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The mental health of older prisoners

Published online by Cambridge University Press:  18 May 2010

Alexander Kakoullis*
Affiliation:
Coventry and Warwickshire Partnership Trust, The Caludon Centre, Coventry, U.K.
Nick Le Mesurier
Affiliation:
Centre for Ageing and Mental Health, Staffordshire University, Stafford, U.K.
Paul Kingston
Affiliation:
Centre for Ageing and Mental Health, Staffordshire University, Stafford, U.K.
*
Correspondence should be addressed to: Dr Alexander Kakoullis, Coventry and Warwickshire Partnership Trust, The Caludon Centre, Clifford Bridge Road, Coventry, CV2 2TE, West Midlands, U.K. Phone: +44 2476 968154. Email: alex.kakoullis@nhs.net.

Abstract

Background: Older prisoners are a minority within the prison population but their numbers are increasing at a greater rate than any other age group. The mental health of younger prisoners has been well researched but this is not the case for older inmates. The aim of this paper is to provide a review of the existing literature on the mental health of older prisoners.

Methods: Relevant papers were identified through database searches and an examination of cited references in the selected papers. The literature was divided into different sections in order to examine the contributing factors and rates of mental illness in older prisoners.

Results: The first section looks at demographic factors relevant to older prisoners. Subsequent sections examine psychosocial factors, environmental factors and physical health factors that may have a detrimental effect on mental health. The final sections look at the prevalence of mental illness in older offenders before and after sentencing.

Conclusions: Mental illness in older prisoners is a result of complex interactions between numerous individual and environmental factors. It currently remains poorly researched and service provision for older prisoners with mental illness is poorly developed. Further research is needed, with a particular focus on the different groups of older prisoners and the most beneficial service models, because the number of older prisoners, including those with mental illness, is likely to increase in the future.

Type
Review Article
Copyright
Copyright © International Psychogeriatric Association 2010

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References

Aday, R. H. (2005). Aging prisoners’ concerns toward dying in prison. Omega: Journal of Death and Dying, 52, 199216.Google Scholar
Arndt, S., Turvey, C. L. and Flaum, M. (2002). Older offenders, substance abuse, and treatment. American Journal of Geriatric Psychiatry, 10, 733739.Google Scholar
Barak, Y., Perry, T. and Elizur, A. (1995). Elderly criminals: a study of the first criminal offence in old age. International Journal of Geriatric Psychiatry, 10, 511516.Google Scholar
Bond, G. D., Thompson, L. A. and Malloy, D. M. (2005a). Lifespan differences in the social networks of prison inmates. International Journal of Aging and Human Development, 61, 161178.Google Scholar
Bond, G. D., Thompson, L. A. and Malloy, D. M. (2005b). Vulnerability of older adults to deception in prison and nonprison contexts. Psychology and Aging, 20, 6070.Google Scholar
Booth, D. E. (1989). Health status of the incarcerated elderly: issues and concerns. Journal of Offender Counseling, 13, 193213.Google Scholar
Brown, G. P. and Brozowski, K. (2003). Golden years? The incarceration of the older offender. Geriatrics Today: Journal of the Canadian Geriatrics Society, 6, 3235.Google Scholar
Caverley, S. J. (2006). Older mentally ill inmates: a descriptive study. Journal of Correctional Health Care, 12, 262268.Google Scholar
Chaiklin, H. (1998). The elderly disturbed prisoner. Clinical Gerontologist, 20, 4762.Google Scholar
Cianciolo, P. K. and Zupan, L. L. (2004). Developing a training program on issues in aging for correctional workers. Gerontology and Geriatrics Education, 24, 2335.Google Scholar
Colsher, P. L., Wallace, R. B., Loeffelholz, P. L. and Sales, M. (1992). Health status of older male prisoners: a comprehensive survey. American Journal of Public Health, 82, 881884.Google Scholar
Crawley, E. (2005). Institutional thoughtlessness in prisons and its impacts on the day- to-day prison lives of elderly men. Journal of Contemporary Criminal Justice, 21, 350363.Google Scholar
Crawley, E. and Sparks, R. (2005). Hidden injuries? Researching the experiences of older men in English prisons. Howard Journal of Criminal Justice, 44, 345356.Google Scholar
Dopson, L. (2005). No bars to better care. Nursing Older People, 17, 47.Google Scholar
Fazel, S. and Danesh, J. (2002). Serious mental disorder in 23000 prisoners: a systematic review of 62 surveys. Lancet, 359, 545550.Google Scholar
Fazel, S. and Grann, M. (2002). Older criminals: a descriptive study of psychiatrically examined offenders in Sweden. International Journal of Geriatric Psychiatry, 17, 907913.Google Scholar
Fazel, S. and Jacoby, R. (2002). Psychiatric aspects of crime and the elderly. In Jacoby, R. and Oppenheimer, C. (eds.), Psychiatry in the Elderly (pp. 919931). Oxford: Oxford University Press.Google Scholar
Fazel, S., Hope, T., O Donnell, I., Piper, M. and Jacoby, R. (2001a). Health of elderly male prisoners: worse than the general population, worse than younger prisoners. Age and Ageing, 30, 403407.Google Scholar
Fazel, S., Hope, T., O Donnell, I. and Jacoby, R. (2001b). Hidden psychiatric morbidity in elderly prisoners. British Journal of Psychiatry, 179, 535539.Google Scholar
Fazel, S., Hope, T., O Donnell, I. and Jacoby, R. (2004). Unmet treatment needs of older prisoners: a primary care survey. Age and Ageing, 33, 396398.Google Scholar
Gallagher, E. M. (1990). Emotional, social, and physical health characteristics of older men in prison. International Journal of Aging and Human Development, 31, 251265.Google Scholar
Gallagher, E. M. (2001). Elders in prison health and well-being of older inmates. International Journal of Law and Psychiatry, 24, 325–33.Google Scholar
HM Chief Inspector of Prisons (2004). “No Problems: Old and Quiet”. Older Prisoners in England and Wales: A Thematic Review. London: HMIP.Google Scholar
Home Office (2008). Prison Statistics 2008: England and Wales. London: HMSO.Google Scholar
Howse, K. (2003). Growing Old in Prison: A Scoping Study on Older Prisoners. London: Centre for Policy on Ageing and Prison Reform Trust.Google Scholar
Hurt, S. and Oltmanns, T. F. (2002). Personality traits and pathology in older and younger incarcerated women. Journal of Clinical Psychology, 58, 457464.Google Scholar
Kerbs, J. J. and Jolley, J. M. (2007). Inmate-on-inmate victimization among older male prisoners. Crime and Delinquency, 53, 187218.Google Scholar
Koenig, H. G., Johnson, S., Bellard, J., Denker, M. and Fenlon, R. (1995). Depression and anxiety disorder among older male inmates at a federal correctional facility. Psychiatric Services, 46, 399401.Google Scholar
LaMere, S., Smyer, T. and Gragert, M. (1996). The aging inmate. Journal of Psychosocial Nursing and Mental Health Services, 34, 2529.Google Scholar
Le Mesurier, N., Kingston, P., Heath, L. and Wardle, S. (2009). A critical analysis of the mental health needs of older prisoners in four prisons in the West Midlands. Unpublished report for the National Institute for Health Research (Research for Patient Benefit Programme), London.Google Scholar
Loeb, S. J. and Steffensmeier, D. (2006). Older male prisoners: health status, self-efficacy beliefs, and health-promoting behaviors. Journal of Correctional Health Care, 12, 269278.Google Scholar
Morton, J. (1992). An Administrative Overview of the Older Inmate. Washington, DC: U.S. Department of Justice, National Institute of Corrections.Google Scholar
Murdoch, N., Morris, P. and Holmes, C. (2008). Depression in elderly life sentence prisoners. International Journal of Geriatric Psychiatry, 23, 957962.Google Scholar
Reed, M. B. and Glamser, F. D. (1979). Aging in a total institution: the case of older prisoners. Gerontologist, 19, 354360.Google Scholar
Regan, J. J., Alderson, A. and Regan, W. M. (2002). Psychiatric disorders in aging prisoners. Clinical Gerontologist, 26, 117124.Google Scholar
Reimer, G. (2008). The graying of the U.S. prisoner population. Journal of Correctional Health Care, 14, 202208.Google Scholar
Reviere, R. and Young, V. D. (2004). Aging behind bars: health care for older female inmates. Journal of Women and Aging, 16, 5569.Google Scholar
Rónán Collins, D. and Bird, R. (2007). The penitentiary visit: a new role for geriatricians? Age and Ageing, 36, 1113.Google Scholar
Rubenstein, D. (1982). The older person in prison. Archives of Gerontology and Geriatrics, 1, 287296.Google Scholar
Shah, A. (2006). An audit of a specialist old age psychiatry liaison service to a medium and a high secure forensic psychiatry unit. Medicine, Science and the Law, 46, 99104.Google Scholar
Singleton, N., Meltzer, H., Gatward, R., Coid, J. and Deasy, D. (1997). Psychiatric Morbidity among Prisoners. London: Office for National Statistics.Google Scholar
Smyer, T., Gragert, M. D. and Lamere, S. (1997). Stay safe! Stay healthy! Surviving old age in prison. Journal of Psychosocial Nursing and Mental Health Services, 35, 1017.Google Scholar
Tarbuck, A. (2001). Health of elderly prisoners. Age and Ageing, 30, 369.Google Scholar
Taylor, P. J. and Parrott, J. M. (1988). Elderly offenders: a study of age-related factors among custodially remanded prisoners. British Journal of Psychiatry, 152, 340346.Google Scholar
Tomar, R., Treasaden, I. H. and Shah, A. K. (2005). Is there a case for a specialist forensic psychiatry service for the elderly? International Journal of Geriatric Psychiatry, 20, 5156.Google Scholar
Uzoaba, J. (1998). Managing Older Offenders: Where Do We Stand? Ottawa: Correctional Services of Canada.Google Scholar
Ventura, L. A., Cassel, C. A., Jacoby, J. E. and Huang, B. (1998). Case management and recidivism of mentally ill persons released from jail. Psychiatric Services, 49, 13301337.Google Scholar
Williams, B. A., Lindquist, K., Sudore, R. L., Strupp, H. M., Willmott, D. J. and Walter, L. C. (2006). Being old and doing time: functional impairment and adverse experiences of geriatric female prisoners. Journal of the American Geriatrics Society, 54, 702707.Google Scholar
Wolff, N. (2005). Community reintegration of prisoners with mental illness: a social investment perspective. International Journal of Law and Psychiatry, 28, 4358.Google Scholar
Yorston, G. (1999). Aged and dangerous: old-age forensic psychiatry. British Journal of Psychiatry, 174, 193195.Google Scholar