Prioritizing Diversion and Decarceration of People With Dementia

Area of Science:

• Geriatric Medicine
• Criminology
• Public Health

Background:

• The incarcerated population is aging, leading to a rise in individuals with dementia and related symptoms.
• Dementia presents unique challenges within carceral settings, impacting cognitive function and behavior.

Purpose of the Study:

• To explore the clinical and ethical complexities of caring for incarcerated individuals with dementia.
• To examine adaptations needed for carceral settings to meet the needs of this population.
• To recommend policy reforms for managing incarcerated individuals with dementia.

Main Methods:

• Literature review and analysis of clinical and ethical considerations.
• Examination of current carceral setting suitability for dementia care.
• Policy analysis and recommendation development.

Main Results:

• Caring for incarcerated individuals with dementia involves significant clinical and ethical challenges.
• Carceral environments often require substantial adaptation to accommodate the needs of people with dementia.
• Policy reforms are crucial for effective management and potential reduction of incarcerated individuals with dementia.

Conclusions:

• Addressing the needs of aging incarcerated individuals with dementia requires a multi-faceted approach.
• Adaptations in carceral settings and policy changes are essential for humane and effective care.
• Policy recommendations include treatment-based diversion, early parole, and medical release to reduce incarceration rates for this population.