Older offenders, substance abuse, and treatment.
OBJECTIVE
The adoption of more stringent truth-in-sentencing laws and the aging of the United States population in general has led to an increase in the proportion of prison inmates age 55 years and older. Recent judicial rulings require prisoners to receive adequate medical and mental health care. Care for substance abuse is often included to reduce recidivism. However, little systematic research has been conducted on the mental health and substance abuse treatment needs of older prisoners.


METHODS
The authors examined age differences in substance abuse history provided by 10,952 offenders as part of their orientation and evaluation on entry into prison. Trained substance abuse counselors interviewed each offender and recorded data in an institutional database.


RESULTS
Seventy-one percent of older inmates reported a substance abuse problem. When compared with younger inmates, older offenders were more likely to abuse alcohol only. Those older inmates with abuse problems had used substances for over 40 years, yet more than one-third had never received treatment.


CONCLUSIONS
Like younger inmates, most older offenders would benefit from substance abuse treatment. The treatment may need to be tailored to age and lack of previous treatment experience and should be sensitive to this high-risk group's additional medical needs.
Arndt
Stephan
S
Department of Psychiatry, College of Medicine, University of Iowa, Iowa City 52242, USA. stephan-arndt@uiowa.edu
Turvey
Carolyn L
CL
Flaum
Michael
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007484:Iowa; D008297:Male; D008875:Middle Aged; D011329:Prisoners / Q000523:psychology*; D019966:Substance-Related Disorders / Q000523:psychology* / Q000628:therapy*