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Aging Act provisions incorporated
(December 2006 Issue)

By Pamela Berard

Seniors could benefit from increased mental health screening and treatment under the reauthorized Older Americans Act.

The Older Americans Act Amendments of 2006 ( H.R. 6197) was passed by the U.S. House of Representatives and the Senate in late September and signed into law by President Bush on Oct. 17. It amends the Older American Act of 1965 to authorize appropriations for fiscal years 2007 through 2011.

The bill features a greater focus on prevention and treatment of mental disorders and offers some features that were introduced in the Positive Aging Act of 2005.

The Positive Aging Act of 2005 was introduced last year by Senators Hillary Clinton (D-NY) and Susan Collins (R-ME) and Representatives Patrick Kennedy (D-RI) and Ileana Ros-Lehtinen (R-FL). That bill was not voted on this session.

At the end of every Congress "the slate is kind of wiped clean," explains Michael S. Zamore, policy advisor for Kennedy's office. Therefore, the Positive Aging Act would need to be re-introduced during the next Congressional session to be considered again.

However, Zamore says some significant portions of that Act were incorporated into the reorganization of the Older Americans Act. "We're pretty pleased about that. We worked very closely with the committee," he says. "Sen. Clinton worked hard to try to get some of the Positive Aging Act provisions into the Older Americans act on that side.

"We certainly didn't get everything that was in that bill," Zamore says.

"Basically we just sort of tried to infuse mental health throughout (the Older Americans Act reauthorization) so that these programs that are aimed at older Americans and promoting their health are specifically addressing mental health as well."

The bill includes a provision of the Positive Aging Act of 2005 under which the Administration on Aging will offer state grants for the development and operation of systems for the delivery of mental health screening and treatment services for those older Americans who lack access to such services.

The legislation also calls for development of multi-disciplinary systems for the delivery of mental health screening and treatment referral services (including diagnostic services, care planning and oversight and therapeutic interventions) for older adults.

Also, it includes provisions to build public awareness for the benefits of prevention and treatment of depression and mental disorders; and to reduce the stigma associated with mental disorders in older Americans and age-related prejudice and discrimination regarding such disorders.

The Older Americans Act reauthorization was "a perfect fit" to accomplish some of the goals of the Positive Aging Act, he says. "You look for whatever vehicle is moving and try to realize your goals through something bigger," Zamore says. "This is a very logical nexus."

Zamore says that he expects some version of the Positive Aging Act will likely be introduced next session. "There's a lot more to be done (on this issue)."