4. Admission, assessment and allocation  Are the individual needs of each older prisoner assessed upon entry to the prison? Does this initial assessment include the physical and mental health of the individual prisoner, family ties, community relationships and criminal history as factors determining the placement of the individual in the prison? Is the initial assessment, classification and allocation of the older prisoner reviewed and modified accordingly with sufficient frequency to accommodate the rapidly changing status of older prisoners? What measures are taken to ensure early detection and treatment of deteriorating health conditions of older prisoners?    5. Accommodation and Activities  What measures are taken to accommodate the special needs of older prisoners in terms of accommodation? Is there a careful and individual needs assessment carried out in relation to each older prisoner so as to determine the best suited accommodation in prison? Is there a specialist unit within the prison for older prisoners and is it suitably adapted for older prisoners in terms of layout, accommodation, services etc? Is the accommodation allocated to older prisoners secure and easily accessible (e.g. ground floor accommodation; minimal need for steps; single tier beds; short distances to essential areas and services; accessibility of sanitary facilities; excessive temperature etc)? What measures are taken to facilitate assistance in daily living (moving around the prison, feeding, washing etc)? What allowances made to accommodate older persons’ inability to comply with certain disciplinary regulations?           6. Health Care Are the health care needs of older prisoners properly addressed by the prison and associated health care services? Do the health care services provided include medical, nutritional and psychological care? Is there a close cooperation with community health services established by the prison authorities to ensure the provision of specialist care? Are the arrangements for the transfer to civilian hospitals of those older prisoners whose care needs cannot be met in prison adequate? Are the counselling services for older prisoners, especially for depression and fear of dying, adequately provided? 8

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