Navigation Links
Elderly prisoners need better medical care, according to report

Soaring numbers of older, sicker prisoners are causing an unprecedented health care challenge for the nation's criminal justice system, according to a new UCSF report.

As the American penal system confronts a costly demographic shift toward older prisoners, the authors call for an overhaul in health care practices for elderly inmates who disproportionately account for escalating medical expenses behind bars. The recommendations include screening for dementia among prisoners, improved palliative care, and standard policies for geriatric housing units for infirm inmates.

The article will be published online June 14, 2012, in the American Journal of Public Health.

The report outlines nine policy recommendations that emerged from a gathering last year of 29 national experts in prison health care, academic medicine, nursing and civil rights.

The recommendations promote cost-effective quality care for older prisoners, said lead author Brie Williams, MD, a UCSF associate professor of medicine in the division of geriatrics.

"A first step is to focus on these nine priority areas in order to set the stage for collaboration among the many disciplines involved in older prisoner health care," Williams said.

From 2000 to 2009, the country's prison population grew by 16 percent, and the number of older prisoners 55 years or older increased nearly 80 percent.

As a result, prisons are increasingly challenged to provide care to older inmates with a litany of chronic medical conditions including diabetes, heart failure, cognitive impairment and end-stage liver disease. Many older inmates also suffer from infectious diseases such as HIV, tuberculosis and hepatitis C. With higher rates of disability in general, older prisoners cost approximately two to three times as much as younger inmates.

"Prisoners have a right to timely access to an appropriate level of care for serious medical needs,'' the authors said in the report. "Yet criminal justice health care systems are underprepared to provide cost-effective quality care for older adults.''

The recommendations include:

  • Institute a standard definition of geriatric or older prisoners the experts suggest age 55 or older;
  • Improve training of prison staff and health care providers;
  • Provide screening for dementia;
  • Identify health needs of older women prisoners;
  • Create national medical eligibility criteria for early prisoner release based on medical needs;
  • Establish uniform policies for geriatric housing units.

The report points out that prompt attention to age-related disabilities of older inmates eventually would result in societal benefits outside prison gates. With the vast majority of inmates ultimately released back to the community, "Prison programs that improve health and cognitive skills or that target substance abuse have been associated with decreased recidivism and re-arrest,'' the authors wrote. And with better care during incarceration, prisoners when released would make less use of emergency rooms and other community medical resources.

Study funding was provided by the Jacob and Valeria Langeloth Foundation, by private correctional health care vendors and by the John Jay College of Criminal Justice.

Williams is also the lead author of another report on the aging prison crisis that was recently published in the Journal of the American Geriatrics Society (JAGS).

Problems with the graying prison population are straining state and local budgets by spilling into the community as well as public health care systems, the JAGS report found.

"Our study discusses how successful models of care that have been developed for older adults in the community could be adapted to address the mounting health care crisis of aging in the criminal justice system," said Williams.


Contact: Elizabeth Fernandez
University of California - San Francisco

Related medicine news :

1. Colonoscopy May Detect Curable Cancer in Elderly: Study
2. Type of viral infection of eye associated with disease causing blindness in the elderly
3. Tuberculosis increases the risk of lung cancer mortality in the elderly
4. Cancer in the elderly: Research fails to keep up with demographic change
5. Elderly women with irregular heart beat at higher risk for stroke
6. Less Invasive Heart Valve Replacement Works for Elderly: Study
7. Immunotherapy for elderly cancer patients finds new promise in drug combination
8. Why is traumatic brain injury increasing among the elderly?
9. Exercise Controls Weight in White Girls Better Than in Black Girls: Study
10. ASCO: Younger colon cancer patients have worse prognosis at diagnosis, yet better survival
11. Half of Americans with individual health plans could gain better coverage under the ACA
Post Your Comments:
Related Image:
Elderly prisoners need better medical care, according to report
(Date:6/27/2016)... ... June 27, 2016 , ... ... authorized OSHA Training Institute Education Center headquartered in Northern California, has issued an ... extreme heat at their worksites. Employers with workers exposed to high temperatures ...
(Date:6/27/2016)... ... June 27, 2016 , ... "FCPX editors can now reveal their media with ... X," said Christina Austin - CEO of Pixel Film Studios. , ProSlice Color ... users can now reveal the media of their split screens with growing colorful ...
(Date:6/27/2016)... ... June 27, 2016 , ... TherapySites, ... its affiliation with Tennessee Counseling Association. This new relationship allows TherapySites ... Tennessee Counseling Association, adding exclusive benefits and promotional offers. , "TCA is extremely ...
(Date:6/27/2016)... California (PRWEB) , ... June ... ... pioneer in the patient payment industry today announced its strategic partnership with ... health system workflows. , The two companies’ proven, proprietary technology combine to ...
(Date:6/27/2016)... ... June 27, 2016 , ... A ... revolutionize the emergency ambulance transport experience for the millions of people who require ... has disrupted the taxi industry through the use of technology. Now, SmartEMS has ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... BEVERLY HILLS, Calif. , June 23, 2016 ... faced the many challenges of the current process. Many of ... option because of the technical difficulties and high laboratory costs ... would have to offer it at such a high cost ... to afford it. Dr. Parsa Zadeh , ...
(Date:6/23/2016)... 23, 2016 Roche (SIX: RO, ROG; OTCQX: ... its Elecsys BRAHMS PCT (procalcitonin) assay as a dedicated ... shock. With this clearance, Roche is the first IVD ... solution for sepsis risk assessment and management. ... and PCT levels in blood can aid clinicians in ...
(Date:6/23/2016)... Research and Markets has announced the addition of ... their offering. The current ... environment for MedImmune to enter. The US ageing population creates ... drive considerable growth for effective anti-influenza medications. The introduction of ... but development is still in its infancy. ...
Breaking Medicine Technology: