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Journal articles on the topic 'Geriatrics Mental health services'

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Author: Grafiati

Published: 10 December 2022

Last updated: 29 January 2023

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1

Kietzman, Kathryn G., Alina Palimaru, and Janet C. Frank. "ADVANCING POLICY TO BUILD A BEHAVIORAL HEALTH WORKFORCE THAT ADDRESSES THE NEEDS OF OLDER ADULTS." Innovation in Aging 3, Supplement_1 (November 2019): S665. http://dx.doi.org/10.1093/geroni/igz038.2462.

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Abstract California’s Mental Health Services Act has infused funding for workforce education and training into the public mental health system. However, funding has not kept pace with an existing behavioral health workforce shortage crisis, the rapid growth of an aging population, and the historical lack of geriatric training in higher education for the helping professions. This study draws on findings from a recent evaluation of how older adults are served by California’s public mental health delivery system, and a review of state planning documents and academic literature, to describe gaps and deficiencies in the workforce that serves older adults. While California has more than 80,000 licensed behavioral health professionals in a variety of disciplines, very few have specialized training in geriatrics. Across the U.S., there are fewer than 1,800 geriatric psychiatrists and only about 3% of medical students take any geriatrics electives during their training. Very few nurses (1%), psychologists (4%), or social workers (4%) have training in and/or specialize in geriatrics. Of additional concern in California is the lack of representation of ethnic and racial minorities, and rural/urban geographic disparities in the distribution of the behavioral health workforce. Recommendations for advancing policy change to improve the preparation and distribution of the geriatric behavioral workforce are presented to three distinct audiences: state policymakers and administrators; educational institutions, accrediting bodies, and licensing boards; and county mental health/behavioral health departments and their contracted providers.

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2

Cole, Martin G. "Public Health Models of Mental Health Care for Elderly Populations." International Psychogeriatrics 14, no. 1 (March 2002): 3–6. http://dx.doi.org/10.1017/s1041610202008220.

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During the past 30 years, the growth of geriatric psychiatry services has been dramatic. Indeed, the majority of developed countries can boast of an impressive range of hospital-based, community-based, and long-term-care programs (Reifler & Cohen, 1998). For the most part, these services are traditional clinical services: The client (or caretaker) identifies a problem and the mental health professional offers comprehensive assessment and treatment.

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3

Alfaro, Ana Jessica, Rachel Rodriguez, and Michele Karel. "Optimizing the Geriatric Mental Health Workforce Through Innovative Approaches." Innovation in Aging 5, Supplement_1 (December 1, 2021): 29–30. http://dx.doi.org/10.1093/geroni/igab046.106.

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Abstract The drastic demand for geriatrics-trained providers in medical and mental healthcare persists years after the Institute of Medicine first highlighted this need (2008; 2012). New innovative approaches must instead optimize the current workforce through leveraging existing geriatric experts’ knowledge and skills related to working aging adults. This symposium will highlight four approaches spanning post-licensure education to using technology to deliver specialized services and training. First, Dr. Gregg will discuss the evaluation of an advanced topics workshop in Geropsychology which has significantly enhanced depth of Geropsychology competencies for psychologists working in primarily rural areas. Next, Dr. Asghar-Ali will describe the multi-modal interactive geriatric educational opportunities for interprofessional staff developed by the South East Texas Geriatric Workforce Enhancement Program (SETx GWEP). He will discuss how these training opportunities have been tailored to address the impact of COVID-19 and healthcare disparities among older adults. Third, Dr. Filips will present an evaluation of a consultation model in which a geriatric psychiatrist provides tele-consultation in a 5-state region to rural aging Veterans with complex medical and behavioral comorbidities. Finally, Dr. Beaudreau will describe adaptations to a national VA Problem Solving Training program for mental health clinicians of older Veterans with complex comorbidities. Dr. Karel, VA National Geriatric Mental Health Director, will serve as discussant and comment on the ways in which these novel approaches are meeting the ever-growing need for competent geriatric mental health providers.

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4

Ownby, Raymond L. "Improving access to geriatric mental health services." Current Psychiatry Reports 7, no. 1 (February 2005): 8–9. http://dx.doi.org/10.1007/s11920-005-0017-4.

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5

Babu, B., A. Khalid, S. Sadiq, J. Essem, and E. Ruiz-Mendoza. "15 Structured Geriatric Liaison Services in Mental Health Inpatient Facilities." Age and Ageing 49, Supplement_1 (February 2020): i1—i8. http://dx.doi.org/10.1093/ageing/afz183.15.

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Abstract Introduction Older people admitted to mental health facilities may be at increased risk of deterioration in the physical co-morbidities and increased rates of mortality when admitted in acute medical settings. Our model of care focuses on intervening in the physical aspect of patients admitted in the mental health unit addressing their comorbidities and polypharmacy and offering staff support during the admission process. Our Older Mental Health Unit is based in the district hospital with a total of 22 beds for people over 65 years old distributed in two areas: dementia with behavioral and psychological symptoms (BPS) and functional disorders. Methods Allocated geriatrician once a week to attend MDT and medical ward rounds. 5 working days telephone consultations for advice and supporting trainees in teaching and research. We measure the impact of our intervention comparing the data predating our intervention comparing 20 patients in each period 2016 and 2018. Results Mean age increased from 74.3 to 77.8 in a two year period with an average of 3.5 medical co-morbidities. Reduction in polypharmacy from 7.15 to 5.5 number of medication, 58% reduction in the number of hospital transfers and 90% reduction in specialty referrals. Conclusions Structured Geriatric Liaison Services in Mental Health in inpatient facilities are shown to be effective in reducing acute hospital and outpatient clinic attendances minimising the challenges of management of these patients in non-mental health facilities.

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6

Jang, Yuri, Giyeon Kim, Lianne Hansen, and David A. Chiriboga. "Attitudes of Older Korean Americans Toward Mental Health Services." Journal of the American Geriatrics Society 55, no. 4 (April 2007): 616–20. http://dx.doi.org/10.1111/j.1532-5415.2007.01125.x.

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7

Bartels, Stephen, and Jürgen Unützer. "Special Issue on Mental Health Services Research." American Journal of Geriatric Psychiatry 11, no. 5 (September 2003): 483–85. http://dx.doi.org/10.1097/00019442-200309000-00002.

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8

Teaster, Pamela B., Kim L. Stansbury, Lisa Nerenberg, and Patricia Stanis. "An Adult Protective Services' View of Collaboration With Mental Health Services." Journal of Elder Abuse & Neglect 21, no. 4 (October 9, 2009): 289–306. http://dx.doi.org/10.1080/08946560903004821.

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9

Kim, Kye Y., Everett Jones, and Marion Z. Goldstein. "Practical Geriatrics: Mental Health Services for Older Veterans in the VA System." Psychiatric Services 52, no. 6 (June 2001): 765–68. http://dx.doi.org/10.1176/appi.ps.52.6.765.

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10

Dening, T., and J. Bains. "Mental health services for residents of care homes." Age and Ageing 33, no. 1 (December 28, 2003): 1–2. http://dx.doi.org/10.1093/ageing/afh004.

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11

Trevino, Kelly Marie, Christian J. Nelson, Rebecca Saracino, Beatriz Korc-Grodzicki, Saman Sarraf, and Armin Shahrokni. "Does distress screening lead to mental health care in older adult surgical patients?" Journal of Clinical Oncology 37, no. 15_suppl (May 20, 2019): 11543. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.11543.

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11543 Background: Surgery is a notable stressor for older adults with cancer who are often medically complex and frail. The American College of Surgeons Commission on Cancer requires distress screening in accredited cancer care settings. The degree to which distress screening leads to mental health use is unclear. This study examined rates and predictors of post-surgical mental health care in older adults referred for a preoperative evaluation. Methods: Patients aged 75 years or older (n = 1,008) referred to the Geriatrics Service at a comprehensive cancer center were enrolled. Patients underwent elective surgery with a length of stay of 3 days or longer and were followed for at least 30 days after surgery. A comprehensive geriatric assessment (CGA) was administered as part of routine care. Surgical characteristics and post-surgical encounters with social work, psychology, and psychiatry were abstracted from the electronic medical record. Bivariate relationships between demographic and surgical characteristics and the CGA and post-operative receipt of mental health services were examined. Characteristics with significant (p < .01) bivariate relationships were entered into a multivariable regression predicting post-operative mental health service use. Results: One-quarter of the total sample (n = 246, 24.4%) received post-operative mental health services. In multivariable analyses, high distress (Distress Thermometer score≥4; p = .01), poor social support (p = .01), iADL dependence (p = .04), and longer length of stay (p < .001) were associated with receipt of mental health services after controlling for significant sociodemographic and surgical characteristics and CGA variables. Of patients with high distress, poor social support, or iADL dependence, only one-third (29-33%) received mental health care. Conclusions: Distressed older adults and those with low levels of support pre-operatively were more likely to receive mental health services after surgery, controlling for sociodemographic and surgical characteristics. Yet, only one-third of these patients received mental health care. These findings suggest that barriers to translating distress screening into provision of mental health services remain.

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12

Cole, Martin G. "The Impact of Geriatric Medical Services on Mental State." International Psychogeriatrics 5, no. 1 (March 1993): 91–101. http://dx.doi.org/10.1017/s1041610293001425.

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The purpose of this paper was to determine the impact of geriatric medical services on mental state by reviewing all controlled trials of such services. Two computer data bases were searched for relevant articles published from January 1980 to August 1990, and the bibliographies of retrieved articles were searched for additional references. Eleven reports were located that met the four inclusion criteria: original study, published in English or French, controlled trial (nonrandomized or randomized) of a geriatric medical service, and inclusion of at least one measure of mental state in the study. Ten reports met the validity criteria for intervention studies. There was little evidence that geriatric medical services improved the mental state of aged patients; all trials had limitations in design and measures. These findings challenge mental health professionals in two ways: first, services must be developed to address the apparently unmet mental health needs of aged medical patients; second, research methods must be developed to measure the impact of these services.

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13

Kaufman, Allan V., Forrest R. Scogin, Eileen E. MaloneBeach, Lorin A. Baumhover, and Nancy McKendree-Smith. "Home-Delivered Mental Health Services for Aged Rural Home Health Care Recipients." Journal of Applied Gerontology 19, no. 4 (December 2000): 460–75. http://dx.doi.org/10.1177/073346480001900406.

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14

Kim, Young Sun, T. Greg Rhee, Hee Yun Lee, Byung Hyun Park, and Monica L. Sharratt. "Mental health literacy as a mediator in use of mental health services among older korean adults." International Psychogeriatrics 29, no. 2 (October 20, 2016): 269–79. http://dx.doi.org/10.1017/s1041610216001721.

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ABSTRACTBackground:Existing literature suggests that mental health literacy is positively associated with mental health services utilization. Despite an aging population that faces significant mental health concerns in Korea, the role of mental health literacy on mental health services utilization is not known among older adults in Korea. This study aimed to (1) identify whether mental health literacy mediates the association between population characteristics and mental health services utilization and (2) identify an optimal path model for mental health services utilization among Korean older adults.Methods:Using a cross-sectional survey with a quota sampling strategy, we collected and analyzed responses from 596 community-dwelling individuals ages 65 years and older. We used structural equation modeling (SEM) to estimate the effect of mental health literacy as a mediator.Results:When controlling for other relevant covariates in the optimal path model, mental health literacy mediated the relationships between three socio-demographic factors (education, general literacy, and health status) and mental health services utilization. The model fit index shows that the SEM fits very well (CFI = 0.92, NFI = 0.90, RMSEA = 0.07).Conclusions:Efforts to improve mental health literacy through community-based education programs may need to particularly target Korean older adults with the relevant socio-demographic characteristics to enhance their utilization of appropriate mental health services.

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15

GODBER, COLIN, PATRICIA HOLMES, and EDWARD PECK. "THE CONTRIBUTION OF THE CENTRE FOR MENTAL HEALTH SERVICES DEVELOPMENT TO MENTAL HEALTH SERVICES FOR OLDER PEOPLE IN THE UK." International Journal of Geriatric Psychiatry 11, no. 11 (November 1996): 1011–15. http://dx.doi.org/10.1002/(sici)1099-1166(199611)11:11<1011::aid-gps401>3.0.co;2-n.

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16

Anderson, Allan A., Leo Borrell, and Junji Takeshita. "Innovative Models of Geriatric Mental Health Services in Long-Term Care." American Journal of Geriatric Psychiatry 22, no. 3 (March 2014): S18—S19. http://dx.doi.org/10.1016/j.jagp.2013.12.027.

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17

Sanders, Gregory F., Margaret A. Fitzgerald, and Marlys Bratteli. "Mental Health Services for Older Adults in Rural Areas: An Ecological Systems Approach." Journal of Applied Gerontology 27, no. 3 (March 11, 2008): 252–66. http://dx.doi.org/10.1177/0733464807311646.

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Groups of North Dakota professionals from health and aging services participated in a focus group study of mental health needs and barriers to service among older adults. Data were collected from 13 focus groups that included human service providers, public health nurses, out-reach workers, and advisory groups who discuss mental health and aging issues in a number of ecological systems contexts. Lack of knowledgeable care providers, funding cutbacks, accessibility of services, and ageism were frequently cited barriers to mental health services for older adults in rural areas. Focus groups also discussed the needs of older adults including information on services, how to access services, the need for service providers in rural areas, and routine assessments by physicians. Participants suggested that the main needs of providers were education, more services, and changes or flexibility in the types of services.

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18

Kube, Erin, Grant Harris, and Bret Hicken. "THE GRAYING OF PRIMARY CARE: THE ROLE OF PSYCHOLOGY IN GERIATRIC PRIMARY CARE." Innovation in Aging 3, Supplement_1 (November 2019): S389. http://dx.doi.org/10.1093/geroni/igz038.1428.

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Abstract As of 2012, more than half of Veterans receiving care within a VA medical facility were age 65 or older. They have complex co-occurring medical and mental health needs, cognitive impairments, functional deficits, and psychosocial complexity. In 2015, GeriPACT emerged as a specialized geriatric primary care clinic model to serve this vulnerable population. The presence of psychologists in geriatrics has significant implications for treatment of cognitive, behavioral, and psychosocial needs. This mixed methods project aimed to describe the current scope and functions of GeriPACT psychologists and differentiate their services from other PACT clinics. Twenty total GeriPACT psychologists participated. The results suggest that mental health services within GeriPACT are multifaceted and need-driven. Significant themes highlight role specific characteristics of psychologists, clinician backgrounds, team education, and referral processes to improve access to care. Recommendations for implementation, clinician training, and future policy planning will also be presented.

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19

Buckwalter, K. C., M. Smith, P. Zevenbergen, and D. Russell. "Mental Health Services of the Rural Elderly Outreach Program." Gerontologist 31, no. 3 (June 1, 1991): 408–12. http://dx.doi.org/10.1093/geront/31.3.408.

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20

Fellin, P. A., and T. J. Powell. "Mental Health Services and Older Adult Minorities: An Assessment." Gerontologist 28, no. 4 (August 1, 1988): 442–47. http://dx.doi.org/10.1093/geront/28.4.442.

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21

Stahl, Sarah T., Charles F. Reynolds, Ellen M. Whyte, and Steven M. Albert. "Psychiatric Diagnoses Among Older Recipients of Publicly Funded Mental Health Services." Journal of the American Geriatrics Society 65, no. 7 (March 17, 2017): 1569–72. http://dx.doi.org/10.1111/jgs.14865.

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22

Roh, Soonhee, Catherine E. Burnette, Kyoung Hag Lee, Yeon-Shim Lee, James I. Martin, and Michael J. Lawler. "Predicting Help-Seeking Attitudes Toward Mental Health Services Among American Indian Older Adults." Journal of Applied Gerontology 36, no. 1 (July 7, 2016): 94–115. http://dx.doi.org/10.1177/0733464814558875.

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American Indian (AI) older adults are vulnerable to mental health disparities, yet very little is known about the factors associated with help-seeking for mental health services among them. The purpose of this study was to investigate the utility of Andersen’s Behavioral Model in explaining AI older adults’ help-seeking attitudes toward professional mental health services. Hierarchical regression analysis was used to examine predisposing, enabling, and need variables as predictors of help-seeking attitudes toward mental health services in a sample of 233 AI older adults from the Midwest. The model was found to have limited utility in the context of older AI help-seeking attitudes, as the proportion of explained variance was low. Gender, perceived stigma, social support, and physical health were significant predictors, whereas age, perceived mental health, and health insurance were not.

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23

Swan, James H., Patrick J. Fox, and Carroll L. Estes. "Geriatric services: Community mental health center boon or bane?" Community Mental Health Journal 25, no. 4 (1989): 327–40. http://dx.doi.org/10.1007/bf00755679.

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24

Little, John T., Marsden H. McGuire, Theresa Gleason, and Richard M. Allman. "Geriatric Mental Health Services and Research in the Veterans Health Administration." American Journal of Geriatric Psychiatry 24, no. 3 (March 2016): S34—S35. http://dx.doi.org/10.1016/j.jagp.2016.01.050.

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25

Ginsburg, Irena. "Providing Mental Health Services within Community Geriatric Interdisciplinary Teams: Challenges and Successes." American Journal of Geriatric Psychiatry 22, no. 3 (March 2014): S131. http://dx.doi.org/10.1016/j.jagp.2013.12.153.

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26

Kohn, Robert, Erika Goldsmith, Thomas W. Sedgwick, and Sarah Markowitz. "In-Home Mental Health Services for the Elderly." Clinical Gerontologist 27, no. 1-2 (February 2, 2004): 71–85. http://dx.doi.org/10.1300/j018v27n01_07.

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27

Battle, Mark G. "Social Work Mental Health Services and the Long-Term Care Continuum." Gerontology & Geriatrics Education 9, no. 3 (May 25, 1989): 49–60. http://dx.doi.org/10.1300/j021v09n03_06.

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28

Gilmer, Todd P., Victoria D. Ojeda, Dahlia Fuentes, Viviana Criado, and Piedad Garcia. "Access to public mental health services among older adults with severe mental illness." International Journal of Geriatric Psychiatry 24, no. 3 (March 2009): 313–18. http://dx.doi.org/10.1002/gps.2123.

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29

Atkinson, V. L., and B. M. Stuck. "Mental Health Services for the Rural Elderly: The SAGE Experience." Gerontologist 31, no. 4 (August 1, 1991): 548–51. http://dx.doi.org/10.1093/geront/31.4.548.

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30

DeRenzo, E. G., V. L. Byer, H. S. Grady, E. J. Matricardi, S. W. Lehmann, and B. L. Gradet. "Comprehensive Community-Based Mental Health Outreach Services for Suburban Seniors." Gerontologist 31, no. 6 (December 1, 1991): 836–40. http://dx.doi.org/10.1093/geront/31.6.836.

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31

Crook, Sarah. "Historicising the “Crisis” in Undergraduate Mental Health: British Universities and Student Mental Illness, 1944–1968." Journal of the History of Medicine and Allied Sciences 75, no. 2 (January 8, 2020): 193–220. http://dx.doi.org/10.1093/jhmas/jrz060.

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Abstract This article explores how and why student mental health became an issue of concern in British universities between 1944 and 1968. It argues that two factors drew student mental health to the attention of medical professionals across this period: first, it argues that the post-war interest in mental illness drew attention to students, who were seen to be the luminaries of the future, investing their wellbeing with particular social importance. Second, it argues that the development of university health services made students increasingly visible, endorsing the view that higher education posed distinctive yet shared mental challenges to young people. The article charts the expansion of services and maps the implications of the visibility of student mental distress for post-war British universities. It suggests that claims that British higher education is currently in the midst of an unprecedented mental health “crisis” should be seen within this broader historical context, for while the contours of the debates around student mental health have shifted substantially, evidence that there was anxiety around student mental wellbeing in the immediate post-war years undermines accusations that contemporary students constitute a unique “snowflake generation.”

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32

Chen, Hongtu, Eugenie H. Coakley, Karen Cheal, James Maxwell, Giuseppe Costantino, Dean D. Krahn, Robert G. Malgady, et al. "Satisfaction With Mental Health Services in Older Primary Care Patients." American Journal of Geriatric Psychiatry 14, no. 4 (April 2006): 371–79. http://dx.doi.org/10.1097/01.jgp.0000196632.65375.b9.

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33

Bogner, Hillary R., Heather F. de Vries, Pallab K. Maulik, and Jürgen Unützer. "Mental Health Services Use: Baltimore Epidemiologic Catchment Area Follow-Up." American Journal of Geriatric Psychiatry 17, no. 8 (August 2009): 706–15. http://dx.doi.org/10.1097/jgp.0b013e3181aad5c5.

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Callahan, Christopher M., and Hugh C. Hendrie. "Mental Health Services Research: Moving From Academia to the Community." American Journal of Geriatric Psychiatry 18, no. 6 (June 2010): 460–63. http://dx.doi.org/10.1097/jgp.0b013e3181db6d9a.

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35

Snowden, Peter. "Mental health services?law and practice. Larry Gostin. Shaw, 1986." International Journal of Geriatric Psychiatry 9, no. 4 (April 1994): 335. http://dx.doi.org/10.1002/gps.930090412.

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36

McCrae, Niall, and Sube Banerjee. "The challenge of evaluating mental health services for older people." International Journal of Geriatric Psychiatry 26, no. 6 (April 7, 2011): 551–57. http://dx.doi.org/10.1002/gps.2576.

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37

Currin, James B., Bert Hayslip, and Jeff R. Temple. "The Relationship between Age, Gender, Historical Change, and Adults' Perceptions of Mental Health and Mental Health Services." International Journal of Aging and Human Development 72, no. 4 (June 2011): 317–41. http://dx.doi.org/10.2190/ag.72.4.c.

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38

Park, Nan Sook, Yuri Jang, Beom Seok Lee, Lawrence Schonfeld, and Victor Molinari. "Willingness to Use Mental Health Services Among Older Residents in Assisted Living." Journal of Applied Gerontology 31, no. 4 (December 23, 2010): 562–79. http://dx.doi.org/10.1177/0733464810392373.

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Cole, Martin G. "Impact of Geriatric Home Screening Services on Mental State: A Systematic Review." International Psychogeriatrics 10, no. 1 (March 1998): 97–102. http://dx.doi.org/10.1017/s1041610298005183.

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The purpose of this report was to determine the impact of geriatric home screening services on mental state. Two computer databases, MEDLINE and HealthSTAR, were searched for relevant articles published from January 1975 to June 1997, and the bibliographies of retrieved articles were searched for additional references. Seven trials were located that met the four inclusion criteria: (a) original study; (b) published in English or French; (c) controlled trial (randomized or nonrandomized) of a geriatric home screening service; and (d) the trial included at least one measure of mental state. All trials met most of the validity criteria for intervention studies of the Evidence-Based Medicine Working Group. Two trials reported a small effect on morale or self-perceived health and five trials reported no effect. Thus, there was little evidence that geriatric home screening services had an impact on the mental state of aged subjects.

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40

Castle, Nicholas G., and Dennis G. Shea. "Mental Health Services and the Mortality of Nursing Home Residents." Journal of Aging and Health 9, no. 4 (November 1997): 498–513. http://dx.doi.org/10.1177/089826439700900404.

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Tucker, Sue, Robert Baldwin, Jane Hughes, Susan Benbow, Andrew Barker, Alistair Burns, and David Challis. "Old age mental health services in England: implementing the National Service Framework for Older People." International Journal of Geriatric Psychiatry 22, no. 3 (2007): 211–17. http://dx.doi.org/10.1002/gps.1662.

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42

Knight, B. G. "Home-Delivered Mental Health Services: An Idea Whose Time Has Come?" Gerontologist 34, no. 2 (April 1, 1994): 149. http://dx.doi.org/10.1093/geront/34.2.149.

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Areán, Patricia A., Jennifer Alvidrez, Rowena Nery, Carroll Estes, and Karen Linkins. "Recruitment and Retention of Older Minorities in Mental Health Services Research." Gerontologist 43, no. 1 (February 2003): 36–44. http://dx.doi.org/10.1093/geront/43.1.36.

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Shea, Dennis G., Patricia A. Russo, and Michael A. Smyer. "Use of Mental Health Services by Persons with a Mental Illness in Nursing Facilities." Journal of Aging and Health 12, no. 4 (November 2000): 560–78. http://dx.doi.org/10.1177/089826430001200406.

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45

Sullivan, Mary Pat, Linda Kessler, J. Kenneth Le Clair, Paul Stolee, and Whitney Berta. "Defining Best Practices for Specialty Geriatric Mental Health Outreach Services: Lessons for Implementing Mental Health Reform." Canadian Journal of Psychiatry 49, no. 7 (July 2004): 458–66. http://dx.doi.org/10.1177/070674370404900707.

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46

JACOB, K. S., and MARY GANGULI. "Psychogeriatric research comes of age in developing countries." International Psychogeriatrics 19, no. 4 (May 14, 2007): 615–21. http://dx.doi.org/10.1017/s1041610207005443.

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Psychogeriatrics and psychogeriatric research have been particularly slow to take hold in developing countries. In part this is because the elderly constitute relatively small proportions of those countries' populations, and are thus of low priority for specialized services. A recent report in Science (Miller, 2006) addresses mental health needs in developing countries worldwide but does not include old-age mental disorders other than dementia. Similarly, an article from Brazil (Garcez-Leme et al., 2005), in another international journal, provides an overview of that country's resources and needs in geriatrics, but neglects to mention mental disorders or mental health professionals. Yet, these countries are aging faster than the industrialized world and have fewer resources with which to care for their mentally ill elderly. High-quality, locally acquired information will be essential for planning appropriate mental health services.

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Borson, Soo, Stephen J. Bartels, Christopher C. Colenda, Gary L. Gottlieb, and Barnett Meyers. "Geriatric Mental Health Services Research: Strategic Plan for an Aging Population: Report of the Health Services Work Group of the American Association for Geriatric Psychiatry." American Journal of Geriatric Psychiatry 9, no. 3 (June 2001): 191–204. http://dx.doi.org/10.1097/00019442-200108000-00002.

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Wagenaar, Deborah Banazak, Maureen A. Mickus, Kris A. Gaumer, and Christopher C. Colenda. "Late-Life Depression and Mental Health Services in Primary Care." Journal of Geriatric Psychiatry and Neurology 15, no. 3 (September 2002): 134–40. http://dx.doi.org/10.1177/089198870201500304.

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Chang, Valerie Nash, and Roberta Greene. "Study of Service Delivery by Community Mental Health Centers as Perceived by Adult Protective Services Investigators." Journal of Elder Abuse & Neglect 13, no. 3 (January 14, 2003): 25–42. http://dx.doi.org/10.1300/j084v13n03_02.

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Moak, Gary, and Soo Borson. "Mental Health Services in Long-Term Care: Still an Unmet Need." American Journal of Geriatric Psychiatry 8, no. 2 (March 2000): 96–100. http://dx.doi.org/10.1097/00019442-200005000-00002.

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