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Abstract
With the continued expansion of managed behavioral healthcare and the imminent increase in the number of older adults with mental illness, the intersection between managed behavioral healthcare and the aging population presents several challenges. Yet this intersection has not been explored in great detail. Managed behavioral healthcare has contained the costs of providing specialty mental health services to older adults but a number of other objectives remain unexam-ined. How, for example, does managed behavioral healthcare affect access and clinical outcomes for older adults with mental illness? We suggest that a more comprehensive policy agenda be pursued-access to specialty mental healthcare must be increased and clinical outcomes monitored more closely.