Results from the CANFOR-S showed that the highest proportions of unmet need were in the domains of
information about condition and treatment (38%), psychological distress (34%), daytime activities (29%),
benefits (28%) and physical health (21%). Analysis of GDS data found that 31% of this sample had a score
indicative of mild depression and 23% a score indicating severe depression. Eight (17%) of those showing
signs of depression were receiving antidepressant medication and five (12%) had contact with a mental
health nurse during their initial 4 weeks of custody.
Semistructured interviews conducted during the initial period of prison custody highlighted that older
prisoners entering prison for the first time often suffered from ‘entry shock’, which was made worse by a
lack of information and an unfamiliarity with prison regimes and expectations. Delays in accessing health
care and receiving medication were a particular cause of concern. In the main, personal care needs were
reported as not having been met appropriately. Furthermore, older prisoners considered prison facilities to
be largely inadequate for their physical and vocational needs.