Screening for Cognitive Impairment and Dementia Among Older People in Custody: A Systematic Review.

IF 2.2
Dementia (London, England) Pub Date : 2025-10-01 Epub Date: 2025-06-26 DOI:10.1177/14713012251356587
Michael Chike Iloabachie, Bryce E Stoliker, Lisa M Jewell, Arlene Kent-Wilkinson
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Abstract

Despite the growing number of older and aging people in custody across many countries, and corresponding vulnerability for neurocognitive issues, there has been limited research into the efficacy of cognitive assessment and dementia screening tools in correctional settings. The purpose of this study was to synthesize recent empirical research investigating dementia (and cognitive impairment) in older people in custody using screening tools. A systematic review methodology was adopted, with reporting guided by the PRISMA framework. This included a systematic search of four databases (PsycINFO, MedLine, PubMed, and Academic Search Complete) and handsearching of reference lists of eligible studies. A total of 9 peer-reviewed publications were included. All studies were from high income countries, including the United States (n = 2), Germany (n = 2), Canada (n = 1), England and Wales (n = 2), Australia (n = 1), and France (n = 1). These studies were synthesized according to the following themes: (1) use of screening tools with modification for the correctional setting; (2) use of screening tools without modification for the correctional setting; and, (3) innovative advances in cognitive screening tools and practices for correctional settings. This review identified several cognitive assessment and dementia screening tools that have been used in custodial settings. These tools can help in the early identification of dementia (or cognitive impairment) among older people in custody and, thus, inform the initiation of supports and strategies to manage those at risk. More research is needed to evaluate the performance of these tools compared with a diagnostic assessment.

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在被拘留的老年人中筛查认知障碍和痴呆:一项系统综述。
尽管许多国家在押的老年人数量不断增加,而且相应的神经认知问题也容易出现,但对认知评估和痴呆筛查工具在惩教环境中的有效性的研究有限。本研究的目的是综合最近使用筛查工具调查在押老年人痴呆(和认知障碍)的实证研究。采用了系统的审查方法,报告以PRISMA框架为指导。这包括对四个数据库(PsycINFO、MedLine、PubMed和Academic search Complete)的系统搜索和对符合条件的研究的参考文献列表的手工搜索。共纳入9篇同行评议出版物。所有研究均来自高收入国家,包括美国(n = 2)、德国(n = 2)、加拿大(n = 1)、英格兰和威尔士(n = 2)、澳大利亚(n = 1)和法国(n = 1)。这些研究是根据以下主题进行综合的:(1)在矫正环境中使用经过修改的筛选工具;(二)使用未经改造的筛分工具进行矫正设置;(3)认知筛查工具和矫正实践的创新进展。本综述确定了在拘留环境中使用的几种认知评估和痴呆筛查工具。这些工具有助于在被拘留的老年人中早期发现痴呆症(或认知障碍),从而为启动支持和战略提供信息,以管理面临风险的老年人。与诊断评估相比,需要更多的研究来评估这些工具的性能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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