Prison Unhealthy Lifestyle and Poor Mental Health of Older Persons—A Qualitative Study

Prison Unhealthy Lifestyle and Poor Mental Health of Older Persons—A Qualitative Study Félix Pageau Corinne Devaud Cornaz Isabelle Gothuey Helene Seaward Tenzin Wangmo Bernice S. Elger

Background: Mental healthcare and lifestyle habits in prison, especially for older individuals, has been shown to be suboptimal. Most psychiatric conditions left untreated worsen food choices, physical inactivity, and substance abuse. In turn, bad habits lead to poorer mental health.

Methods: To comprehensively illustrate this downward spiraling, we completed a thorough analysis of data obtained through semi-structured qualitative interviews. There were 50 interviews of aging incarcerated people included in this article. They were analyzed following a classical six-stepped thematic analysis.

Results: According to our participants, sports are not well-adapted to aging individuals, nor to people with medical conditions. Prison is even more unadapted for those who both are aging and have medical conditions. Also, food served is less than optimal. According to our interviews, the older imprisoned individual often does not have access to food adapted to his or her medical conditions. Sport is maladapted for older incarcerated individuals and mostly tailored for younger ones. Finally, boredom and lack of responsibility hinder change toward a better lifestyle for older adults in prison.

Conclusion: Our paper shows why prison environmental modifications are needed to help older adults with their lifestyle habits. It also exposes an original way to see the relationship between mental health and lifestyle habits.
11 19 2021 690291 10.3389/fpsyt.2021.690291 1 10.3389/crossmark-policy frontiersin.org true https://creativecommons.org/licenses/by/4.0/ 10.3389/fpsyt.2021.690291 https://www.frontiersin.org/articles/10.3389/fpsyt.2021.690291/full https://www.frontiersin.org/articles/10.3389/fpsyt.2021.690291/full Emerging Issues in Prison Health. Hayes 1 2012 Ageing inside: older adults in prison Int J Prison Health. Merkt 16 95 2020 Defining an age cut-off for older offenders: a systematic review of literature 10.1108/IJPH-11-2019-0060 Ageing Inside. School for Policy Studies Working Paper Series Paper Number 1 Frazer 2003 Int J Geriatr Psychiatry. Hayes 27 1155 2012 The health and social needs of older male prisoners 10.1002/gps.3761 J Correctional Health Care. Wangmo 24 352 2018 Improving the health of older prisoners: nutrition and exercise in correctional institutions 10.1177/1078345818793121 ‘No Problem- Old and Quiet’: Older Prisoners in England and Wales. A Thematic Review 2004 Prison Service J. Hayes 143 38 2011 Practice into policy: the need of elderly prisoners in England and Wales Ann Epidemiol. Baillargeon 10 74 2000 The disease profile of Texas prison inmates 10.1016/S1047-2797(99)00033-2 The Health Status of Soon-To-Be-Released Inmates: A Report to Congress Hornung 39 2004 A projection Model of Selected Chronic Diseases in the Inmate Population Geriatric Today. Brown 6 32 2003 Golden years? The incarceration of older offender J Correctionnal Health Care. Caverley 12 262 2006 Older mentally ill inmates: a descriptive study 10.1177/1078345806295546 Lancet. Arnold 379 1931 2012 Non-communicable diseases in prisons 10.1016/S0140-6736(12)60471-1 Lancet. Herbert 379 1975 2012 Prevalence of risk factors for non-communicable diseases in prison populations worldwide: a systematic review 10.1016/S0140-6736(12)60319-5 Int J Law Psychiatr. Elger 32 74 2009 Prison life: television, sports, work, stress and insomnia in a remand prison 10.1016/j.ijlp.2009.01.001 Prev Med. Collin 91 335 2016 Adherence to dietary guidelines as a protective factor against chronic or recurrent depressive symptoms in the French SU.VI.MAX cohort 10.1016/j.ypmed.2016.09.001 BMC Public Health. Moschetti 15 872 2015 Disease profiles of detainees in the Canton of Vaud in Switzerland: gender and age differences in substance abuse, mental health and chronic health conditions 10.1186/s12889-015-2211-6 Int J Law Psychiatr. Haesen 62 20 2019 Substance use and other mental health disorders among older prisoners 10.1016/j.ijlp.2018.10.004 APA Publ Commun Board Task. Levitt 73 26 2018 Journal article reporting standards for qualitative primary, qualitative meta-analytic, and mixed methods research in psychology 10.1037/amp0000151 Int J Qual Health C Tong 19 349 2007 Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups 10.1093/intqhc/mzm042 Qual Rep. Fusch 20 1408 2015 Are we there yet? Data saturation in qualitative research 10.46743/2160-3715/2015.2281 Qual Res Psychol. Braun 3 77 2006 Using thematic analysis in psychology 10.1191/1478088706qp063oa Bioethical Inquiry. Bretschneider 11 3 2014 Expert perspectives on Western European Prison Health services: do ageing prisoners receive equivalent care? 10.1007/s11673-014-9547-y Emerging Issues in Prison Health Elger 107 2017 10.1007/978-94-017-7558-8_7 A balanced diet – from facts to solutions J Affect Disord. Schuch 210 139 2016 Physical activity and sedentary behavior in people with major depressive disorder: a systematic review and meta-analysis 10.1016/j.jad.2016.10.050 Int J Cardiol. Wirnick 262 99 2018 Cardiovascular risk goes up as your mood goes down: interaction of depression and socioeconomic status in determination of cardiovascular risk in the COSTANCES cohort 10.1016/j.ijcard.2018.02.033 Clin Psychol. Garland 30 849 2010 Upward spirals of positive emotions counter downward spirals of negativity: insights from the broaden-and-build theory and affective neuroscience on the treatment of emotion dysfunctions and deficits in psychopathology 10.1016/j.cpr.2010.03.002 Adm Policy Ment Health Bochicchio 46 298 2019 “We're all in this together”: peer-specialist contributions to a healthy lifestyle intervention for people with serious mental illness 10.1007/s10488-018-0914-6 Psychiatry Res. Li 253 373 2017 Dietary patterns and depression risks: a meta-analysis 10.1016/j.psychres.2017.04.020 Med Hypotheses. Lopresti 126 82 2019 It is time to investigate integrative approaches to enhance treatment outcomes for depression? 10.1016/j.mehy.2019.03.008 Ageing Mental Health. Prost 25 260 2021 Older adults incarcerated in state prison: health and quality of life disparities between age cohorts 10.1080/13607863.2019.1693976 Social Work Health Care. Sayer 58 509 2019 Perspectives on diet and physical activity among urban african americans with serious mental illness 10.1080/00981389.2019.1587662 WHOMental Health-Action Plan 2013-20202013 Br J Sports Med. Zhai 49 705 2015 Sedentary behavior and the risk of depression: a meta-analysis 10.1136/bjsports-2014-093613 Int J Mental Health Syst. Bowen 3 24 2009 Medication management and practices in prison for people with mental health problems: a qualitative study 10.1186/1752-4458-3-24 J Urban Health. Binswanger 89 98 2011 Health disparities and the criminal justice system: an agenda for further research and action 10.1007/s11524-011-9614-1 J Adv Nurs. Condon 58 216226 2007 Users' views of prison health services: a qualitative study 10.1111/j.1365-2648.2007.04221.x Ecrits sur la peine de mort Victor 1992