Supreme Court Decision Benefits People with Mental Illness

It is good news for people with mental illness and their families that the Supreme Court has ruled that the Affordable Care Act (ACA) is constitutional. The benefits would have been greater if the court had not made expansion of Medicaid eligibility optional for the states. But even if some states...

How Will Health Care Reform Affect Older Adults with Mental Health Problems?

Even though the recent health care reform legislation substantially neglects mental health concerns, older adults with mental health conditions will benefit from it in four ways. First, they will benefit from improved coverage of physical health care, which is of considerable importance to older...

Geriatric Mental Health in New York State: A Reflection on Progress and Future Directions

The first wave of the baby boom generation turns 65 this year. In New York State, the number of older adults will grow 50% over the next twenty years from 2.7 million in 2011 to 3.9 million in 2030. 20% of these individuals have diagnosable mental and/or substance use disorders. As a result of this...

Addressing the Needs of Caregivers

Our society relies on families to provide care for disabled family members. They provide 80% of such care, and the financial value of their work is close to $400 billion per year. If families did not provide this care, it would add 15 to 20% to the costs of health care in the United States. I...

Point of View – Paranoia Is a Barrier to Aging in the Community

Mrs. C lived alone in the apartment in which she and her husband had raised their children. She had always been a bit distrustful. The butcher put his thumb on the scale. A teacher had it in for a daughter who wasn’t doing well in school. But after her husband died, she became increasingly...

How About Recovery for People with Psychiatric Disabilities in Long-term Care?

Happily, the concept of “recovery” has become a powerful force in the mental health system. We talk now about a “recovery-oriented system” and “recovery-oriented services.” In doing so we express our sense of hope—our conviction—that people with serious, long-term psychiatric...

Preparing Communities for The Elder Boom: Mental Health Matters

Happily, a number of efforts are now underway to prepare communities and the aging services system for the elder boom. Sadly, mental health doesn’t figure into most of them in any significant way despite the simple and obvious fact that you cannot age well without your mental health. The new...