The unremitting growth of older inmates in prison populations is one of the most pressing concerns in federal corrections today; however, empirical research on the topic says little about the causes of these changes. This article addresses this gap by applying an established methodology to analyze and quantify the contributions of key factors driving the growth of aging federal prison populations.

The aging of the prison population has implications for the quality and type of services they receive in the correctional system, as well as for reentry services since the vast majority of prisoners return to the community at some point.

Pursuant to section 3582(c)(1)(A) of title 18, United States Code, courts are authorized to reduce a defendant’s term of imprisonment based on “extraordinary and compelling reasons.” When considering any motion under section 3582(c)(1)(A) (commonly referred to as “compassionate release” motions), the court must find, after considering the factors set forth in section 3553(a), that “extraordinary and compelling reasons” warrant such a reduction and that any reduction “is consistent with applicable policy statements issued by the Sentencing Commission.”

This is the sixth analysis in a series examining how health care is funded and delivered in state-run prisons, as well as how care continuity is facilitated upon release. Prison populations are shrinking, reflecting a decade-long movement by states to enact policies that reverse corrections growth, contain costs, and keep crime rates low. At the end of 2016, fewer people were held in state and federal prisons than in any year since 2004.

The population of a prison system is a function of the number of people who enter and how long they stay. Although crime rates are lower than they were 10 years ago, and thirty-six states have reduced their imprisonment rates, extreme sentence lengths and narrow release mechanisms have led to a growing crisis of older adults in America’s prisons. By 2030, the population of people aged 50 and older is projected to account for one-third of all incarcerated people in the U.S., amounting to a staggering 4,400 percent increase over a fifty-year span.

America’s prison population is aging rapidly. Between 2007 and 2010 the number of state and federal prisoners age 65 and older grew at a rate 94 times the overall prison population, making it the fastest growing demographic. The increase can be attributed to a variety of factors including the aging of the overall U.S. population, longer prison terms due to factors such as mandatory sentencing, and an increase in the number of older people committing crimes.

Older incarcerated individuals comprise the fastest growing demographic in the US prison system. Unhealthy lifestyles among incarcerated individuals and inadequate health care lead to earlier onset and more rapid progression of many chronic conditions that are prevalent among community-living older adults. There are limited peer-reviewed epidemiologic data in this area; however, there is growing interest in identifying strategies for housing aging incarcerated individuals, delivering appropriate health care in prisons, and coordinating after-release health care.

There is a dearth of knowledge on the role of cumulative trauma, stress, and minority oppression on recidivism among incarcerated elder population. The current study fills a gap in the literature by exploring the association between race, trauma, offense history, and recidivism among incarcerated elders. This study used a cross-sectional correlational design with 607 adult males aged 50 and older in a Northeastern state correctional system.

This report summarises the proceedings of the two-day meeting the ICRC organised in December 2016 on the needs of older prisoners. The meeting saw the participation of experts with practical experience of legal, ethical, health-care and management issues concerning older detainees. The experts' presentations and the plenary discussions, as well as a number of recommendations that emerged, are reported in detail.