The elderly and prison policy

The characteristics of older homicide offenders: a systematic review

This systematic review was conducted to develop a broader understanding of the characteristics of older people who commit homicide. PubMed, Embase and PsycINFO were searched on 28 November 2018 for studies on homicides committed by people aged 55 years and over. Only articles published in English were included. Studies focusing on euthanasia and palliation were excluded. Fifteen articles met the inclusion criteria, with studies from the United States (n = 6), United Kingdom (n = 2), Australia, Canada, Finland, Italy, New Zealand, Switzerland and Turkey. The age range for 'older offenders' varied across the studies. Some studies examined the phenomena of sexual homicide and homicide-suicide. Offenders were more likely to be male, and the domestic setting for the offence was common. Social maladjustment, a care-giver role, personal physical and mental health problems and/or substance misuse issues were relevant to the offenders. Firearms-related homicides were common. Homicide committed by older people is rare but there may be a constellation of risk factors specific to this age group that needs further understanding. Our findings suggest that there is an increasing need for care of older offenders and a need for specialist forensic services for elderly offenders.

Older Men's Social Integration After Prison

This study explores the social integration processes older men experience following prison release. Semi-structured in-depth interviews and brief surveys were conducted with 20 men, 50 years of age and older, recently released from prison in a large, Eastern U.S. city. A follow-up interview was conducted with each participant. Conventional content analysis was used to analyze these data. Results show that while men are able to connect with and rely upon some family members and establish basic public benefits, older men's release experience is nonetheless marked by pervasive disconnection from key desired social relationships and roles. Policies and programs designed to facilitate older men's social integration are discussed.

Identity as an older prisoner: findings from a qualitative study in Switzerland

The increasing numbers of aging prisoners raise the issue of how they maintain their personal identity and self-esteem in light of long-standing detention. This study sought to answer this question since identity and self-esteem could influence mental and physical health. We conducted a secondary analysis of 35 qualitative interviews that were carried out with older inmates aged 51-75 years (mean age: 61 years) living in 12 Swiss prisons. We identified three main themes that characterized their identity: personal characterization of identity, occupational identity, and social identity. These main themes were divided into sub-themes such as familial network, retirement rights or subjective social position. Personal characterization of identity mostly happened through being part of a network of family and/or friends that supported them during imprisonment and where the prisoner could return to after release. Individual activities and behavior also played an important role for prisoners in defining themselves. Occupational identity was drawn from work that had been carried out either before or during imprisonment although in some cases the obligation to work in prison even after reaching retirement age was seen as a constraint. Social identity came from a role of mentor or counselor for younger inmates, and in a few cases older prisoners compared themselves to other inmates and perceived themselves as being in a higher social position. Identity was often expressed as a mix between positive and negative traits. Building on those elements during incarceration can contribute to better mental health of the individual prisoner which in turn influences the chances for successful rehabilitation.

Prisons should mirror society: the debate on age-segregated housing for older prisoners

The debate on age-segregated housing for older prisoners has seldom captured the perspectives of older prisoners and professionals (‘stakeholders’) working in a European prison setting. To address this gap in the research, 35 older prisoners from Switzerland and 40 stakeholders from three European countries (including Switzerland) were interviewed for the study. Data analysis was conducted thematically, and the validity of coding was established independently from the primary author. Interpretation of study results was agreed upon by all authors. Participants' opinions regarding age-segregated housing for older prisoners were split. An almost equal number of prisoners and stakeholders had similar arguments in favour of and against such living arrangements. The findings encompassed three major themes: ‘prisons should mirror society’ and thus age-mixed housing was preferable as it ensured generational exchange; a ‘separate unit within the prison’ would allow continuity of personal and other relationships and at the same time respond to older prisoners' specific health and environmental needs; finally, participants felt it was important to think critically about ‘the criteria’ for placing older prisoners in an age-segregated arrangement. We conclude that the debate on consolidated versus separate housing is bifurcated. Any push towards segregation based only on high prison violence and unvalidated context-specific information may result in unreliable public policy.

A method for analyzing changing prison populations: explaining the growth of the elderly in prison

BACKGROUND

For the past several decades, the U.S. prison system has witnessed a steady and persistent increase in the ages of prison populations. Given the additional costs and burdens placed on prisons as they house older inmates, this aging trend has generated intense interest among policy makers and academics who seek to understand why prison populations are getting older.

OBJECTIVE

This article presents a method for evaluating drivers influencing the change in age distributions among prisoners.

METHOD

We define a methodological approach and demonstrate its application using prison data from four states reporting to the Bureau of Justice Statistics' National Corrections Reporting Program.

RESULTS

We find that since 2000, the primary driver of overall growth in the elderly populations in prison (defined as inmates over 50) is the increasing admission age of offenders entering prison. Moreover, changes in offense mix and sentence length/time served over the last decade have had significantly less influence on the age composition of prison populations. We also find that the impact of explanatory factors varies across states and offense types. For example, prison admission and exit rates explain much of the change in elderly drug offenders in New York, but not elderly violent offenders, where admission age plays a much stronger explanatory role.

CONCLUSION

Our analysis offers an effective demonstration that supports the use of this method as an important and informative first step toward understanding components of change that affect the problem of prison aging.

Religiousness/spirituality and mental health among older male inmates

PURPOSE

With the rapid growth in the older inmate population, emerging issues regarding physical and mental health require greater research and clinical attention. We examined the relation of religiousness/spirituality; demographic characteristics such as age, race, and type of crime; and physical and mental health among 73 older male inmates in the state of Alabama.

DESIGN AND METHODS

Inmates older than age 50 who passed a cognitive screening completed face-to-face interviews lasting between 30 and 60 min. Due to the low literacy rates of the participants, we administered all measures orally with response cards to facilitate understanding.

RESULTS

Nearly 70% of the inmates were incarcerated for murder or sexual crimes. There were no racial/ethnic differences in reported religiousness/spirituality, demographic characteristics, or mental health. We found an association between self-reported years of incarceration and experienced forgiveness. Three regression models examined whether inmates' self-reported religiousness/spirituality influenced anxiety, depression, and desire for hastened death. We found that having a greater number of daily spiritual experiences and not feeling abandoned by God were associated with better emotional health.

IMPLICATIONS

Future studies, perhaps using longitudinal or case-control methodology, should examine whether increased daily spiritual experiences and decreased feelings of abandonment by God foster better mental health among older inmates.