Bryan Hagen


May 2013

Document Type


Degree Name



Oregon Health & Science University


The number of older adults in the United States is projected to reach more than 70 million by 2030, representing a doubling of this population since 2004 (Federal Interagency Forum on Aging Related Statistics, 2004)[superscript 1]. As the population ages and the “baby boomers” continue to flood the 65 years and older demographic, addressing the mental health needs of this group will become increasingly important as the raw number of adults in this age group with mental illness is projected to surpass the number of all other adults with mental illness by 2030 (Bartels, et al., 2002). This is true throughout the country and it may very well hit rural areas harder than urban areas because of multiple factors that lead to reduced availability and utilization of services as noted in this paper. Mental health needs for this group include severe and persistent mental illness, a term that typically includes bipolar disorder, schizophrenia and other psychotic disorders, major depression, and




School of Nursing



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