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The Australian prisoner population has experienced a dramatic increase in the number of older inmates over the past decade, consistent with the greying of the prisoner population that is being observed worldwide. Reviews suggest the need for further evidence and practice outside of the USA. This paper aims to review and discuss the cost and social implications of the rising health-care needs of this population in Australia.

A review of international research and policies is presented, as well as the results of basic economic modelling relating to the expected rise in health-care costs of the ageing prisoner population in Australia.

Taking into consideration the continued rise in incarceration rates, the calculations show that the health costs of prisoners could increase by anywhere between 17% and 90% depending on whether the increase of older prisoners continues as it has in the past decade. These trends are likely to continue over the next decade and will result in higher health costs of prisons under a number of different imprisonment scenarios. Policy responses in Australia have been slow so far, with most initiatives being undertaken in the USA with promising results.

The authors suggest that in the absence of a coordinated policy response, covering a range of interventions, costs will continue to increase, particularly as this population continues to age more rapidly than the general population due to an accumulation of risk factors. Well-conceived interventions would be a worthwhile investment from both financial and social perspectives.

To the best of the authors’ knowledge, this is the first commentary to acknowledge this rising public health issue and to both review and model its implications for the future.

Drawing from Foucault’s methodological terms of archaeology and genealogy this article critically engages with understanding the inter‐relationship between old age and prison life.We draw out the relevance of a Foucauldian paradigm for investigating how penal discourses and actual prisoners experiences exemplify issues of power, knowledge and surveillance in institutional settings. We draw out how violence impinges on the lives of older people in prisons by pointing out the implications of such experiences for both a critical ontology and epistemology of ageing. It is by transgressing the boundaries of the conventional understanding of the prison and by casting a critical gaze that will gain greater understanding of how elder abuse in secure settings goes unregulated.

The fastest growing sector of the prison population is older people. Although the numbers are still relatively small (just under 2,500 in 2007), it would seem that the ‘sameness’ principle within prisons renders older prisoners invisible. The health of older prisoners is a matter of concern ‐ research indicates that you age 10 years faster in prison (Uzoaba, 1998) which can compound the problems that may be associated with ageing. The provision of health and social care do not match those for older people outside of the prison system. This article considers the legal issues surrounding the treatment of older prisoners. It recognises that restrictions on liberty are a component of the prison system; however, it questions whether the consequences of ‘sameness’ infringe the legal rights of older prisons. It recommends a statutory presumption of equivalence of care, which can only be rebutted expressly or by necessary implication.

This chapter seeks to present an in-depth understanding of the dynamics of the experience of criminal involvement in old age, drawing on data from a descriptive, phenomenology study with 20 offenders aged 50 and over at a total institution in Ghana. The findings show that the onset of offending in later life is embedded in diverse scenarios including a survival strategy pertaining to engagement in economic activities for survival with retirement planning implications. Correspondingly, the crimes committed are violent, namely, murder, causing physical harm, food poisoning, and those that are non-violent, namely, narcotics dealings, petty thievery in nature. Among others, cognitive impairment/dementia and poverty are contributory factors to the incarnation of older offenders between one month and 27 years. The older offenders were involved in second line criminal activities, namely, the sale of stolen goods obtained from first liners. Compliance with prison rules incentivised reduced prison sentence years, fostered peace of mind. Tipping colleague inmates to execute allotted prison work is another coping strategy resulting from inability to do same. Imprisonment induced Christianity-oriented reformation, served as an integrative factor between criminality and serving prison sentence(s). Also worth reiterating is the fact that imprisonment may induce stigmatisation and isolation-related loneliness, while serving as an antidote to the pangs of loneliness with consequences for recidivism among older offenders. Gerontological offending has debilitating effects on older adults and is associated with the social isolation of an age cohort that is already predisposed to witchcraft accusations. The conduction of cognitive impairment/dementia tests on older offenders may moderate the sentence they receive.

The purpose of this paper is to review and understand what the existing evidence base concludes about the needs of this population. The older prisoner population is growing faster than the older general population and placing a strain on prisons. Much of the existing literature focusses on the health-care needs of, or in-prison initiatives for, older prisoners. Typically, these are responsive and lacking an evidence-based understanding of the characteristics and needs of this group.

This paper presents a systematic review of the existing literature on the needs and characteristics of older people in contact with the criminal justice system. After a thorough search and selection process, 21 papers, from 2002 onwards, were included in the final analysis. The review process was structured through (People, Intervention/Exposure, Comparison, Outcome) and reported using (Preferred Reporting Items for Systematic Reviews and Meta-Analyses).

The contradictions within the existing evidence base make it difficult to reach firm conclusions about the needs and characteristics of older prisoners. What is clear from the existing research are the relatively high levels of need. There is also some consensus that where older people commit homicide, the victim is likely to be an intimate partner. Overall, there is a need for consistent recording and reporting of characteristics and demographics and more systematic study design.

This paper has highlighted the key findings and limitations in the existing literature. Future research should make use of secondary official data sources to provide a clearer understanding of the characteristics of this group, their routes to prison, their needs and challenges they present.

In this article, we examine the ways in which older women’s experiences of imprisonment, aging, and health impact their lives. Specifically, we focus on the community reintegration experiences of older women who have served long prison sentences, exploring the lasting effects of imprisonment and aging on their physical and mental health. Two separate Canadian studies of reintegration, consisting of interviews with older reintegrating women, as well as the professionals who assist them in the community, are used to highlight older women’s reintegrations. While researchers have argued that older women should face fewer challenges during reintegration and are more likely to succeed in the community than other reintegrating populations, we find that they experience many difficulties and barriers linked to their age, health and gender.

Older adults in prison present a significant health and human rights challenge for the criminal justice system. To date, there is no known study that provides a comprehensive examination or portrait of older persons in prison. The purpose of this paper is to understand individual, family, system, and community vulnerabilities that can complicate successful community reintegration for these individuals.

This study provides a cross-sectional, descriptive analysis of biopsychosocial, spiritual, and prison use characteristics associated with a sample of 677 older prisoners, aged 50+, in a state-wide prison system.

Results indicate the extent of diversity within this population based on demographic, clinical, social, legal profiles, prison service use patterns, and professional and personal contacts.

Due to the diversity within this population, an interdisciplinary approach is needed to address the complex social and health care needs of an aging prison population and to plan for their reentry.

These findings suggest the need for holistic prevention, assessment, and interventions to interrupt the social-structural disparities that foster and support pathways to incarceration and recidivism.

The human rights implications for the current treatment of older adults in prison include providing in-prison treatment that promotes safety, well-being, reconciliation, and seamless bridges between prison and community for older adults and their families. The True Grit Program is presented as an example of a humanistic and holistic approach of such an approach.

Self-care is defined as the ability to take care of one’s body and health with or without the help of healthcare personnel. The purpose of this paper is to explore the opportunities for self-care among imprisoned women within the constraints of a confined life, which, in turn, affect their health.

Primary data have been collected through semi-structured interviews with 90 women in three prisons in the Indian state of West Bengal.

Findings reveal that a majority of the women cited the inability to self-care was due to factors such as constricted architecture, specific penal policies that thwarted relational contexts in prisons and also the loss of control over their consumptive choices. However, it was found that coping mechanisms also existed among some women who actively constituted penal spaces for self-care. Many long-term imprisoned women tried to actively engage themselves in daily activities such as the “labour” allotted to them.

The paper concludes that abilities to self-care have a deep impact on the health of women, which if not facilitated will lead to a health depleting experience. At a time when Indian prisons are focussing on rehabilitation, the recommendations for providing opportunities for self-care in prisons can minimize the “pains” of imprisonment and pave the way for rehabilitation.

The research is based on data collected during original fieldwork conducted in three prisons in West Bengal, India. It provides valuable insights on how penal environments affect self-care opportunities of imprisoned women.

This study aims to assess the nature and scope of dog-based programmes in prisons, assessing critically the potential opportunities, benefits, challenges and risks of developing innovative dog-based programmes for older prisoners in England and Wales. This paper outlines the potential benefits and challenges of developing dog-based programmes for older prisoners and sets out next steps for future research and practice.

This study is based on a scoping review of published research literature on prison dog programmes (PDPs) in the USA, the UK and other countries, with particular reference to older people in prison, followed by semi-structured interviews with six members of an expert advisory group. The literature review and data from the qualitative interviews were analysed thematically.

There is a substantial body of published research literature which supports PDPs as having identifiable positive impacts for people and also dogs, and also published research which highlights the benefits to older people of dog ownership or participation in dog-based activities. However, much of this research is small-scale and qualitative, and it has been argued that there is a lack of a quantitative evidence base. This research concludes that findings from the literature review and the semi-structured interviews support further research and the creation of pilot projects to develop dog-based projects for older people in prison.

This study was small-scale, and the findings need to be approached with caution. The literature review searched a small number of databases and filtered out articles published in languages other than English, and the review of the grey literature focused on reports from the UK. The number of experts interviewed was small and there was no direct consultation with older people in prison nor with older people with recent personal lived experience of imprisonment and community resettlement. A more extensive future study would benefit from a more extensive literature review, a larger group of participants and the inclusion of service users, prison managers and government policymakers, subject to the appropriate ethical and security approvals. At the time the research took place, ongoing COVID-19 restrictions on prison research meant that research with current prisoners and prison managers would not have been approved by the HMPPS NRC.

This research provides a research-based justification for future dog projects for older prisoners, leading potentially to improved well-being for older people in prison.

This study brings together the published research literature on PDPs with the research literature on the needs and experiences of older people in prison for the first time, and identifies potential directions for future research.