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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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[Psychiatry in elderly prisoners].

T Fovet1, P A Geoffroy2, G Vaiva1

  • 1Unité d'hospitalisation spécialement aménagée (UHSA) Lille-Seclin, pôle de psychiatrie, université Lille, CHU de Lille, 59000 Lille, France.

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Summary

Elderly prisoners have high rates of psychiatric disorders, with major depressive disorder and personality disorders being most common. Prison environments exacerbate these conditions, requiring urgent attention.

Keywords:
DepressionDépressionElderlyGerontopsychiatryGérontopsychiatrieMilieu pénitentiairePrisonPsychogeriatryPsychogériatrieSujet âgé

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Area of Science:

  • Gerontopsychiatry
  • Criminology
  • Public Health

Background:

  • High prevalence of psychiatric disorders in incarcerated populations.
  • Aging inmate demographics necessitate specialized geriatric care within correctional facilities.

Purpose of the Study:

  • To review clinical characteristics and comorbidities of elderly prisoners with psychiatric disorders.
  • To highlight challenges in managing psychiatric conditions in aging inmates.

Main Methods:

  • Systematic literature search of PubMed database (September 2013).
  • Inclusion of 14 studies for qualitative analysis.
  • Keywords: prisons, prisoners, geriatric psychiatry, geriatric assessment, geriatric nursing.

Main Results:

  • Over 50% of elderly prisoners (>60 years) have psychiatric disorders.
  • Major depressive disorder (30-50%) and personality disorders (~30%) are prevalent.
  • Psychotic disorders (5%) are significantly higher than in the general population; prison stress exacerbates conditions.

Conclusions:

  • The mental health situation of elderly prisoners is critical.
  • Increasing numbers of aging inmates with psychiatric disorders will worsen future challenges.
  • Improved care plans and management strategies are urgently needed.