An Evolving Inquiry of Monastic Spiritual Care for Aging Inmates

This investigation involved focus-group inquiry of the Oblates in Prison Program, a faith-based ministry founded on monastic principles in the Rule of St. Benedict. Data from a Benedictine Order monk and program coordinator, ordained prison minister, and lay ministry volunteer were collected. Participants were asked a series of questions regarding the spiritual care of aging prisoners. Responses were coded and cross-compared for thematic content. Of central thematic importance was implementation of a spiritual care model using traditional monastic rules for daily living. A second theme centered on purposeful rebuilding of self-renewal through stability and obedience. A final emergent theme encompassed institutional acceptance in the provision of religious sacraments, sacred texts, and artifacts. Results highlight the broader implications of providing spiritual care and outreach to aging prisoners. The role of restorative justice for successful delivery of faith-based spiritual care for improved rehabilitation of aging inmates will be further addressed.

Aging in Prison and Correction Policy in Global Perspectives

There has been a growing awareness among academic and professional communities, as well as the general public, of the global rise in the number of aging prisoners across the world. Both the scholarly literature and social media have documented the high human, social, and economic costs of housing older adults with complex physical, mental health, legal, and social needs. It is imperative to explore the crisis and select correctional policies and practices that have contributed to the rise in the aging and the seriously and terminally ill populations in global prisons. A comparative framing and analysis across the globe show how some countries, such as the United States, have a higher per capita rate of incarcerating older adults in prisons compared to other countries, such as Northern Ireland. Variations in profiles and manifestations of personal and social conditions affect pathways to prison for some older adults. Explanatory perspectives describe why some individuals are at an increased risk of growing old in prison compared to other individuals. Indigeneity, globalization, race and ethnicity, power and inequality, and processes of development and underdevelopment have affected the growth of the aging prison population. Promising practices have the potential to disengage social mechanisms that have contributed to the mass incarceration of the elderly and engage a more compassionate approach to crime and punishment for people of all ages, their families, and communities.

Comparing health status, disability, and access to care in older and younger inmates in the New South Wales corrections system

Purpose The purpose of this paper is to compare the rates of chronic illness, disability and access to care between older and younger inmates who took part in a large epidemiological study in New South Wales, Australia. Design/methodology/approach Data are presented from a cross-sectional study based on a sample of inmates from correctional sites in NSW. The inclusion of results here was guided by the literature with regard to their relevance to older people, and older inmates in particular. Findings Results indicate that a higher proportion of older inmates suffer a range of chronic illnesses, with prevalence often many times higher than that of younger inmates. Older inmates are more likely to be classified as disabled and have a disability which impacts their mobility. Older inmates also reported accessing medical services in prison more recently than younger inmates and were more likely to have seen both nurses and general practitioners. Practical implications Older inmates appear to be considerably more resource intensive than younger inmates. The increasing proportion of inmates who are classified as older thus poses a pressing challenge to those working in the carceral space and, in particular, those responsible for providing healthcare to incarcerated people. Originality/value The impact of aging prisoners on resource demand has yet to be effectively measured. This study provides an important first step towards that goal.

The Burgeoning Health Care Needs of Aging Prisoners

We estimate the increasing health care needs of American inmates by combining data on inmate demographics and national health trends. Decades of harsh punishment combined with demographic shifts have led to a “greying” prison population that is a source of concern for policymakers. Our estimates reveal that inmate health care needs are significant and growing beyond what is predicted by their age profile. While the fraction of inmates aged 40 or more increased by 49 percent between 1996 and 2004, the prevalence of medical conditions such as diabetes, hypertension, asthma, and cancer among inmates grew between 177 and 268 percent.

Too Easy to Keep

Life-sentenced prisoners are a growing proportion of America’s incarcerated population. Too Easy to Keep provides a thorough assessment of the consequences of this monumental shift. It examines the implications of growing numbers of life sentences for both prisoners serving that sentence and the prisons that house them. It draws upon extensive interviews with life-sentenced prisoners and prison staff in two Washington facilities. The data demonstrate that many lifers build lives of considerable purpose and meaning, and devote themselves to improving the circumstances of others. They become, in prison terms, “easy keepers,” and provide considerable stability to the institutions that house them. Yet as they age and decline, life-sentenced prisoners prove harder to accommodate. Prison staff thus struggle to meet the needs of this rapidly-growing population. Too Easy to Keep reviews the challenges that aging prisoners will pose, and thereby provides much cause for a reconsideration of America’s punishment policies.

Aging Prisoners’ Views on Healthcare Services in Swiss Prisons

Objective: Due to the higher morbidity prevalent in the increasing older population, prisons are facing new challenges on a structural, ethical, and financial level. This study’s goal was to explore older prisoners’ views and experiences regarding the quality of medical services. Method: In this qualitative study, 35 semi-structured interviews were conducted with older inmates aged 50 years and above in 12 different prisons in the German-speaking (23 interviews) and the French-speaking parts (12 interviews) of Switzerland. Results: The majority of older prisoners in this sample expressed concerns about quality of treatment throughout incarceration. Topics addressed reached from quality of the entrance to routine examinations, quality of the treatment received, and delays in care and services provided. Conclusion: This study’s findings suggest that healthcare in prison is often perceived as insufficient and inadequate by older inmates.