Abstract
In the past, many elderly people who needed care and shelter were labeled “senile” and were confined in state mental institutions, frequently for life. The growing number of the elderly now no longer being served in total care institutions requires that a linkage of services be organized in the community to meet their needs for general health, mental health, and special services. While a single agency cannot provide the whole spectrum of care, one agency should hold itself accountable for the full range of services required by the mentally impaired elderly. A mental health agency should take the initiative to become an advocate for the mentally impaired elderly to assure them prompt and easy access to all health and social programs in the community.

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