Older men and older women remand prisoners: mental illness, physical illness, offending patterns and needs

Mary Davoren, Mary Fitzpatrick, Fintan Caddow, Martin Caddow, Conor O'Neill, Helen O'Neill, Harry G Kennedy, Mary Davoren, Mary Fitzpatrick, Fintan Caddow, Martin Caddow, Conor O'Neill, Helen O'Neill, Harry G Kennedy

Abstract

Background: Older prisoners are the fastest growing group of prisoners in most countries. They have high rates of physical and psychiatric co-morbidity, compared to community dwelling older persons and also compared with other prisoner groups. Very high rates of mental illness have been found in remand (pre-trial) prisoners when compared with other prisoner groups; however to date there have been no studies examining older male and female remand prisoners.

Methods: A retrospective chart review was conducted of all remands, to a male and a female prison, over a six and half-year period. Demographic data were collected pertaining to psychiatric and medical diagnoses and seriousness of offending.

Results: We found rising numbers of older prisoners amongst male remand prisoners. Older remand prisoners had very high rates of affective disorder and alcohol misuse. They had rates of psychotic illnesses and deliberate self-harm comparable to younger remand prisoners. High rates of vulnerability were found among older prisoners and older prisoners had a greater need for general medical and psychiatric services than younger prisoners. We also found comparable offending patterns with younger prisoners and high rates of sexual offending among the older male prisoner group.

Conclusions: Given the ageing population of many countries it is likely the numbers of older prisoners will continue to grow and given their high levels of both physical and psychiatric illness this will have implications for future service delivery.

Keywords: women.

References

    1. Australian Bureau of Statistics (2010). Prisoners in Australia. Cat no 4517.0. Canberra: Australia.
    1. Baillargeon J., Black S. A., Pulvino J. and Dunn K. (2000). The disease profile of Texas prison inmates. Annals of Epidemiology, 10, 74–80.
    1. Brooke D., Taylor C., Gunn J. and Maden A. (1996). Point prevalence of mental disorder in unconvicted male prisoners in England and Wales. British Medical Journal, 313, 1524–1527.
    1. Brugha T. et al. (2005). Psychosis in the community and in prisons: a report from the British national survey of psychiatric morbidity. American Journal of Psychiatry, 162, 774–780. doi:10.1176/appi.ajp.162.4.774.
    1. Colsher P., Wallace R., Loeffelholz P. and Sales M. (1992). Health status of older male prisoners: A comprehensive survey. American Journal of Public Health, 82, 881–884.
    1. Committee for prevention of torture and inhuman or degrading punishment (CPT) (2006). The CPT Standards. CPT/Inf/E (2002) 1 - Rev. 2006. Strasbourg: Council of Europe; Available at: ; last accessed 31 October 2014.
    1. Council of Europe (2006). Recommendation Rec (2006)2 of the Committee of Ministers to member States on the European Prison Rules. Strasbourg: Council of Europe; Available at: ; last accessed 31 October 2014.
    1. Council of Europe (2010). European Convention on Human Rights (as amended and supplemented). Strasburg: Council of Europe; Available at: ; last accessed 31 October 2014.
    1. Curtin K. et al. (2009). Psychiatric morbidity in male remand and sentenced committals to Irish Prisons. Irish Journal of Psychological Medicine, 26, 169–173.
    1. Fazel S. and Danesh J. (2002). Serious mental disorder in 23,000 prisoners: a systematic review of 62 surveys. The Lancet, 359, 545–550.
    1. Fazel S., Hope T., O’Donnell I. and Jacoby R. (2001. a). Hidden Psychiatric morbidity among elderly prisoners. British Journal of Psychiatry, 179, 535–539.
    1. Fazel S., Hope T., O’Donnell I., Piper M. and Jacoby R. (2001. b). Health of elderly male prisoners: worse than the general population, worse than younger prisoners. Age and Ageing, 30, 403–407.
    1. Flynn G., O’Neill C. and Kennedy H. G. (2011). DUNDRUM-2: Prospective validation of a structured professional judgment instrument assessing priority for admission from the waiting list for a forensic mental health hospital. BMC Research Notes, 4, 230.
    1. H.M. Inspector of Prisons (2004). No Problems – Old and Quiet: Older Prisoners in England and Wales. A Thematic Review by H.M. Chief Inspector of Prisons. HMSO: London.
    1. H.M. Inspectorate of Prisons (2008). Older Prisoners in England and Wales: A Follow up to the 2004 Thematic Review by H.M. Chief Inspector of Prisons. London: HMSO.
    1. Home Office (2008). Prison Statistics 2008: England and Wales. London: HMSO.
    1. Human Rights Watch (2012). Old behind Bars – The Ageing Prison Population of the United States. New York: Human Rights Watch; ISBN: 1-56432-859-7.
    1. IBM Corp. (2012). IBM SPSS Statistics for Windows, Version 21.0. Armonk, NY: IBM Corp.
    1. Kakoullis A., Le Mesurier N. and Kingston P. (2010). The mental health of older prisoners. International Psychogeriatrics, 22, 693–701. doi:10.1017/S1041610210000359.
    1. Kennedy H. G., O’Neill C., Flynn G., Gill P. and Davoren M. (2010). The DUNDRUM toolkit. Dangerousness, understanding, Recovery and Urgency Manual (the DUNDRUM Quartet) V1.0.26 (01/08/13). Four Structured Professional Judgment Instruments for Admission Triage, Urgency, Treatment Completion and Recovery Assessments. Dublin: Trinity College Dublin. Available at: ; last accessed 31 October 2014.
    1. Maden A., Taylor C. J. A., Brooke D. and Gunn J. (1995). Mental Disorder in Remand Prisoners. London: Home Office.
    1. Office of the High Commissioner for Human Rights (1955). Standard Minimum Rules for the Treatment of Prisoners Adopted by the First United Nations Congress on the Prevention of Crime and the Treatment of Offenders, held at Geneva in 1955, and Approved by the Economic and Social Council by its Resolutions 663 C (XXIV) of 31 July 1957 and 2076 (LXII) of 13 May 1977. New York: United Nations; Available at: ; last accessed 31 October 2014.
    1. Parsons S., Walker L. and Grubin D. (2001). Prevalence of mental disorder in female remand prisons. Journal of Forensic Psychiatry, 12, 194–202.
    1. Pratt D., Piper M., Appleby L., Webb R. and Shaw J. (2006). Suicide in recently released prisoners: a population-based cohort study. The Lancet, 368, 119–123.
    1. Public Safety Canada, Portfolio Corrections Statistics Committee (2012). Corrections and conditional release statistical overview 2012 Annual Report. Ottawa: Correctional Services of Canada; Available at: ; last accessed 31 October 2014.
    1. Taylor P. J. and Parrott J. M. (1988). Elderly offenders: a study of age related factors among custodially remanded prisoners. British Journal of Psychiatry, 152, 340–346.
    1. United Nations (1991). Principles for Older Persons. Adopted by General Assembly resolution A/RES/46/91. 74th plenary meeting 16 December 1991. 46/91. Implementation of the International Plan of Action on Ageing and related activities. New York: United Nations; Available at: ; last accessed 31 October 2014.
    1. United Nations (2009). Handbook on Prisoners with Special Needs. New York: Criminal Justice Handbook Series.
    1. United Nations Department of Economic and Social Affairs, Population division (2009). World's Population Ageing 2009. New York: United Nations.
    1. United Nations Department of Economic and Social Affairs, Population Division (2013). World Population Ageing 2013. New York: United Nations. ST/ESA/SER.A/348.
    1. Uzoaba J. (1998). Managing Older Offenders: Where do we stand? Ottawa: Correctional Services of Canada.

Source: PubMed

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