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The Cost of the Aging Inmate Population

Hope I die before I get old ...(the Who):

This excellent article in today's Tennessean highlights the growing problems facing states due to aging inmate populations and the cost of caring for them.

With all the double-digit and life sentences being handed out since the 1990's as a result of harsher sentencing laws, the question had to arise: What do we do with these prisoners once they turn 70, are no longer violent, and need increased medical care:

Every year, more inmates need treatment for hypertension, arthritis, Alzheimer's and emphysema and require physical therapy and hospice care. Many old or feeble inmates also must be housed separately because they can become targets for younger, tougher prisoners. The 50-plus set is considered ''senior'' by prison standards because hard lifestyles before prison often cause inmates to age about 10 years faster, experts say.

Kudos to Tennessee, which is "looking to lead the nation in elder-care corrections."

Officials are tracking details of the 50-plus inmates and working on plans to handle physical disabilities, life skill issues, elderly support groups and hospice care....

Tennessee is one of 16 states with facilities for frail and aging inmates, and it was among the first to establish them. Many of the state's healthier senior inmates are at the Wayne County Boot Camp. The DeBerry Special Needs Facility oversees the sickest prisoners, many of them seniors. DeBerry has 800 beds to house prisoners whose medical problems range from amputation to dementia to cancer.

Court rulings recognize that inmates deserve all the health-care opportunities of anyone else in the community.

[DeBerry] is a place where walkers and canes are weapons and riots are all but impossible. A lot of prisoners can take care of themselves, but others need diaper changes or help with spoons and forks. Special equipment at DeBerry includes Velcro sneakers, plastic mattress covers and shower chairs.

''It's terribly expensive. The public needs to be informed on the cost,'' said Jimmie Tittle, 73, who is serving 16 years at DeBerry for attempted murder in Sullivan County. He will be 81 when his sentence ends in 2011.

Progressive corrections officials are asking states to rethink their get-tough sentencing policies. More states should follow the lead of Georgia and California and adopt early-release plans for elderly prisoners. As Tennessee's Corrections Commissioner Quenton White says:

''A society is as good as it treats its seniors — whether they are in prison or out of prison.''

We've written about this issue before, and the POPS program in particular.

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