It is a privilege to be asked to write the foreword for so excellent a
book, so timely and so much needed by the field. Not only is it most
unusual these days to have a single- authored volume on so broad a
topic, but Dr. La Rue has done a superb job of providing both a
scholarly treatise and a practical handbook. With a burgeoning elderly
population and the corresponding increase in geriatric psychopathology,
the needs of mental health services are exceeding by far the supply of
appropriate providers. In an effort to meet this need, psychiatry,
medicine, neurology, pharmacology, psychology, nursing, and social work
have all made the provision of training in geriatrics and gerontology a
high priority-but I fear we are losing the race. For example,
multidisciplinary teams that assess, diagnose, and treat mental health
disorders in elderly patients are incomplete without clinical
psychologists and neuropsy- chologists, and yet there is barely a
handful of clinical psychologists trained in dealing with geriatric
patients. We can count on our fingers the additional ones graduated each
year. In hospitals, clinics, and private practices across the country,
otherwise skilled psychologists are unprepared to respond to the special
mental health needs of the elderly. A few CME programs are helping to
address this need, but they are clearly not enough.