PURPOSE: This study aims to investigate the health-related challenges faced by older inmates in Norwegian prisons, focusing on how these issues influence their ability to engage in rehabilitation programs. With an increasing proportion of inmates aged 50 and above, this research highlights the need for targeted interventions to address physical, mental and social barriers to effective rehabilitation. DESIGN/METHODOLOGY/APPROACH: Using a mixed-methods approach, this study explores data using statistical methods as well as analyzes quantitative survey data on inmate experiences alongside qualitative feedback to provide a comprehensive understanding of their needs. Key focus areas include infrastructure accessibility, mental health support and tailored rehabilitation initiatives. FINDINGS: This study reveals that while existing rehabilitation efforts improve some aspects of well-being, significant gaps remain in addressing the unique challenges faced by older inmates. These include inadequate infrastructure, limited resources for mental health care and insufficient age-appropriate programs. Recommendations emphasize the importance of policy reforms and enhanced collaboration between correctional and health-care services to develop inclusive, effective rehabilitation strategies. ORIGINALITY/VALUE: By shedding light on the fastest-growing demographic in Norwegian prisons, this study contributes to a broader understanding of how age-specific approaches can improve rehabilitation outcomes. The findings have significant implications for corrections policy, promoting inclusivity, dignity and reduced recidivism through innovative and humane practices.