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February, 2001 

ShareDepartment of Health and Human Services
Administration on Aging

Older Adults and Mental Health:
Issues and Opportunities

The design and delivery of mental health services to older persons is a vital societal challenge, in light of the enormous increase in the elderly population that is projected to occur during the first half of this century. The purpose of this report is to highlight major issues in the field of mental health and aging; to discuss efforts to address these issues, including community-based services; and to identify the crucial challenges that must be confronted in the years ahead and strategies to meet them. 

This report is written as a companion document to Mental Health: A Report of the Surgeon General (USDHHS, 1999a). Because the Surgeon Generals report provides an excellent discussion of the nature, diagnosis, and treatment of mental disorders, this report will focus instead on community-based services that can be utilized by a wide range of elders, including older persons in good mental health, for whom outreach and education might be helpful; older persons who are experiencing acute stress or crisis; and those with severe mental disorders. While substance misuse and abuse are closely intertwined with mental health and merit full discussion, the primary focus of this report is on mental health and aging and the services and systems designated to deal with these areas of concern.

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