Coming home: health status and homelessness risk of older pre-release prisoners.

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Tytuł:: Coming home: health status and homelessness risk of older pre-release prisoners.
Autorzy:: Williams BA; Division of Geriatrics, University of California, San Francisco, San Francisco, CA 94121, USA. />McGuire J
Lindsay RG
Baillargeon J
Cenzer IS
Lee SJ
Kushel M
Źródło:: Journal of general internal medicine [J Gen Intern Med] 2010 Oct; Vol. 25 (10), pp. 1038-44. Date of Electronic Publication: 2010 Jun 08.
Typ publikacji:: Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.
Język:: English
Imprint Name(s):: Publication: Secaucus, NJ : Springer
Original Publication: [Philadelphia, PA] : Hanley & Belfus, [c1986-
MeSH Terms:: Health Status*
Social Environment*
Ill-Housed Persons/*psychology
Prisoners/*psychology
Veterans/*psychology
Age Factors ; Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Risk Factors
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Grant Information:: K23 AG033102 United States AG NIA NIH HHS; K23AG033102 United States AG NIA NIH HHS
Entry Date(s):: Date Created: 20100610 Date Completed: 20110816 Latest Revision: 20221207
Update Code:: 20240104
PubMed Central ID:: PMC2955468
DOI:: 10.1007/s11606-010-1416-8
PMID:: 20532651
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Background: Older adults comprise an increasing proportion of the prison and homeless populations. While older age is associated with adverse post-release health events and incarceration is a risk factor for homelessness, the health status and homelessness risk of older pre-release prisoners are unknown. Moreover, most post-release services are geared towards veterans; it is unknown whether the needs of non-veterans differ from those of veterans.
Objective: To assess health status and risk of homelessness of older pre-release prisoners, and to compare veterans with non-veterans.
Design/participants: Cross-sectional study of 360 prisoners (≥ 55 years of age) within 2 years of release from prison using data from the 2004 Survey of Inmates in State and Federal Correctional Facilities.
Main Measures: Veteran status, health status (based on self-report), and risk of homelessness (homelessness before arrest).
Key Results: Mean age was 61 years; 93.8% were men and 56.5% were white. Nearly 40% were veterans, of whom 77.2% reported likely VA service eligibility. Veterans were more likely to be white and to have obtained a high school diploma or GED. Overall, 79.1% reported a medical condition and 13.6% reported a serious mental illness. There was little difference in health status between veterans and non-veterans. Although 1 in 12 prisoners reported a risk factor for homelessness, the risk factors did not differ according to veteran status.
Conclusions: Older pre-release prisoners had a high burden of medical and mental illness and were at risk for post-release homelessness regardless of veteran status. Reentry programs linking pre-release older prisoners to medical and psychiatric services and to homelessness prevention programs are needed for both veterans and non-veterans.

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