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


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• Dial in to the conference call • “Questions” box

• Q&A session will be at the end of the presentation, but feel free to submit your questions at any time during the presentation. Click on the “+” to pop out the questions box where you can type and submit your questions.

• Webinar is being recorded

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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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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


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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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.


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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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


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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Poll Findings


Almost 10% of AAAs Reach Aging Prisoners

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CDSME and Reentry Programs Are Most Common


Capacity is a Challenge but there is Interest in Learning More

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Majority of AAAs Interested in Pilot/Demo Opportunities


AAAs are Interested in Training

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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


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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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.


This image cannot currently be displayed.

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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.


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Thank you!

For more information, please contact:

April HolmesCoordinator of Prevention ProgramsVirginia Department for Aging and Rehabilitative [email protected]


Questions?Use the Chat Box to submit a question or comment. Click on the “+” to pop out the questions box where you can type and

submit your questions.

Report and Webinar RecordingReport is available: www.n4a.org

Webinar recording: http://www.n4a.org/webinars - “Hot Topics”

supporting america’s aging prisoner population prisoners... · 2017. 3. 3. · 3/2/2017 1...

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