he full promise of professionals and family members of older adults with mental illness participating as partners in care, thereby encouraging maximum functioning of older adults, has yet to be realized. A critical question is why many older adults do not make use of existing mental health services, whereas others do not have the services they desire (Speer, Williams, West, & Dupree, 1991). At the same time, elderly mentally ill people in family settings-especially the many families who are primary caregivers-have serious unmet needs. Research can give further clarity to mental health caregiving in a family context and to involvement of families as advocates in increasing access to mental health services.Although the family's Herculean role in providing care to elderly family members is well recognized, more must be done to ensure that families have a formal role in the health care system (Pfeiffer, 1990). Without sufficient community-based treatments, adult children-who provide most of the daily instrumental care such as cooking or bathing for their older parents-are providing more care, more difficult care, and over much longer periods, often leading to caregiver burden. Clearly, the grow-The author thanks Mary Stanley, research librarian, for her assistance.