Aging incarcerated persons

Abstract The incarcerated population is aging. By 2030, one third of those in U.S. prisons will be “geriatric.” These older incarcerated people are sicker than their community counterparts and suffer from “accelerated aging” such that they are considered geriatric by age 55. In addition to higher rates of physiologic illness and mental health conditions compared to community counterparts, many are dealing with geriatric syndromes and cognitive impairment. Older adults have unique health needs and require a tailored approach to physiologic and psychological concerns. The physical plants of correctional facilities themselves can present barriers to care. This chapter reviews the status and prevalence of incarcerated elderly people and their conditions, and it presents best practice models for their care.