Age and Ageing Advance Access originally published online on May 19, 2004
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Age and Ageing 2004; 33: 396-398
Age and Ageing Vol. 33 No. 4 © British Geriatrics Society 2004; all rights reserved
Short Report |
Unmet treatment needs of older prisoners: a primary care survey
1 Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford OX3 7JX, UK
2 Department of Public Health and Primary Care, University of Oxford, Institute of Health Sciences, Old Road, Oxford OX3 7DP, UK
3 Institute of Criminology, Faculty of Law, Roebuck Castle, University College Dublin, Dublin 4, Ireland
Address correspondence to: S. Fazel. Fax: (+44) 1865 793101
Abstract
Background: little is known about the treatment needs of older prisoners and to what extent they are being met.
Subjects: representative sample of 203 sentenced prisoners aged 60 and over in 15 prisons in England and Wales.
Design: case notes were surveyed using a standardised proforma and information on current medication was collected.
Results: three-quarters of older prisoners were prescribed medication. Those with cardiovascular, respiratory and endocrine health problems were prescribed medication that was mostly appropriately targeted. In contrast, only 18% of inmates with recorded psychiatric morbidity were prescribed psychotropic medication.
Conclusions: reviewing the medical records of older prisoners and considering the appropriateness of their current medication regime would be a primary care intervention that could significantly improve the health of this marginalized group.
Keywords: prisoners, medication, policy, public health, elderly
Received October 24, 2003; Revision received January 12, 2004. accepted in revised form January 12, 2004.
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