When grandpa goes to prison: The challenge of ageing inmates
27.04.2026, DPA

Photo: Pia Bayer/dpa
A 75-year-old man was sentenced to five and a half years in prison in the north-eastern German state of Mecklenburg-Vorpommern for stabbing his wife to death at the end of last year.
A month later, the regional court in the state capital Schwerin handed a 74-year-old man a seven year and one-month sentence for the aggravated sexual abuse of his granddaughter.
The two men must now spend a significant part of their final years behind bars, joining 40 inmates as of earlier this year, who are at least 60 years old.
They are not alone. "Of these, seven prisoners were already 70 and older," says Tilo Stolpe, spokesman for the justice ministry in Schwerin.
A global shift behind bars
The trend extends far beyond Germany. Around the world, prison populations are ageing at a notable pace.
According to Penal Reform International, a UK-based non-governmental organization dedicated to criminal justice reform, the proportion of older prisoners continues to rise in many countries.
The group says no global data on the number of older people in prison is available, but says known rates range from 1.8% of the prison population in Indonesia to as high as 20% in Japan.
And "there has been a 311% increase in the daily average number of older persons in prison in the last 20 years," it says.
In some countries with harsh sentencing guidelines, such as in the United States, many older inmates will likely die in prison.
A US Sentencing Commission report from 2022 showed that nearly 40% (38.6%) of offenders who were sentenced at 70 years of age or older were handed prison terms exceeding their life expectancy.
Challenges for prison operations
"Older prisoners more often have chronic illnesses, reduced mobility and increased medical and care needs," Stolpe, the spokesman for the justice system in Mecklenburg-Vorpommern says.
According to the ministry, barrier-free cells are available in the prisons. The newly built preventive detention unit at the Bützow prison alone has 10 rooms with extra-large sanitary facilities intended for older detainees with "typical geriatric symptoms" he says.
In the state that was formerly part of East Germany, the number of older prison inmates is rising.
In 2004, 19 people over 60 were behind bars, which in 2012, the figure was 27, according to the ministry. Over the past 10 years, the numbers have remained stable, it said. But a further growing need to accommodate elderly offenders is expected.
The establishment of a geriatric unit at Bützow, some 50 kilometres south of the Baltic Sea, has already been scheduled, Stolpe says, with plans to address conditions such as dementia, immobility and sleep disorders.
Then money became tight, forcing a postponement until after 2031, the justice ministry says.
For now, care is often provided through external mobile services entering the prison, Stolpe says.
In serious cases - such as terminal illness - prosecutors may suspend a sentence, though such decisions are weighed carefully against public safety concerns.
Prison experts also see the presence of older prisoners in prison as positive. They are far less likely to be involved in conflicts in an institution and can also have a calming and mediating effect on other prisoners, they say.
And they are less likely to re-commit crimes once freed, the US Sentencing Commission report notes, with a recidivism rate of 21.3% compared to 53.4% for those under 50.
Cardio training instead of work
In Germany, prisoners are supposed to work to prepare for life after prison. In practice, available jobs are primarily given to younger inmates.
If the opportunity arises, older prisoners can also work while in custody. According to the ministry, there are no special jobs exclusively for older prisoners.
"However, care is taken to ensure that their work involves physically lighter activities, for example as unit orderlies on the wings or - if they are suitable for relaxed custody conditions - on the prison’s outdoor grounds."
Older inmates can also use the leisure and sports programmes in the prison. If medically indicated, cardio training, meaning exercise to strengthen the cardiovascular system, or extended unlocked time on the wing can also be made possible.
Other German states
Specialized units for prisoners over 60 already operate in parts of Germany, including facilities in Saxony and North Rhine-Westphalia.
At one prison in the western city of Bielefeld, an interdisciplinary care team is tasked wtih creating "spaces for reflecting on age-related changes in the beginning final phase of life" according to an information sheeet.
The facility offers help with pension matters and severe disability issues, water aerobics and the opportunity to move around in the prison’s own park.
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