With one in four persons aged 55 and over experiencing a mental health disorder—such as anxiety, cognitive impairment, or a mood disorder—evidence-based program models were developed to treat these disorders. Unfortunately, most do not receive treatment. Less than a third of older adults in need of mental health services receive care.

Evidence-based programs are effective interventions for most mental and substance abuse disorders experienced by older adults. But sustaining and financing these services requires creativity.

 This paper provides an overview of the behavioral health needs of older adults, shares lessons learned from past grantees, identifies key factors influencing sustainability, and reviews sources of financing.