Abstract:

There is a striking disparity between the estimated need for mental health care by 18-25% of the nation's elderly, & the minimal utilization of private & publicly funded services by this age cohort. Recognition that the elderly are not well served by existing systems led a trilogy of major Philadelphia (Pa) aging, mental health, & health organizations to form a partnership for the purpose of improving, expanding, & integrating service delivery for this population. A training model was devised to overcome the organizational isolation of agencies serving mutual clients with interrelated problems. Consultants were recruited to organize staff development groups from the health, mental health, & senior centers in assigned geographic areas. The interagency training experience & the receptivity of the participants are described. Issues that must be addressed to improve coordination of elderly services are considered.