“…Suggested modifications to traditional service provision -targeted programming, service decentralization and provision at sites where elders live and/or congregate (Cohen, 1976;Hagebak & Hagebak, 1980;Kahn, 1981;Knight, 1983;Reifler & Hansen, 1986;Romaniuk, 1982;Santos, Hubbard, McIntosh, & Eisner, 1984; Thompson, 1978;U.S. GAO, 1982), use of staff specifically designated to work with elders (Knight, 1986;Patterson, 1976; Thompson, 1978), mobilization of nontraditional referral sources , use of active outreach, and increased networking efforts with other community agencies to coordinate care (Knight, Reinhart, & Field, 1982; U.S. GAO, 1982) -appear promising for overcoming utilization/delivery barriers, for increasing service accessibility and acceptability, and for serving elders more successfully. However, it has not been empirically determined to what extent CMHCs, particularly those with specialized geriatric components, have integrated modifications into their service delivery systems.…”