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Schizophrenia and Older Adults

An Overview: Directions for Research and Policy

Received June 21, 1999; accepted August 17, 1999. From the SUNY Health Sciences Center, Brooklyn, NY. Address correspondence to Dr. Cohen, SUNY Health Sciences Center at Brooklyn, Box 1203, 450 Clarkson Avenue, Brooklyn, NY 11203. e-mail: cohen_c{at}hscbklyn.edu

The Group for the Advancement of Psychiatry, Committee on Aging, believes that a crisis has emerged with respect to the understanding of the nature and treatment of schizophrenia in older persons. Moreover, critical gaps exist in clinical services for this population. In this article, we examine the epidemiology of aging and schizophrenia; life-course changes in psychopathology, cognitive function, social functioning, and physical health; and various concerns regarding treatment, services, and financing. Finally, we propose six research and policy recommendations and suggest methods for addressing the research questions that we have posed.

Key Words: Schizophrenia • Life-Span Changes • Research Issues