Human rights; Medical ethics ; Ageing; Criminology; Prison; Public health
Moschetti Karine, Zabrodina Véra, Stadelmann Pierre, Wangmo Tenzin, Holly Alberto, Wasserfallen Jean-Blaise, Elger Bernice S, Gravier Bruno (2017), Exploring differences in healthcare utilization of prisoners in the Canton of Vaud, Switzerland., in PloS one
, 12(10), 0187255-0187255.
Heidari Raheleh, Wangmo Tenzin, Galli Serena, Shaw David M., Elger Bernice S., Handtkea Violet, Bretschneider Wiebke (2017), Accessibility of prison healthcare for elderly inmates, a qualitative assessment, in Journal of Forensic and Legal Medicine
, 52, 223-228.
Haesen Sophie, Wangmo Tenzin, Elger Bernice S. (2017), Identity as an older prisoner: findings from a qualitative study in Switzerland, in European Journal of Ageing
Annaheim Beatrice, Wangmo Tenzin, Bretschneider Wiebke, Vogel Marc, Elger Bernice S. (2017), Can routine data from prisoners’ files be used to estimate prevalence rates of illicit drug use among prisoners?, in International Journal of Public Health
Wangmo Tenzin, Handtke Violet, Bretschneider Wiebke, Elger Bernice Simone (2017), Prisons should mirror society: The debate on age-segregated housing for older prisoners, in Ageing and Society
, 37(4), 675-694.
Handtke Violet, Wangmo Tenzin, Elger Bernice, Bretschneider Wiebke (2016), New guidance for an old problem: Early release for seriously ill and elderly prisoners in Europe, in Prison Journal
, 97(2), 224-246.
Handtke Violet, Bretschneider Wiebke, Elger Bernice, Wangmo Tenzin (2016), The collision of care and punishment: Ageing prisoners’ view on compassionate release, in Punishment and Society
, 19(1), 5-22.
Wangmo T, Andrea M, Handtke V, Bretschneider W, Page J, Sommers J, Stuckelberger A, Aebi M, Elger B (2016), Aging prisoners in Switzerland: An analysis of their healthcare utilization., in Journal of Aging and Health
, 28(3), 481-502.
Wangmo Tenzin, Hauri Sirin, Meyer Andrea H., Elger Bernice S. (2016), Patterns of older and younger prisoners’ primary healthcare utilization in Switzerland, in International Journal of Prisoner Health
, 12(3), 173-184.
Handtke V., Bretschneider W., Elger B., Wangmo T. (2016), The collision of care and punishment: Ageing prisoners view on compassionate release, in Punishment & Society
Wangmo T, Meyer A, Handtke V, Bretschneider W, Page J, Sommer J, Stuckelberger A, Aebi M, Elger BS (2015), Ageing prisoners in Switzerland: An analysis of their healthcare utilization, in Journal of Ageing and Health
Moschetti Karine, Stadelmann Pierre, Wangmo Tenzin, Holly Alberto, Bodenmann Patrick, Wasserfallen Jean Blaise, Elger Bernice S., Gravier Bruno (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 Chronic Disease epidemiology, in BMC Public Health
, 15(1), 1.
Shaw David, Elger Bernice (2015), Improving public health by respecting autonomy: Using social science research to enfranchise vulnerable prison populations, in Preventive Medicine
, 74, 21-23.
Elger BS (2014), Advance directives in the context of imprisonment, in Lack P, Biller-Andorno N, Brauer S (ed.), 134.
Wangmo Tenzin, Meyer Andrea H., Bretschneider Wiebke, Handtke Violet, Kressig Reto W., Gravier Bruno, Büla Christophe, Elger Bernice S. (2014), Ageing Prisoners' Disease Burden: Is Being Old a Better Predictor than Time Served in Prison?, in Gerontology
Handtke Violet, Wangmo Tenzin (2014), Ageing Prisoners' Views on Death and Dying: Contemplating End-of-Life in Prison, in Journal of Bioethical Inquiry
Shaw David M., Wangmo Tenzin, Elger Bernice S. (2014), Conducting Ethics Research in Prison: Why, Who, and What?, in Journal of Bioethical Inquiry
Wangmo Tenzin, Handtke Violet, Elger Bernice Simone (2014), Disclosure of Past Crimes: An Analysis of Mental Health Professionals' Attitudes Towards Breaching Confidentiality, in Journal of Bioethical Inquiry
Handtke Violet, Bretschneider Wiebke, Elger Bernice, Wangmo Tenzin (2014), Easily forgotten: Elderly female prisoners, in Journal of Aging Studies
, 32, 1-11.
Elger Bernice S., Handtke Violet, Wangmo Tenzin (2014), Informing patients about limits to confidentiality: A qualitative study in prisons, in International Journal of Law and Psychiatry
, 41, 50-57.
Elger Bernice Simone, Handtke Violet, Wangmo Tenzin (2014), Paternalistic breaches of confidentiality in prison: Mental health professionals' attitudes and justifications, in Journal of Medical Ethics
, 41(6), 496-500.
Ruiz Géraldine, Wangmo Tenzin, Mutzenberg Patrick, Sinclair Jessica, Elger Bernice Simone (2014), Understanding Death in Custody: A Case for a Comprehensive Definition, in Journal of Bioethical Inquiry
Handtke Violet, Bretschneider Wiebke (2014), Viewpoint: Will i stay or can i go ¿ Assisted suicide in prison, in Journal of Public Health Policy
, 36(1), 67-72.
Bretschneider Wiebke, Elger Bernice, Wangmo Tenzin (2013), Ageing Prisoners’ Health Care: Analysing the Legal Settings in Europe and the United States, in Gerontology
, 59(3), 267-275.
Elger BS (2013), Prisoners as research subjects, in Jennings B (ed.), 2497.
Andorno Roberto, Shaw David M., Elger Bernice (2013), Protecting prisoners’ autonomy with advance directives: ethical dilemmas and policy issues, in Medicine, Health Care and Philosophy
, 18(1), 33-39.
Jotterand Fabrice, Wangmo Tenzin (2013), Response to Open Peer Commentaries on “The Principle of Equivalence Reconsidered: Assessing the Relevance of the Principle of Equivalence in Prison Medicine”, in American Journal of Bioethics
, 14(11), W3-W4.
Elger BS (2013), Sleep disorders, in Levy M Stöver H. (ed.), 127.
Wangmo Tenzin, Ruiz Géraldine, Sinclair Jessica, Mangin Patrice, Elger Bernice Simone (2013), The investigation of deaths in custody: A qualitative analysis of problems and prospects, in Journal of Forensic and Legal Medicine
, 25, 30-37.
Jotterand Fabrice, Wangmo Tenzin (2013), The Principle of Equivalence Reconsidered: Assessing the Relevance of the Principle of Equivalence in Prison Medicine, in American Journal of Bioethics
, 14(7), 4-12.
Elger BS (2012), Ethische Grundlagen der Gefängnismedizin : Anspruch und Wirklichkeit, in Riklin F (ed.), 39.
Handtke Violet, Bretschneider Wiebke, Wangmo Tenzin, Elger Bernice (2012), Facing the challenges of an increasingly ageing prison population in Switzerland: In search of ethically acceptable solutions, in Bioethica Forum
, 5(4), 134-141.
Elger B, Management of sleep complaints in correctional settings, in Trestman RL Appelbaum KL Metzner JL (ed.), 1.
Wangmo T, Elger BS, Prisoners, in Ten Have Hank (ed.), 1.
Population ageing is a worldwide phenomenon affecting all sectors of society. The increase in life expectancy is observed in most sub-populations and is shaping the world in unexpected ways. Thus, groups that were suffering premature death during last century are now surviving into old age, bringing along a whole range of new unaddressed health, economic and legislative issues. In this perspective, individuals who have perpetrated crime, violence or abuse at different levels and are incarcerated in prisons live longer today than last century. Recently, some of the most overpopulated prisons have rung the alarm bell regarding the numbers of older prisoners, and have called for rethinking the management of prisoners and prisons.A group of national and international experts from the Universities of Geneva, Lausanne and Zurich (Switzerland) and the University of Southern California (USA), will collaborate to undertake research relating to the health and economical implications as well as to the human rights aspects resulting from the considerable increase of ageing prisoners worldwide (“agequake”), with a special focus on the situation in Switzerland. A collection of data from ageing prisoners in Switzerland, as well as a survey of leading experts, will be used to create new knowledge. The aim is to explore existing problems as well as to investigate potential solutions and recommendations in different areas: a) health-related issues, b) socio-demographic, criminological and economic issues (cost-benefit-analysis), as well as c) legislative, human rights law and ethics. The project aims at gathering data on an important emerging issue and at examining practical solutions and policy options concerning the conditions under which society in Switzerland may solve issues regarding ageing prisoners in ways that are economically sound, but at the same time ethically acceptable and in line with international human rights law. Final results can also serve stakeholders in Switzerland and other countries as advice and/or teaching material on ageing and human rights-related issues. The project will unfold in several steps: 1. STATE OF THE ART AND PREPARATION OF DATA COLLECTION: The started literature and existing data review on health issues will be completed with a special focus on the scientific literature on economical analysis of alternatives (State of the Art) concerning the management of older prisoners in Switzerland and two countries with similar socio-economical background (France, UK). Research questions are: a. What is known about the economic implications of the socio-demographic and health situation of ageing prisoners in these three countries? b. What is known about alternative economic management strategies (health insurance of detainees, specially paid prison doctors) and their ethical and legal consequences? Available information from federal and cantonal authorities will be gathered.2. DATA COLLECTION CONCERNING AGEING PERSONS DETAINED IN SWITZERLAND: Medical records from more than 100 prisoners above the age of 50 (corresponding to a biological age of 60 in the community) will be examined, i.e. a representative sample of 50 to 100 detainees from the French and the same number of detainees from the German speaking part of Switzerland. These data will be used to provide a picture of medical and related problems of ageing detainees and of solutions used in these two Swiss language regions (a). Social problems, as far as transparent in the medical records will be included. Diagnosis, medication and management data will permit to evaluate in particular prescriptions of psychoactive and other drugs in this elderly population, as well as (b) a cost benefit-analysis of different management choices (hospital vs. outpatient care, in prison health care versus transfer of prisoners to outpatient care centers outside the prison etc.). Anonymised data from medical records will be linked with and compared to data from health insurers and from the Swiss Federal Office for Statistics, in order to analyse, where available, costs and benefit data from different sources. To provide an in depth view, (c) a representative sample of 30 to 40 detainees from the oldest age group (above the age of 60) will, after informed consent, undergo comprehensive geriatric assessment and be interviewed about their view on imprisonment and management solutions.3. EXPERT SURVEY: Results from part 1 and 2 will be contrasted with expert views. The major issues identified in parts 1 and 2 will be taken up in the development of a questionnaire and a semi-directive interview guide which will also solicit interviewees’ comments on case vignettes modelled on existing cases (parts 1 and 2) or known from personal experience of team members. Interviews will be held with 60 experts (Expert Opinion Survey), 40 from Switzerland (20 from the French and 20 from the German speaking part), and 20 experts from other European countries, especially the UK and France. Experts will include decision-makers, professionals (administrative, security and health professionals in prisons) and expert network specialists in the area (economists, public health, lawyers, ethicists, etc.), NGOs and associative networks (i.e. defence of prisoners, social and health care networks, human rights activists). The aim is to ask national and international experts about their opinion how ageing prisoners should best be managed in a country like Switzerland. The inclusion of international experts is useful because other countries might have developed strategies that could prove useful for Switzerland.4. SOLUTIONS, RECOMMENDATIONS AND DISSEMINATION: Based on the analysis of data resulting from parts 1-3, the final report will include general recommendations, as well as suggestions of urgent measures to be taken to face the present and anticipated challenges. Final steps will include the dissemination of the study results to policy makers and concerned constituencies (correctional institutions, researchers and the public) via scientific publications and conference presentations, as well as communications using contacts with existing networks on ageing populations worldwide.