's tried-and-tested training model remains robust in supporting anyone in crisis, Shout Volunteers have also been provided with specific resources and guidance to be able to support texters as part of this project.

Poor mental health is exceptionally common in prison, with 45% of adult inmates experiencing anxiety or depression and nine out of ten prisoners having at least one mental health or substance misuse problem*. Since launch, the pilot has seen prisoners reaching out for support across a range of issues including stress and/or anxiety (38%), depression (25%), suicidal thoughts and ideation (15%), isolation and loneliness (15%) and relationships (15%). 71% of those utilising the service report that they found their conversation to be helpful.

“Thank you - you was a great help for me today and now I know I have somewhere to go when im feeling low and suicidal, you are a kind person with a big heart.”

Feedback from a texter in prison

The service also launched in HMP Dovegate at the end of September and has already supported 230 conversations. There are plans for wider rollout throughout 2023 and 2024.

Victoria Hornby, CEO of Mental Health Innovations said: “We are delighted to be able to support Serco in this unique and groundbreaking new partnership, providing 24/7 support via message to people in prison. We believe everyone has the right to access mental health support and our service is here 24/7 for those piloting the project in HMP Thameside to have a free, confidential conversation with one of our trained volunteers who will listen without judgement, help them feel calm and find a way forward.”

“We are thrilled to be working with Mental Health Innovations to offer Shout at HMP Thameside, where we have successfully piloted the scheme. This innovative partnership gives vital access to mental health support for the prisoners and we believe it will form an important part of our approach to further improving their safety. We intend to roll out the scheme further to the prisons that we run in the UK.”

Hayley Peek

Health and Social Care Director at Serco

Adrian Hand, Head of Development at Unify said: “Unify are delighted to partner with MHI and Serco to bring such a meaningful app onto the In Cell Terminals Unify provided to Serco. The uptake so far proves how valuable this service will be for prisoners.”

* Prison Mental Health Services in England 2023, Centre for Mental Health