uring the past 15 years, partly as a consequence of the 1981 hite House Conference on Aging and the associated Minionference on the Mental Health of Older Americans, mental health professionals have increased efforts to provide services to older adults. Still for reasons that include continued growth in the numbers of older adults who need services, continued lack of suacient training at all levels, major alterations in the delivery of health care, and a pattern of economic disincentives for service providers to specialize in geriatrics and for older adults to see trained professionals, we must conclude that the mental health needs of older adults are not now being adequately met and that they will not be adequately met in 2000, 2010, or 2020.