Supporting America’s Aging Prisoner Population Prisoners... · 2017. 3. 3. · 3/2/2017 1...
Transcript of Supporting America’s Aging Prisoner Population Prisoners... · 2017. 3. 3. · 3/2/2017 1...
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National Association of Area Agencies on Aging
Supporting America’s Aging Prisoner PopulationFebruary 28, 2017
National Association of Area Agencies on Aging
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National Association of Area Agencies on Aging
Presenters• Erin Long, Aging Services Program Specialist, U.S.
Administration for Community Living
• Jesse Moore, Aging Services Program Specialist, U.S. Administration for Community Living
• Meredith Eisenhart, Director, Community Capacity Building, National Association of Area Agencies on Aging
• April Holmes, Coordinator of Prevention Programs, Virginia Department for Aging and Rehabilitative Services.
Supporting America’s Aging Prisoner Population:Opportunities and Challenges for Area Agencies on Aging
By: Jesse MooreACL/AoA – Office of Supportive and Caregiver Services
February 28, 2017
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ACL/AoA – Office of Supportive and Caregiver Services:• Key Programs:
• Title III B and E
• Eldercare Locator/I&R Support Center
• Alzheimer’s Disease Programs
• LGBT Aging
• Holocaust Survivor Support
• Transportation & employment
ACL/AoA’s Interest in Justice Involved Seniors:
• The 2013/2014 ASA Conference
• ACL Regional Office Activities
• OSCS Staff participation in Federal activities
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Federal Initiatives for Justice Involved Individuals:Federal Interagency Re‐Entry Council:
• Established as a working group in 2011
• 20 Federal agencies
• Formalized by Presidential memo – April 29, 2016
Coordinates Executive Branch re‐entry efforts by:
• Making safer communities
• Assisting returning citizens
• Saving taxpayer dollars
Other Federal Initiatives & Strategic Partnerships:
• Federal Offenders Re‐Entry Group (FORGe)
• HHS Re‐Entry Council
• National Council on Aging (NCOA)
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Report: “Impact of an Aging Inmate Population”.Dept. of Justice/OIG Report – May, 2015:https://oig.justice.gov/reports/2015/e1505.pdf#page=2
Key recommendations:• Staff training• Conduct research• Conduct needs assessments• Develop specific content in release preparation courses
ACL/AoA Activities in Support of Incarcerated Older Adults
• Regular/Ongoing participation in Federal initiatives
• July 2015: Consultation with BOP
• Collaboration with the BOP/Female Offenders Branch.
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Gathering more information:N4A’s Grant: Understanding the Capacity of the Aging Network
• Late 2015 began working with N4A on the development of the survey:
Objectives:
1. Present trends
2. Examine current AAA roles and lessons learned
3. Explore aging network support needs
For more information
Please contact:
Erin Long Jesse [email protected] [email protected]
202‐795‐7389 202‐795‐7578
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National Association of Area Agencies on Aging
New Report: Supporting America’s Aging Prisoner Population: Opportunities and Challenges for Area Agencies on Aging
Meredith Eisenhart, National Association of Area Agencies on Aging
National Association of Area Agencies on Aging
About the Aging Prisoner Population• The demographic over age 65 is the fastest
growing segment of America’s prison population.
• 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.
• Why?– General aging of the population,– Statistics show an increase in the number of
older persons committing crimes – Long-term impact of mandatory minimum
sentencing.
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National Association of Area Agencies on Aging
About Aging Prisoner Population, Cont’d
• 73 percent of prisoners age 50 and older have a chronic health condition.
• Incarcerated people age more quickly than the general population
• “Accelerated aging” - due to factors such as lack of access to health care, history of substance abuse and mental health issues, exposure to traumatic events.
• Older prisoners may need assistance with bathing, dressing, eating and other aspects of personal care.
National Association of Area Agencies on Aging
About the Survey• Funded through the Administration for
Community Living• Purpose:
– Determine how AAAs are responding to the aging of America’s prison population, including individuals who have been released from prison
– Gather and disseminate information on pilot projects and other programs are available.
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National Association of Area Agencies on Aging
Methods• The data included in this report is based on the
poll results, as well as follow-up interviews with AAAs
• Poll contained 12 questions and was conducted in March and April 2016
• Disseminated to all 622 Area Agencies on Aging across the country.
• 231 AAAs completed the survey• Response rate of 37 percent
National Association of Area Agencies on Aging
Survey Topics• Services designed specifically for aging prisoner
population • Current capacity to serve the aging inmate
population • Interest in pilot programs to serve the prison
population • Technical assistance and training needed to
implement such programs
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National Association of Area Agencies on Aging
Poll Findings
National Association of Area Agencies on Aging
Almost 10% of AAAs Reach Aging Prisoners
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National Association of Area Agencies on Aging
CDSME and Reentry Programs Are Most Common
National Association of Area Agencies on Aging
Capacity is a Challenge but there is Interest in Learning More
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National Association of Area Agencies on Aging
Majority of AAAs Interested in Pilot/Demo Opportunities
National Association of Area Agencies on Aging
AAAs are Interested in Training
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National Association of Area Agencies on Aging
Lessons Learned • Importance of building relationships with
criminal justice system stakeholders• Engage AAA staff in conversations about needs
of prison population• Capitalize on existing funding sources when
possible• Consider a pilot program• Assess agency’s core strengths before
implementing new program
National Association of Area Agencies on Aging
Summary• Almost 10 percent of AAAs have a program for
aging prisoners or those being released• Of AAAs engaged in this work, 40 percent of
the aging prisoner programs are part of a Chronic Disease Self-Management Education (CDSME) Program and 24 percent are reentry programs
• 75 percent of AAAs are interested in a pilot program or demonstration to serve this population
• The greatest challenge AAAs face is staff time and/or budgets that are already stretched
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National Association of Area Agencies on Aging
Thank you!For more information:
Meredith EisenhartDirector, Community Capacity BuildingNational Association of Area Agencies on [email protected] 202.719.8892
Chronic Disease Self-Management Educationin Virginia’s Correctional Centers
April Holmes, Coordinator of Prevention Programs, Virginia Department for Aging and Rehabilitative Services
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What is CDSME?
Evidence-based disease self-management programs
Developed and researched by Stanford University
6 week workshop, 2.5 hour sessions
Tools and skills to:
Deal with symptoms
Manage common problems
Participate more fully in life
Why Self-Management?
People spend 99 percent of their time outside the health care system — and what they do outside largely
determines their quality of life. This prepares them for the 99 percent.
Kate LorigStanford University Patient Education Research Center
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Workshop set-up:• Two trained leaders
• Average of 12 participants• Flip chart for writing
• Charts display workshop content• Very interactive
• Participants in roundtable/horseshoe seating
Chronic Disease Self-Management Program
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Long-Term Research Findings
Improved/Enhanced Reduced
Energy Fatigue
Physical activity Limitations on social role activities
Psychological well-being Pain symptoms
Partnerships with physicians Emergency room visits
Health status Hospital admissions
Self-efficacy Hospital length of stay
National Study Findings: Lower Health Care Costs
• $714 per person saving in emergency room visits and hospital utilization.
• $364 per person net savings after consideringprogram costs at $350 per participant.
• Potential saving of $6.6 billion by reaching 10% of Americans with one or more chronic conditions.
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2005: Introduced by Virginia Department of Health
March 2010: VA receives a 2-year, $1 million grant from AoA
September 2012: VA receives a 3-year, $900,000 grant from ACL
August 2016: VA receives a 2-year, $900,000 grant from ACL
DARS is the lead state agency. Area Agencies on Aging lead at the local level.
Timeline: CDSME in Virginia
Partnering with Corrections
June 2010: Inspired by Oklahoma experience
Dec 2011: Outreach to VA Dept. of Corrections
March 2012: Made the right connection!
May 2012: Presentation to VDOC managers
Sept 2012: Discussions with Bland CC
Nov 2012: First workshop at Bland completed
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AAA-Correctional Partnerships
Pocahontas CC-Appalachian Agency for
Senior Citizens
Coffeewood CC-Rappahannock Rapidan
Community Services
Deep Meadow CC-Senior Connections
Marion CC-District Three Senior Services
PWC Adult Detention Center
Prince William AAA/Project Mend-a-House
Middle River Regional Jail-Valley Program for Aging
ServicesBland CC-
District Three Senior Services
Program Reach
6 State Correctional Centers2 Regional Jails43 Workshops438 completers
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I learned how to handle my living condition 100 per cent better. My thought process and action planning all came together as one mission.
– Participant, Powhatan Correctional Center
Participant Comments
I loved…that the instructors treated us just like we were in a natural environment regardless of how unnatural the environment actually was. They did not treat us with disrespect and showed no bias toward the fact that we are convicts…
I initially took this class because… it would count toward my annual review. Now I can say that I underestimated the possibilities of how effective the experience would be.
– Participant, Powhatan Correctional Center
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It is nice to be treated as a human being and not as a animal or monster. Not a lot to look forward to, but taking the class is the best part of my week. I don’t feel so stressed out after our meeting. The laughter and sharing really makes me feel better.
There at the start of my bid (starting my time) I felt alone, but the class made me feel like someone cared about what I was going through, thank you for that. I hope every day finds you joy.
– Participant, Bland Correctional Center
The lessons you all have taught me will last a lifetime. No matter my mood, I always left your class in great spirits.
And if you never considered what it means to a man in prison to be able to smile, I hope you’ll take a moment to think about it, and then smile yourself. Keep up the good work and don’t change a thing.
– Participant, Bland Correctional Center
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Challenges → Lessons Learned
Getting in! → Where do corrections interests/CDSME intersect?
Finding willing leaders → Train corrections staff
Generating interest from offenders → Session Zero, facility health fairs
Facility restrictions/limitations → Flexibility, preparation
Time involved: Required screening/orientation → More than two leaders trained, three leaders present
Additional Comments
This program helps offenders with chronic conditions take charge of their own well-being, contributing to better health outcomes while they’re incarcerated and successful re-entry into their communities when they’re released.
– Harold ClarkeDirector, Virginia Department of Corrections
It can give you a very positive outlook toward the future.
– Participant, Bland Correctional Center
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Thank you!
For more information, please contact:
April HolmesCoordinator of Prevention ProgramsVirginia Department for Aging and Rehabilitative [email protected]
National Association of Area Agencies on Aging
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