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Ageing prisoners: An introduction to geriatric health-care challenges in correctional facilities

Published online by Cambridge University Press:  17 November 2017

Rachael Bedard ,
Lia Metzger  and
Brie Williams
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Abstract

The rise in the number of older prisoners in many nations has been described as a correctional “ageing crisis” which poses an urgent financial, medical and programmatic challenge for correctional health-care systems. In 2016, the International Committee of the Red Cross hosted a conference entitled “Ageing and Imprisonment: Identifying the Needs of Older Prisoners” to discuss the institutional, legal and health-care needs of incarcerated older adults, and the approaches some correctional facilities have taken to meeting these needs. This article describes some of the challenges facing correctional systems tasked with providing health care to older adults, highlights some strategies to improve their medical care, and identifies areas in need of reform. It draws principally on research and examples from the United States to offer insights and recommendations that may be considered in other systems as well.

Keywords

ageingincarcerationgeriatricspalliative carehospicecompassionate release
Type
Conditions in detention
Information
International Review of the Red Cross , Volume 98 , Issue 903: Detention: Addressing the human cost , December 2016 , pp. 917 - 939
Copyright
Copyright © icrc 2017 

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145 Ibid.

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147 Ibid.

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153 Wang, Emily A., Hong, Clemens S., Shavit, Shira, Sanders, Ronald, Kessell, Eric and Kushel, Margot B., “Engaging Individuals Recently Released from Prison into Primary Care: A Randomized Trial”, American Journal of Public Health, Vol. 102, No. 9, 2012 CrossRefGoogle ScholarPubMed.

154 Christine Vestal, “For Aging Inmates, Care Outside Prison Walls”, Pew Charitable Trusts, 12 August 2014, available at: www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2014/08/12/for-aging-inmates-care-outside-prison-walls.

155 M. Ewing, above note 108.

156 B. A. Williams et al., above note 4; House of Commons Justice Committee, Older Prisoners: Fifth Report of Session 2013–14, House of Commons, London, 2013 Google Scholar, available at: www.parliament.uk/documents/commons-committees/justice/older-prisoners.pdf.

157 Ahalt, Cyrus, Binswanger, Ingrid A., Steinman, Michael, Tulsky, Jacqueline and Williams, Brie A., “Confined to Ignorance: The Absence of Prisoner Information from Nationally Representative Health Data Sets”, Journal of General Internal Medicine, Vol. 27, No. 2, 2012 CrossRefGoogle ScholarPubMed.

158 T. E. Quill and A. P. Abernethy, above note 123.

159 Meera Sheffrin, Cyrus Ahalt, Irena Stijacic Cenzer and Brie A. Williams, “Geriatrics in Jail: Educating Professionals to Improve the Care of Older Inmates”, presented at the American Geriatrics Society Annual Conference, Long Beach, CA, 2016.

160 Chun, Audrey Ed, Geriatric Care by Design: A Clinician's Handbook to Meet the Needs of Older Adults Through Environmental and Practice Redesign, 1st ed., American Medical Association, 2011 Google Scholar.

161 Saunders, Lynn, “Older Offenders: The Challenge of Providing Services to Those Aging in Prison”, Prison Services Journal, No. 208, 2013 Google Scholar.

162 Ibid.

163 Office of National Drug Control Policy, “Alternatives to Incarceration”, The White House, Washington, DC, available at: https://obamawhitehouse.archives.gov/ondcp/alternatives-to-incarceration.

164 Erikson, Erik H., Identity and the Life Cycle, reissue ed., Norton, New York, 1994 Google Scholar.