The increase in the aging population in prisons points to the need for further research to understand the risk and resilience of older adults in prison to support human rights, health and well-being in the prison environment.

The authors interviewed a stratified sample of 203 male prisoners over the age of 59 from 15 prisons in England and Wales to understand the prevalence of psychiatric morbidity in this population. They found that the prevalence of depressive illness was five times greater in this population than what was found in studies of younger prisoners and elderly community members.

The authors completed a retrospective chart review of all remands to a male and female prison over a 6.5 year period. They found that the rising number of older prisoners among male remand prisoners. Older remand prisoners had very high rates of affective disorder and alcohol misuse. High rates of vulnerability were found among older prisoners and that that group also had greater need for medical and psychiatric services than younger prisoners.

This handbook from the United Nations Office on Drugs and Crime and covers a variety of different care considerations including older prisoners, prisoners with terminal illness, those under the sentence of death and prisoners with mental health care needs, those with disabilities, ethnic and racial minorities and foreign national prisoners, indigenous peoples and LGBT prisoners.

This backgrounder provided by the Office of the Correctional Investigator in Canada was included in the 38th annual report to Parliament.  It provides an overview of issues of concern including access to programming, health care, conditions of confinement, post-release supervision, as well as recommendations for a nation older offender strategy.

This webpage reviews the health issues identified during the Offender Intake Assessment, prevalence of mental health problems such as depression, suicide risk and stress.

This chapter from “The Growth of Incarceration in the United States: Exploring Causes and Consequences” provides insights into the health profile of inmates in America as well issues such as substance abuse, infectious disease, chronic conditions and special populations including the aging population.

This pdf presentation and audio recording of a webinar hosted by the Canadian Gerontological Association, Public Health Agency of Canada and Canadian Health Human Resource Network reviews demographic and health, psychological and community level approaches to addressing social isolation in older adults.

Making the decision to leave your home can be difficult, but by taking time to find the right fit and being honest about your needs and concerns, you can you can make the choice that’s right for you and ensure your senior years are happy and fulfilling.

On Sept. 13th at 12EST, Rose Geist and Richard Shulman will present about how Trillium Health Partners (THP) and the Centre for Addiction and Mental Health (CAMH) have successfully used a utilization management tool, the Level of Care Utilization System for Psychiatric and Addiction Services (LOCUS) in their adult clinical mental health populations. Both hospitals now plan to implement the LOCUS in the seniors’ populations as a quality improvement project by adding a frailty dimension to the LOCUS tool. This study assessed how well three specific tools, the “Clinical Frailty Scale”, the “LOCUS”, and the “6 D’s” could identify the current level of healthcare utilization for older adults with medical and psychiatric co-morbidities. Register here.

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