Many older adults are survivors of chronic, lifelong mental disorders, such as schizophrenia, bipolar (manic-depressive) disorder, or chronic major depression. These adults are more likely to enter old age with irregular work histories, legal and/or financial problems, impaired family relationships, substance abuse, and physical health problems. Such individuals are likely to be known and served by a system of mental health services throughout their adulthood. Other older adults experience the first onset of disorder late in life. Late-onset disorders can be destabilizing to individuals and families. Service needs and issues are different for early- and late-onset disorders.
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