ABSTRACT
Contents Enduring Underuse................................................................................. 340 Previously Identifi ed Barriers to Mental Health Services for Older Adults ....341 Th e Role of Regulatory and Administrative Barriers ............................... 342
Restrictive Local Medical Review Policies .......................................... 342 Medicare-Medicaid Crossover Restrictions ....................................... 343 Nursing Home Quality-Indicator Exclusion of Psychotherapy ........... 343 Carrier Restriction of Psychological Services for Patients with Dementia ................................................................. 344
Why the Schism? .................................................................................... 344 Recent Legislative and Regulatory Developments ................................... 346 Future Directions .....................................................................................350 References ................................................................................................357
