BOP Program Statement 5241.01 § 2

Accelerated Aging (age 50-64 years). This cohort of offenders aged 50-64 years typically

have multiple comorbid medical and mental health problems due to risk factors such as long-standing variable access to health care, prolonged exposure to psycho-social and environmental

health deterrents, and detrimental health behaviors, and may be enrolled in multiple chronic

care clinics.

Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs): An

inmate’s abilities to perform actions that involve the management of basic bodily functions

(ADL) or activities that permit independent living (IADL). For example, an inmate with an

impairment to an ADL may have difficulty eating; an inmate with an impairment to an IADL

may be able to physically eat, but could not plan the meal.

Aging in Place: An individual living in a residence for as long as they are able as they age. This

is the ability to live safely, independently, and comfortably, regardless of age or ability level.

Aging in place in prison offers the added benefit of allowing an inmate to remain in an

institution near his/her release residence and potential visitors/family.

Aging Offender: Offender exhibiting measurable physiological, functional or cognitive changes

related to accelerated aging, generally an individual whose chronological age is 50 years or

older.

Age Specific Accommodation: Consideration for the management of aging offenders which

may include the need for longer time to travel across the compound, the possibility of placement

in a housing unit near Health Services or the dining hall, the need for an inmate companion,

housing at the bottom level of a facility, and/or a bed assignment closer to restroom facilities.

Assistive Technology: Adaptive or rehabilitative devices used by inmates with disabilities.

Examples include but are not limited to: hearing aids, communication devices, wheelchairs,

walkers and text magnifiers.

Elderly Inmate: Inmate whose chronological age is 65 years or older.

Frail Elderly/Elderly Offenders. Frail elderly/elderly offenders have the highest risk and

prevalence of age-related health problems. Frail elderly offenders are 65 years or older and meet

two or more of the following criteria:

■ have one or more permanent medical conditions that result in end organ damage as part

of the natural history of the disease, and for which conventional treatment will not

substantially arrest, reverse or control/mitigate the end organ damage despite optimal

medical management;

■ require human assistance (staff or inmate) on a daily basis to perform activities of daily

living and/or instrumental activities of daily living (see the Definitions section above)

despite the regular use of assistive devices as observed and documented in the health

record; and/or

P5241.01 4/14/2022 2

■ require frequent human assistance (by staff or inmate more than once a week) to be

reoriented to person, place, or time related to early stages of cognitive dysfunction as

observed and documented in the health record.