First-year resident in the research-track psychiatry residency program at the University of California, San Diego.
Professor of medicine in the Center for Vulnerable Populations at the University of California, San Francisco.
AMA J Ethics. 2023 Oct 1;25(10):E783-790. doi: 10.1001/amajethics.2023.783.
An aging prison population means more people who are incarcerated will experience dementia and related symptoms (eg, cognitive impairment, behavioral outbursts, poor impulse control). This article canvasses clinical and ethical complexities of caring for people with dementia who are incarcerated and examines how to adapt carceral settings to better meet the needs of people with dementia. This article also recommends policy reforms, such as treatment-based diversion programs, early parole, and medical release, to decrease numbers of individuals with dementia who are incarcerated whenever possible.
人口老龄化意味着更多被监禁的人将经历痴呆症和相关症状（例如认知障碍、行为爆发、冲动控制差）。本文探讨了照顾被监禁的痴呆症患者的临床和伦理复杂性，并研究了如何调整监狱环境以更好地满足痴呆症患者的需求。本文还建议进行政策改革，例如基于治疗的转移计划、提前假释和医疗释放，以尽可能减少被监禁的痴呆症患者人数。
