{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T05:07:59Z","timestamp":1790744879472,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,9,19]],"date-time":"2018-09-19T00:00:00Z","timestamp":1537315200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["3P30AG044281\u201302S1"],"award-info":[{"award-number":["3P30AG044281\u201302S1"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K23AG033102"],"award-info":[{"award-number":["K23AG033102"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To determine prevalence of, and outcomes associated with, a positive screen for cognitive impairment in older adults in jail.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Combined data from cross\u2010sectional (n=185 participants) and longitudinal (n=125 participants) studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Urban county jail.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Individuals in jail aged 55 and older (N\u2009=\u2009310; mean age 59, range 55\u201380). Inclusion of individuals aged 55 and older is justified because the criminal justice system defines \u201cgeriatric prisoners\u201d as those aged 55 and older.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Baseline and follow\u2010up assessments of health, psychosocial factors, and cognitive status (using the Montreal Cognitive Assessment (MoCA)); 6\u2010month acute care use and repeat arrest assessed in those followed longitudinally.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants were of low socioeconomic status (85% annual income\u2009&lt;\u2009$15,000) and predominantly nonwhite (75%). Many (70%) scored less than 25 on the MoCA; those with a low MoCA score were more likely to be nonwhite (81% vs 62%, p&lt;.001) and report fair or poor health (54% vs 41%, p=.04). Over 6 months, a MoCA score of less than 25 was associated with multiple emergency department visits (32% vs 13%, p=.02), hospitalization (35% vs 16%, p=.03), and repeat arrests (45% vs 21%, p=.01).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Cognitive impairment is prevalent in older adults in jail and is associated with adverse health and criminal justice outcomes. A geriatric approach to jail\u2010based and transitional health care should be developed to assess and address cognitive impairment. Additional research is needed to better assess cognitive impairment and its consequences in this population.\n                      <jats:bold>J Am Geriatr Soc 66:2065\u20132071, 2018.<\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.15521","type":"journal-article","created":{"date-parts":[[2018,9,20]],"date-time":"2018-09-20T01:05:28Z","timestamp":1537405528000},"page":"2065-2071","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":54,"title":["Cognition and Incarceration: Cognitive Impairment and Its Associated Outcomes in Older Adults in Jail"],"prefix":"10.1111","volume":"66","author":[{"given":"Cyrus","family":"Ahalt","sequence":"first","affiliation":[{"name":"Division of Geriatrics Department of Medicine, University of California, San Francisco  San Francisco 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California, San Francisco  San Francisco California"},{"name":"Global Brain Health Institute, University of California, San Francisco  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah E.","family":"Barnes","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of California, San Francisco  San Francisco California"},{"name":"Department of Epidemiology and Biostatistics University of California, San Francisco  San Francisco California"},{"name":"Research Service, San Francisco Veterans Affairs Health Care System  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brie A.","family":"Williams","sequence":"additional","affiliation":[{"name":"Division of Geriatrics Department of Medicine, University of California, San Francisco  San Francisco California"},{"name":"Global Brain Health Institute, University of California, San Francisco  San Francisco 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