This study examined the records of the 12 oldest inmates in the Maryland State prison system. The ages of the subjects ranged from 68 to 88. Overall, the older inmates were found to have combinations of debilitating physical, emotional, and social problems. While there were programs in the prisons to deal with each individual problem, the services had not been coordinated and focused on the older inmates. This was due to lack of clear responsibility among staff as to the person or persons responsible for casework with the older inmates. There were four general circumstances for the subjects: those who have a family who will care for them regardless of condition, those so ill they require a protected placement, those who are ambulatory but have no place to go, and those who refuse to leave prison. In all four of these circumstantial categories, there is a need for services social workers provide. This is particularly the case when it involves bringing community services to bear upon client needs. With adequate social service planning and treatment, older offenders may not have to spend their remaining days in prison. Those who refuse to leave prison can also be provided appropriate services and settings. Fifteen footnotes are provided.