Elderly Inmates.In the February 1997 issue of Corrections Compendium, Barbara A. Nadel, principal of a New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of City-based consulting firm Noun 1. consulting firm - a firm of experts providing professional advice to an organization for a fee
business firm, firm, house - the members of a business organization that owns or operates one or more establishments; "he worked for a specializing in the planning and design of correctional, health and institutional facilities, stated in her article on planning for older inmates that "the general public tends to embrace the stereotypical view of prison inmates as physically active, aggressive young men. For correctional administrators, however, the graying of America is reflected in the prison population." In that same article, Joann Morton, associate professor at the College of Criminal Justice, University of South Carolina
• • , noted, "Another factor affecting planning is the level of functioning of the population ... some older people will be healthy and robust at 70, while others will be wheelchair users at age 50 ... if their daily living skills are impaired, then the prison environment must be designed or modified to meet their needs."
Addressing those same issues, 46 correctional systems responded to this month's survey on elderly inmates that on Dec. 31, 2000, there were 30,098 inmates classified as "elderly" in their facilities, which represented 8 percent of the total prison population in Florida and a low of 1 percent or less in Connecticut, the District of Columbia District of Columbia, federal district (2000 pop. 572,059, a 5.7% decrease in population since the 1990 census), 69 sq mi (179 sq km), on the east bank of the Potomac River, coextensive with the city of Washington, D.C. (the capital of the United States). and Maryland. "Elderly" was defined as age 60 or older by 74 percent of the respondents. Of the elderly, 6,816 inmates are serving life sentences and 175 are on death row (in those states with the death penalty). The numbers of inmates identified as chronically or terminally, ill have not been tracked or are unknown by 22 states, but range from fewer than 1 percent in Alaska and Maine to 80 percent or more in Rhode Island Rhode Island, island, United States
Rhode Island, island, 15 mi (24 km) long and 5 mi (8 km) wide, S R.I., at the entrance to Narragansett Bay. It is the largest island in the state, with steep cliffs and excellent beaches. and Washington.
Separate housing for elderly inmates is maintained by 16 of the 46 reporting jurisdictions. Ohio reserves one small prison for males over 50 and Tennessee operates a geriatric unit at a boot camp Software from Apple that enables an Intel x86-based Macintosh to host the Windows XP operating system. Boot Camp is used to divide the hard disk into Windows and Mac partitions, to install the necessary drivers and to create a dual boot environment. for those who are healthy. Regardless of age, all California inmates are housed according to their security program classifications and health care needs; some facilities, however, may choose to have elderly inmates in specific housing units. Numerous options are included in the systems as age-specific accommodations, such as having all necessary services under one roof (dining, medication dispensing, etc.). An assisted-living unit is maintained by Connecticut. Ramps, handrails, elevated toilets, single cells, lower bunks on main-floor tiers and wheelchair accessibility are indicated.
For the chronically or terminally ill Terminally Ill
When a person is not expected to live more than 12 months.
Any gifts given out by the afflicted person at this time may be considered as a dispersion of the estate rather than a gift. , infirmary care, hospitals, hospice and special needs units are primarily in use. In Oregon, care is provided in dormitory infirmary living quarters by trained inmate assistants and Rhode Island uses a community acute care or long-term care long-term care (LTC),
n the provision of medical, social, and personal care services on a recurring or continuing basis to persons with chronic physical or mental disorders. hospital, if needed. The hospice care and special care units in Colorado are licensed. Thirteen systems are presently 100 percent ADA-compliant (Americans With Disabilities Act Americans with Disabilities Act, U.S. civil-rights law, enacted 1990, that forbids discrimination of various sorts against persons with physical or mental handicaps. ). Plans are in place for becoming compliant by most of the remaining states, with lack of funding the primary reason for noncompliance noncompliance
failure of the owner to follow instructions, particularly in administering medication as prescribed; a cause of a less than expected response to treatment.
noncompliance . As money becomes available and at any time replacement items are necessary, they are replaced in Alabama with ADA-approved equipment and Alaska has hired an ADA Ada, city, United States
Ada (ā`ə), city (1990 pop. 15,820), seat of Pontotoc co., S central Okla.; inc. 1904. It is a large cattle market and the center of a rich oil and ranch area. coordinator to implement plans under consideration.
Health Care Provisions
Nine systems do not include age-specific provisions in their medical treatment. Annual physicals and flu vaccines are indicated in a number of states. Nebraska offers a boarding/nursing home-type living arrangement, chronic care clinics and referrals to outside sources when appropriate. Oklahoma considers some of its elderly population open to exploitation or victimization victimization Social medicine The abuse of the disenfranchised–eg, those underage, elderly, ♀, mentally retarded, illegal aliens, or other, by coercing them into illegal activities–eg, drug trade, pornography, prostitution. by others and places them in single cells. Washington operates with a 24-hour nursing staff, with full-service infirmaries on-site. Inmates there may request medical visits on a daily basis, if needed, and Iowa is planning for a new facility specifically for its chronically ill patients. Most special diets for health care purposes -- therapeutic, diabetic, high-fiber, low-salt, low-fat, low cholesterol, cardiac, liquid, pureed, etc. -- are available at the institutions, based on need as determined by medical staff.
Mental health needs often are treated in separate housing units, as in Arizona, Colorado, Delaware, the district, Indiana, Maryland, Missouri, Nevada, Ohio, Virginia, West Virginia and Wyoming. Four systems provide medication upon release for only seven days. Texas provides 10 days of medication; 18 states provide 14 days and 16 others provide 30 days of medication. Pennsylvania provides medication for 60 days to those released to a community corrections center. Time frames apply in six states ranging from-seven to, l4 days in South Carolina South Carolina, state of the SE United States. It is bordered by North Carolina (N), the Atlantic Ocean (SE), and Georgia (SW). Facts and Figures
Area, 31,055 sq mi (80,432 sq km). Pop. (2000) 4,012,012, a 15. , 10 to 11 days in-West Virginia, seven to 30 days in Rhode Island, and up to 60 days in Colorado. Indiana increases its availability from seven to 30 days for anti-tuberculosis medication and New York increases from 14 to 30 days for AIDS-related drugs. Prescriptions are not provided in 30 of the reporting systems. Illinois allows one refill of current medication, while Indiana provides a prescription only if an appointment with an outside physician cannot be made quickly.
General Program Participation
Age-specific special management techniques are not incorporated in the operation of 19 systems and participation in general programs is open to elderly inmates in all reporting systems with the exception of the district. Special programs for the elderly have been incorporated in a number of states, including horticulture in California, victim awareness and family development in Florida, modified exercise and education in Ohio, and dealing with the aging process in Wisconsin. Forty-four systems allow elderly inmates to participate in prison industry programs and most of those do not place any restrictions on workers. South Carolina requires that workers have a high school diploma A high school diploma is a diploma awarded for the completion of high school. In the United States and Canada, it is considered the minimum education required for government jobs and higher education. An equivalent is the GED. or be in pursuit of one. The same guidelines as prison industries hold true for participation in work release programs in 39 systems, although Indiana indicates that its releasees must not have medical problems or chronic conditions requiring frequent treatment.
Early release options are offered in 41 of the systems in a variety of ways. Inmates must not be physically able to repeat their crimes in Alaska, inmates have the right to apply to the governor for executive clemency executive clemency n. the power of a President in federal criminal cases, and the Governor in state convictions, to pardon a person convicted of a crime, commute the sentence (shorten it, often to time already served), or reduce it from death to another lesser in Illinois and Washington, inmates must be in need of skilled nursing home care in Missouri and, if terminally ill, inmates in Ohio may be released or furloughed in South Carolina. The Texas Council on Offenders with Mental Impairments (TCOMI TCOMI The Curse of Monkey Island (Game) ) administers that state's early release program with legislation excluding offenders sentenced for aggravated convictions. Prerelease pre·re·lease
Something released before an official or scheduled date.
Of or relating to an interval preceding an official or scheduled release: planning for elderly inmates' needs is not in effect in four systems. Six months is noted more often as the duration of its course prior to release. New York begins its release program at the completion of reception, and planning for release may begin up to 18 months in advance in Connecticut. Halfway houses, community release centers and work release facilities are used by Missouri and New Jersey, while Oklahoma and South Carolina are considering pilot reintegration reintegration /re·in·te·gra·tion/ (-in-te-gra´shun)
1. biological integration after a state of disruption.
2. restoration of harmonious mental function after disintegration of the personality in mental illness. plans.
Of those systems that actively pursue formal outreach services coordination, Pennsylvania provides extensive services through the S.T.E.P. (Services to Elderly Prisoners) program, as does Arizona through the Family Assistance Program. Kansas coordinates its efforts through the Kansas Department of Aging and, again, TCOMI-contract agencies in Texas are required to develop community resources for special needs offenders. In Washington, the Offender Accountability Act mandates formal partnerships with comprehensive community services. Ten states do not offer assistance with housing needs for released elderly inmates. California assists those needing placement in a medical facility or for special housing, and the elderly are referred to community agencies in their counties of residence in New York. Maryland offers referrals for assisted living as·sist·ed living
A living arrangement in which people with special needs, especially older people with disabilities, reside in a facility that provides help with everyday tasks such as bathing, dressing, and taking medication. , adult foster care and nursing homes, including help with accompanying applications for entitlements, medical assistance, etc. It appears that the areas of concern noted in Nadel's article, "Mainstreaming and Special Units, Environmental Considerations, Work Programs and Activities, and Multidisciplinary Approach multidisciplinary approach A term referring to the philosophy of converging multiple specialties and/or technologies to establish a diagnosis or effect a therapy ," have indeed been considered in the ensuing years.
For information on monthly surveys featured in this or past issues of Corrections Compendium, please contact Cece Hill, CEGA CEGA Combustion Engineering/General Atomics
CEGA Central Electricity Generating Authority Services Inc., P.O. Box 81826, Lincoln, NE 68501 - 1826; (402) 464-0602.