Systematic review of aged care interventions for older prisoners

ObjectiveThe care of older prisoners is a growing problem. This review examined aged care interventions in prisons. MethodsA systematic review was conducted following preferred reporting items for systematic reviews and meta-analyses guidelines. A total of 1186 abstracts were screened for inclusion. Quantitative and qualitative studies were included. ResultsTwo quantitative studies and five qualitative studies examined aged care interventions (n = 7). An intervention involving physical health activities was not effective in reducing distress compared to a control, and an intervention of psychosocial, physical and spiritual health activities for veterans was not effective when compared to a comparison group. Qualitative analysis generated themes that apply to best practices: addressing older prisoners' needs, identifying barriers for older prisoners and staff, considering the prison culture, program delivery and cultivating older prisoners and staff attitudes. ConclusionThis review found no significant interventions in prisons. However, the qualitative findings showed evidence of best practice. Policy Impact: This systematic review of aged care in prisons, both in Australia and internationally, has many policy implications. This population is growing quickly, with many unaddressed needs. Practice Impact: The care of older prisoners is a growing and significant problem. This systematic review indicates a need for better informed practices to meet a range of prisoner needs. Some examples of creative responses are given in the review.