ArticleJournal of the American Geriatrics Society2018
Cognition and Incarceration: Cognitive Impairment and Its Associated Outcomes in Older Adults in Jail.
Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Relevance of psychogeriatrics in the prison setting: a systematic review.Revista espanola de sanidad penitenciariaPooled it
- Exploring Social Determinants of Cognitive Functioning: History of Criminal Legal System Involvement and Processing Speed among Older Black Americans.Sociological focus · 2026Article
- Performance of cognitive screening tools in detecting possible dementia among older males in custody in Canada: a pilot study.Health & justice · 2026Article
- The care experience of people with diagnosed or suspected dementia living in prison: A case study approach.Dementia (London, England) · 2026Article
- The Intersecting Effects of Lifetime Experiences of Homelessness and Incarceration on Cognitive Aging and Dementia Risk Factors in the United States.The Gerontologist · 2025Article
- Linkages between incarceration and health for older adults.Health & justice · 2025Review
- Carceral Health Care.The New England journal of medicine · 2025Review
- A Primer on Carceral Health for Clinicians: Care Delivery, Regulatory Oversight, Legal and Ethical Considerations, and Clinician Responsibilities.Mayo Clinic proceedings · 2025Review
- The Impact of Prior Incarceration on Cognitive Trajectories Among Older Adults: Evidence From the Health and Retirement Study.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025Article
- Neurodegenerative Disorders in Criminal Offending and Cognitive Decline Among Aging Inmates.NeuroSci · 2025Review
- Prevalence of Disability Among Older Adults in Prison.JAMA network open · 2024Article
- Detained and Cognitively Impaired: Reevaluating Screening Recommendations in Carceral Settings.Journal of general internal medicine · 2024Article
- Pre and post diagnostic dementia care in four Scottish prisons.Health & justice · 2024Article
- Health Conditions and Treatment Utilization Among Older Male Veterans Incarcerated in Prisons.Journal of general internal medicine · 2024Observational
- The Prevalence of Cognitive Impairment and Dementia in Incarcerated Older Adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023Article
- Prioritizing Diversion and Decarceration of People With Dementia.AMA journal of ethics · 2023Article
- Delirium identification among older adults hospitalized while incarcerated.Delirium communications · 2023Article
- Mass incarceration and cognitive impairment in older adults: Setting a research agenda.Journal of the American Geriatrics Society · 2023Article
- Crime, Incarceration, and Dementia: An Aging Criminal System.American journal of law & medicine · 2023Article
- Design Preferences for a Serious Game-Based Cognitive Assessment of Older Adults in Prison: Thematic Analysis.JMIR serious games · 2023Article
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6 authors.
Funding
Abstract
objectivesTo determine prevalence of, and outcomes associated with, a positive screen for cognitive impairment in older adults in jail.
designCombined data from cross-sectional (n=185 participants) and longitudinal (n=125 participants) studies.
settingUrban county jail.
participantsIndividuals in jail aged 55 and older (N = 310; mean age 59, range 55-80). Inclusion of individuals aged 55 and older is justified because the criminal justice system defines "geriatric prisoners" as those aged 55 and older. MEASUREMENTS: Baseline and follow-up assessments of health, psychosocial factors, and cognitive status (using the Montreal Cognitive Assessment (MoCA)); 6-month acute care use and repeat arrest assessed in those followed longitudinally.
resultsParticipants were of low socioeconomic status (85% annual income < $15,000) and predominantly nonwhite (75%). Many (70%) scored less than 25 on the MoCA; those with a low MoCA score were more likely to be nonwhite (81% vs 62%, p<.001) and report fair or poor health (54% vs 41%, p=.04). Over 6 months, a MoCA score of less than 25 was associated with multiple emergency department visits (32% vs 13%, p=.02), hospitalization (35% vs 16%, p=.03), and repeat arrests (45% vs 21%, p=.01).
conclusionsCognitive impairment is prevalent in older adults in jail and is associated with adverse health and criminal justice outcomes. A geriatric approach to jail-based and transitional health care should be developed to assess and address cognitive impairment. Additional research is needed to better assess cognitive impairment and its consequences in this population. J Am Geriatr Soc 66:2065-2071, 2018.
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