Guest Editorial
AGING, MENTAL HEALTH, AND
INCARCERATION
The purpose of this editorial
is to respond to a recent study on
the health and health care of U.S.
prisoners (Wilper et al., 2009). This
study, combined with my recent
review of both the American Nurses
Association (ANA) Congress on
Nursing Practice and Econom-
ics’ (2008) proposed revisions to
Nursing’s Social Policy Statement:
The Essence of the Profession and
the American Psychiatric Nurses
Association (APNA) and Interna-
tional Society of Psychiatric-Mental
Health Nurses’ (ISPN) Essentials of
Psychiatric Mental Health Nursing
in the BSN Curriculum (2008), em-
phasized for me an aging population
that needs gerontological nursing
care.
The ANA Congress on Nurs-
ing Practice and Economics’ (2008)
Social Policy Statement states that
“Quality health care is a human
right for all. Increasing costs of care,
health disparities, and the lack of
accessible, available, and acceptable
healthcare services and resources
are complex issues that must be
addressed to improve the qual-
ity of care” (p. 3). The APNA and
ISPN (2008) Essentials document
identiies the needed psychiatric-
mental health nursing content for
the baccalaureate curriculum, with
particular attention to vulnerable
populations and health disparities
in mental health care and outcomes.
Included in this care are marginal-
ized populations, such as those who
are jailed. It was in reading about
this last description of vulnerable
populations that I realized how little
I knew about how this population
fared given the health care provided
to prison populations. I became
keenly aware at how little I thought
about aging, mental illness, and
incarceration.
Wilper et al. (2009) examined
the prevalence of chronic illnesses,
including mental illness, by analyz-
Caring for Incarcerated Older Adults
Two Views
When two scholars in the field independently identify an
important issue, it is worthy of the Journal’s attention. The issues
and challenges related to an aging incarcerated population are
being discussed more and more frequently in the literature and at
conferences. In response to a call for editorials, two valued mem-
bers of the Journal of Gerontological Nursing’s Editorial Advi-
sory Board and Review Panel responded with the pieces found
in this guest editorial—both on the topic of caring for geriatric
inmates.
They are in many ways different pieces. Dr. Melillo’s comes
from a largely psychiatric nursing perspective, and Dr. Loeb’s
has more of a gerontological nursing perspective. However, the
major theme common in both pieces is: Why should gerontologi-
cal nurses care about this population? For this reason, we decided
to publish both together to present two views, arguing that we do
need to focus on this vulnerable group. I hope you enjoy it, and as
always, we welcome your feedback.
Kathleen C. Buckwalter, PhD, RN, FAAN
Editor
© iStockphoto.com/Lou Oates
JOURNAL OF GERONTOLOGICAL NURSING • VOL. 35, NO. 7, 2009 3