KANSAS CITY, Mo. - The number of older Americans serving prison sentences is on the rise, and those facilities weren't originally designed to accommodate an aging population.
Linda Redford is director of the Central Plains Geriatric Education Center at the University of Kansas.
She says Missouri is one state that has gotten ahead of the curve, by setting up enhanced-care units in some of the larger prisons and in some cases, people in prison are learning health-care skills by helping take care of each other.
She says that can benefit the older people, and the younger ones as well.
"I've often heard them say it's a way to pay back for what they've done, for whatever crime they've committed, that they feel now that they're finally able to give back," says Redford. "And in some cases, they know they're probably going to be aging and dying in prison, and they want someone there to care for them."
Redford points out that people in prison age faster than those on the outside, partly because of the lifestyles they led before they were arrested, which often included substance abuse and poverty.
She says most prisons aren't equipped to deal with so many people with cardiac disease, diabetes, dementia and other chronic conditions.
Although some states have an early-release program for elderly prisoners, Redford says that isn't the perfect answer because they often don't have anywhere else to go.
"Partly, we're in this mess because we emptied out all of our state hospitals for the mentally ill, and guess where they ended up," says Redford. "They ended up in our homeless shelters, dead, or in our prisons."
The aging of the prison population costs a lot. The federal Bureau of Prisons saw health-care expenses increase 55 percent from 2006 to 2013, when it spent more than $1 billion.
Every state is having to deal with increases in its older prison population, and Redford says Missouri deserves credit for what's been done so far.
"Missouri has probably moved as quickly as I've seen a state move, in terms of setting up the units within their prisons," says Redford. "But that isn't easy, because you have to retrofit a prison that was never meant for old people."
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Cities and states are struggling with mounting homelessness, and West Virginia is no exception.
A recent report points to potential solutions and immediate actions local governments can take to reduce the number of people on the streets.
A different report, released this year by the state's Department of Human Services, found homelessness is up by 24% compared to 2021.
Providing jobs such as trash cleanup for homeless individuals, and managing public spaces, are effective - said Lisel Petis, senior fellow at the R Street Institute.
She said in several states local organizations are working with businesses to create safe designated places for people living in cars to go at night.
"One that I've spoken with where they have seen success in working with businesses and using parking lots and giving people some privacy," said Petis, "so that they can transition from their car back into houses."
According to the state report, nearly 60% of individuals experiencing homelessness were male, and nearly half were between the ages of 25 and 44.
Thirteen percent identified themselves as Black or African American.
Petis added that while encampment sweeps reduce the spread of disease and reduce pollution, they can also displace people without offering viable alternatives and destroy personal belongings and important documents - increasing barriers to long-term stability for unhoused people.
She said she believes the surge of anti-camping laws popping up across the nation is a knee-jerk reaction to a complex and long-simmering problem.
"Homelessness across the nation has been growing year over year since about 2016," said Petis, "so we know that just by kind of slapping a band aid on isn't going to stop this growing issue."
According to a 2019 report from the National Homelessness Law Center, 72% of the 187 cities surveyed had at least one law enforcing public camping bans, a 92% increase from 2006.
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New federal data show aggravated assaults are up in Kentucky by 7.2%, but other types of violent crime have gone down.
Overall, violent crime in Kentucky remains much lower compared to the nation as a whole, said Ashley Spalding, research director at the Kentucky Center for Economic Policy.
"When you compare 2023 to that 2021 peak for violent crime," she said, "we see it's come down significantly since then."
A 2022 Bureau of Justice Statistics survey found younger people and people with lower incomes are far more likely to report being the victim of a violent crime than are higher-income people.
Spalding said laws such as House Bill 5, which lawmakers passed earlier this year, will drive up the number of people in the state's prisons and jails without addressing the root cause of crime.
"High rates of incarceration in communities are associated with higher rates of overdose deaths," she said. "The more that states make harsher criminal penalties for opioids like fentanyl, can put communities more at risk."
She said the policies in the bill are expected to cost the state an estimated $1 billion over the next decade. That money, she contended, could go toward health care, shelters and other resources that help communities.
"It would be the wrong direction for Kentucky to pass more harmful, harsh, regressive criminal legal system policies in 2025," she said.
According to the Pew Research Center, at least 60% of U.S. adults have said they believe there is more crime nationally than there was the year before, despite an ongoing downward trend in crime rates.
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Hundreds of people from across Michigan gathered in Lansing this week, urging House Speaker Joe Tate, D-Detroit and Senate Majority Leader Winnie Brinks, D-Grand Rapids, to advance the Second Look Sentencing Act to improve prison safety. The legislation allows people serving long sentences to have their cases reviewed for possible sentence reductions based on factors such as rehabilitation. The crowd included formerly incarcerated people who've turned their lives around and their families, victims of crime, prison staff and lawmakers.
Chuck Warpehoski, projects director with Michigan Collaborative to End Mass Incarceration, warned there is a prison staffing crisis in Michigan.
"We're seeing it in nursing, we're seeing it in child care, we're seeing it on the shop floor, we're seeing it with baristas. When it happens in a prison and people are forced to work mandatory double shifts, they're tired, they're not seeing their family -- it creates unsafe conditions for everyone," he said.
Warpehoski added they're urging lawmakers to pass the Second Look Act during this lame-duck session before they go home for the holidays.
He also pointed out the high costs of incarcerating people -- up to $48,000 per year, per person. He added that with the failed pay incentives to attract more staff, he believes it's clear a different solution is needed. Warpehoski shared some of the feedback they received.
"A lot of legislators and their staff said, hey, this makes sense -- and so it was a really, really positive response from not every office, but from a large number of offices we had meetings with," he continued.
Warpehoski stressed that Second Look legislation focuses on fairness by offering the possibility of release for individuals who have rehabilitated and are no longer a threat to society.
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