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Working Toward Employment: A Journey of Growth and Support
As a young woman, Lisa was told that she would never work. She suffers from serious mental illness and has experienced multiple traumas during her lifetime. Now 59 years old, she lives in a supportive group home and is a participant in the Personalized Recovery Oriented Services (PROS) program at...
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Older Adults and Substance Misuse: Hiding in Plain Sight
Last winter “Lucy,” an 87-year-old woman, was referred to Service Program for Older People (SPOP) by her primary care doctor. Lucy’s husband had died during the COVID-19 pandemic, and she was struggling with unresolved grief, depression, and panic attacks. A retired teacher, she had enjoyed a...
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When Stigma is the Greatest Barrier: Strategies to Connect Older Adults to Treatment
When Client R, age 68, was referred to Service Program for Older People (SPOP) ten months ago she described symptoms of depression and anxiety – and she stated emphatically that therapy was for “rich white people” and not for her. She identified herself as an older Black Puerto Rican lesbian...
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Healthy Aging: For Older Adults, The Pandemic is Far from Over
As we move into Year Three of the Covid-19 pandemic, older adults remain at high risk. Those over age 65 now account for 90% of COVID deaths – and many of those becoming ill are fully vaccinated and boosted. While many Americans feel confident to resume social activities and travel, our older...
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How the Pandemic Turned Behavioral Healthcare for Older Adults on Its Head
The past three years have brought about the greatest transformation in behavioral healthcare practices that I have seen in four decades. I have served as Chief Executive Officer of Service Program for Older People (SPOP) for 33 years. We provide community-based behavioral healthcare for adults...
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Is Technology a Social Determinant of Health?
In late March of 2020, Alicia R. called the intake line at Service Program for Older People (SPOP), a New York City-based behavioral health care provider for older adults. This was during the peak of the initial COVID-19 outbreak in New York City and all residents were advised to remain in their...
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Integrated Health Care for Older Adults: A Model Partnership
When Sonia was discharged from New York-Presbyterian (NYP) hospital last winter her Care Coordinator arranged for home care, meals, nurse visits, transportation, medical equipment and prescriptions. She went home confident that she would be safe and would receive ongoing care at home as she...
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Approaching the Tipping Point: It’s Time to Re-Think Mental Health Care for Older Americans
The statistics are clear: Older adults are the fastest-growing segment of the U.S. population – in fact, Americans over age 65 will soon outnumber children. Data indicate that older adults are at increased risk for mental health disorders, and elder suicide in particular is a growing public...
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When the Therapist Comes to You: A Model Home Visiting Program for Seniors
Sarah is 95 years old and is determined to live out her days in the small New York City apartment she has called home for over 60 years. Her walls are covered with four generations of family photographs, and her shelves are filled with books and mementos of her work as a teacher and travels with...
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Serving the Mental Health Needs of Homebound Older Adults
As our population continues to age, it is not uncommon for many of us to have an older neighbor who has become homebound and disappeared from view. Maybe once they were an active part of the community, but now as a result of life changes associated with aging, such as declining health or the loss...
