Addressing the Needs of Elderly, Chronically Ill, and Terminally Ill Inmates pot

Addressing the Needs of Elderly, Chronically Ill, and Terminally Ill Inmates 2004 Edition Correctional Health Care Care Care D E P A R T M E N T O F J U S T I C E N A T I O N A L I N S T I T U T E O F C O R R E C T I O N S U.S. Department of Justice National Institute of Corrections U.S. Department of Justice National Institute of Corrections 320 First Street, NW Washington, DC 20534 Morris L. Thigpen Director Larry Solomon Deputy Director Susan M. Hunter Chief, Prisons Division Madeline Ortiz Project Manager National Institute of Corrections World Wide Web Site http://www.nicic.org CORRECTIONAL HEALTH C ARE Addressing the Needs of Elderly, Chronically Ill, and Terminally Ill Inmates B. Jaye Anno, Ph.D., C.C.H.P.–A. Camelia Graham, M.S.P.H. James E. Lawrence, M.A. Ronald Shansky, M.D., M.P.H. Judy Bisbee, B.A., Project Manager John Blackmore, M.A., Project Director February 2004 NIC Accession No. 018735 Criminal Justice Institute, Inc. 213 Court Street, Suite 606 Middletown, CT http://www.cji-inc.com This document was prepared under cooperative agreement number 16–603 from the National Institute of Corrections, U.S. Department of Justice. Points of view or opinions stated in this document are those of the authors and do not necessarily represent the official position or policies of the U.S. Department of Justice. iii FOREWORD As the median age of inmates in our jails and prisons steadily increases and the incidence of chronic illness and disabilities grows ever larger, the issue of how best to manage services and care for older inmates and those with chronic and terminal illnesses becomes more prominent. The National Institute of Corrections (NIC) recog- nizes that correctional practitioners and correctional health care providers are seeking comprehensive and useful knowledge about current, innovative, effective, and economical practices that address the special needs of these populations. NIC commissioned this publication to guide prison administrators in managing aging and infirm inmates. This report reviews the most recent relevant litera- ture, provides examples of promising approaches from six states, and clarifies how the nation’s correc- tional agencies are meeting the operational, pro- grammatic, and health care challenges associated with meeting these inmates’ needs. This report is exploratory in nature. It is not in- tended to provide absolute answers or a single com- prehensive model that all corrections agencies might follow. Rather, it respects the different laws and tra- ditions that govern state and territorial corrections and attempts to provide examples and guidance from corrections systems that have addressed these issues successfully. It is up to individual correctional administrators and medical practitioners to consider these examples and to determine what best works for them. As this is a work in progress, we at NIC would appreciate and welcome the input of corrections practitioners who are facing similar challenges.We will endeavor to incorporate your ideas and sug- gestions in future work in this area. Morris L.Thigpen Director National Institute of Corrections [...]... to the management and treatment of elderly inmates, inmates with chronic diseases, and/ or inmates with terminal illnesses • The impact of current policies, procedures, and practices on elderly inmates, inmates with chronic illnesses, and/ or inmates with terminal illnesses • Effective practices and interventions in the care and management of elderly inmates, inmates with chronic illnesses, and/ or inmates. .. IDENTIFYING THE SPECIAL NEEDS OF INMATES INTRODUCTION Correctional managers are now being asked to meet the needs of a growing population of elderly inmates and inmates who exhibit a variety of complex medical and mental health problems.They must properly identify these inmates needs at the time they enter the prison system.This will result in more effective and efficient care for special needs inmates and. .. 57 Chronically Ill Inmates 57 Terminally Ill Inmates 57 The Functional Assessment 58 Policy Considerations 58 Appendixes A.Criminal Justice Institute Survey: Managing the Needs of Aging Inmates and Inmates With Chronic and Terminal Illnesses 59 Managing the Needs of Aging Inmates 61 Managing the Needs of Terminally. .. information about promising approaches to help correctional managers and planners address these inmates special needs WHAT WE KNOW ABOUT ELDERLY, CHRONICALLY ILL, AND TERMINALLY ILL INMATES Chapter II Chapter 11 WHAT WE KNOW ABOUT ELDERLY, CHRONICALLY ILL, AND TERMINALLY ILL INMATES INTRODUCTION When considering dangerous, violent, and predatory inmates, one does not usually envision an elderly man hobbling... suggestions and to enrich the content of this report with examples of practical applications • Explanation, with examples, of how comprehensive correctional programs and services are organized and delivered for elderly and seriously ill inmates OUTCOME • Identification of various treatment modalities and evidence of their effectiveness in addressing the special care needs of these populations The project... deterioration they routinely experience, especially among those who may be already vulnerable owing to chronic or terminal illness and who have few options for change in their environment A review of the literature confirms the increasing numbers of elderly inmates, the link between aging inmates and those with chronic illnesses and behavioral problems, and the role of gender with regard to illness within the. .. for terminally ill inmates .The CJI survey found 25 agencies that operated hospice programs In the chapters that follow, we examine how prison systems have responded to the need for early assessment of special needs. We also discuss program, housing, and treatment considerations for elderly, chronically ill, and terminally ill inmates Finally, we discuss policy implications in managing special needs inmates. .. WE KNOW ABOUT ELDERLY, CHRONICALLY ILL, AND TERMINALLY ILL INMATES 5 Introduction 7 What We Know Now 8 Elderly Inmates 8 Chronically Ill Inmates 11 Terminally Ill Inmates 12 References 13 CHAPTER III EFFECTIVE EVALUATION FOR IDENTIFYING THE SPECIAL NEEDS OF INMATES 15... culminated in the production of this monograph, which addresses issues concerning the effective management and treatment of elderly inmates and those with chronic and terminal illnesses .The focus of the monograph is as follows: • Identification of innovative practices that expand our knowledge about effective care, management, and treatment approaches for these populations • Identification of management and. .. definition of the criteria for the compassionate release of dying inmates When asked whether hospice care was available for terminally ill inmates, 25 (51.0 percent) of the 49 responding agencies said it was Five agencies (20 percent) offer hospice services in a separate unit; 22 (88 percent) operate the hospice as part of their infirmary; 4 (16 percent) operate the hospice as part of a housing unit; and . Managing the Needs of Aging Inmates and Inmates With Chronic and Terminal Illnesses 59 Managing the Needs of Aging Inmates 61 Managing the Needs of Terminally. ABOUT ELDERLY ,CHRONICALLY ILL, AND TERMINALLY ILL INMATES 5 Introduction 7 What We Know Now 8 Elderly Inmates 8 Chronically Ill Inmates 11 Terminally Ill Inmates