This report includes new data Human Rights Watch developed from a variety of federal and state sources that document dramatic increases in the number of older US prisoners.

Human Rights Watch visited nine states and 20 prisons to interview prison officials, corrections and gerontology experts, and prisoners. Human Rights Watch found officials scrambling to respond to the needs and vulnerabilities of older prisoners. They are constrained, however, by straitened budgets, prison architecture not designed for common age-related disabilities, limited medical facilities and staff, lack of planning, lack of support from elected officials, and the press of day-to-day operations. WSJ: Intimate Look at Aging California Prisoners