Department of Health Sciences, University of York, York YO10 5DD, UK.
Department of Health Sciences, University of York, York YO10 5DD, UK.
Int J Law Psychiatry. 2024 Jul-Aug;95:102002. doi: 10.1016/j.ijlp.2024.102002. Epub 2024 Jul 4.
A growing number of older people remain in custody each year resulting in an increasing number of common mental and physical health concerns. No prior evidenced-based targeted psychological interventions support this group of people, and little is known about their needs, current activities, and health-related problems. We addressed these gaps through a project involving older prisoners, prison staff and a project advisory group in one male and one female prison site in the North of England. Systematic review evidence supports the development of an implementation tool kit addressing strategies to develop and deliver interventions that are sustainable, acceptable, and feasible in the prison environment. Prison strategies need to specifically address the needs of older people in custody. Relatively inexpensive activities, with some thought to delivery and flexibility have the potential to benefit common mental and physical health, increasing quality of life, reducing high economic and social cost, mortality, and reoffending in this age group.
每年都有越来越多的老年人被拘留,由此产生了越来越多的常见精神和身体健康问题。目前没有基于证据的针对这一人群的心理干预措施,而且人们对他们的需求、当前活动和与健康相关的问题知之甚少。我们通过在英格兰北部的一男一女两所监狱中让老年囚犯、监狱工作人员和项目咨询小组参与的一个项目来解决这些差距。系统评价证据支持开发一个实施工具包,该工具包针对在监狱环境中制定和提供可持续、可接受和可行的干预措施的策略。监狱策略需要专门针对被拘留的老年人的需求。相对廉价的活动,如果考虑到交付和灵活性,有可能有益于常见的精神和身体健康,提高生活质量,降低这一年龄组的高经济和社会成本、死亡率和再犯罪率。