community mental health services for older adults in iran

As a result of the sharp demographic rise in the population of older adults worldwide, the number of older individuals who need treatment for mental disorders is also increasing rapidly. The distribution of the population in Iran has shifted swiftly in both the number and proportion of the population aged 60 and over (1). Mental health problems among older people exact a large social and economic toll on patients, their families, and careers (2). Between 15% and 25% of older adults experience some form of mental illness, ranging from depression, anxiety, bereavement adjustment problems, and substance abuse to schizophrenia, personality disorders, paranoia, compulsive behaviors, and dementia (3). Mental health services for older adults should be able to respond effectively to individual needs and take account of the social and cultural factors affecting recovery and support. Improving the prevention, care, and treatment of mental health problems in old age depends on (1) provision and promotion of mental health services, (2) early recognition and management of mental health problems, and (3) access to specialist care.