An exponential rise in the number of older prisoners is creating new and costly challenges for the criminal justice system, state economies, and communities to which older former prisoners return. We convened a meeting of 29 national experts in correctional health care, academic medicine, nursing, and civil rights to identify knowledge gaps and to propose a policy agenda to improve the care of older prisoners. The group identified 9 priority areas to be addressed: definition of the older prisoner, correctional staff training, definition of functional impairment in prison, recognition and assessment of dementia, recognition of the special needs of older women prisoners, geriatric housing units, issues for older adults upon release, medical early release, and prison-based palliative medicine programs.
This exploratory research examines supermax confinement in the United States. An examination of counts of supermax institutions and inmates from 2001-2004 produced by the American Correctional Association and an examination of Criminal Justice Institute data found that different procedures made it difficult to compare numbers across states. Certain states produced incorrect figures about the number of supermax prisons and inmates because of reporting and/or recording errors. This study found, in short, that disagreements about definitions, changing policies and court decisions, reporting and recording errors, and different counting procedures have led to a lack of reliable and valid data on supermax issues. These findings indicate that researchers attempting to examine, or collect data on, supermax issues on the macrolevel (e.g., across states) face important difficulties. This article accounts for this confusion, discusses policy implications that may result from this confusion, and concludes with suggestions for future research.
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