Aged Care Insite Issue 109 | Oct-Nov 2018 | Page 19

industry & policy abuse issues and a largely sedentary lifestyle compound the complexity of their needs, and can result in accelerated effects of the ageing process. We’ve got other older offenders who enter custody for historical offences so they may be coming into custody for the first time, and they may have a harder time with dealing with the adjustment to prison and the loss of their independence. What facilities are there for aged prisoners? Most of the aged inmates are held in mainstream facilities. Where they have medical or disability concerns, reasonable adjustments are made. If an inmate has a mobility problem, we will ensure they have a placement in a bottom bunk or that they are in a ground floor unit rather than on the first floor. There are several other housing options for elderly inmates who have disabilities or higher needs. We have the aged care rehabilitation unit, which caters for inmates with medium to high care needs, and that’s in the Long Bay Hospital (Sydney), which is run by Justice Health primarily and looks after medical needs and people with more advanced dementia. We also have the Kevin Waller Unit, which is a lower-needs care facility at MSPC Long Bay. In that unit, we have inmates who have more difficulties with mobility and early stages of dementia and may need some kind of prompting. Again, the mainstream correctional centres within Long Bay per se have special areas which are currently designated for housing older offenders. What programs are there for those who have special needs such as dementia or are wheelchair-bound? Corrective Services staff, in accordance with a Justice Disability Inclusion Action Plan 2015-2018 and the Disability Discrimination Act 1992, aim to ensure that all offenders with a disability are identified, assessed, and have equal access to support services and programs within custodial corrections and community corrections, the same as all other offenders. Disability within Corrective Services is considered broadly and includes many levels of impairment, including cognitive decline, physical problems and mental health issues. So in relation to dementia, the Statewide Disability Services has neuropsychologists who conduct assessments on people with dementia every six months to monitor for any cognitive decline. Then they provide recommendations for the placement and management of these inmates. Frail elderly offenders or those with more advanced dementia may be placed in the high-needs facility, but the majority of the elderly inmates are housed in mainstream centres. How do you balance prison protocols while supporting older inmates who need care? The prison protocols do support the inmate care because we have a duty of care to provide safe, secure, humane environments for elderly inmates. The balancing is done both by considering the rights of the individual and the older inmates and their needs with the needs of the broader inmate population, and the security needs to maintain their safety and security.  ■ Receive up to 40% off for bulk subscriptions! We can provide all your staff with their own copy of Aged Care Insite With an increasingly ageing population in Australia, the Aged Care Industry is rapidly expanding to keep up with demand, making it more important than ever to ensure that you and your colleagues stay up-to- date with what’s going on in the Aged Care Industry. Aged Care Insite provides you with all the information you need on your doorstep. What’s more, subscribe in bulk to receive up to 40% off the cost of an individual subscription. Please call 02 9936 8666 to find out more. agedcareinsite.com.au 17