ABSTRACT

Serious mental illnesses, such as schizophrenia-spectrum disorders, bipolar disorders, and severe presentations of depression were once considered lifelong, disabling conditions that prevented the attainment of age- and culture-appropriate goals. These diagnoses are no longer considered invariably disabling, although many persons diagnosed will still experience differing levels of disability from the onset of illness through to later life. This chapter explores the many factors that affect an individual's later life experiences and perceptions of disability and of self after a diagnosis of a serious mental illness. It comprises a review of the recent literature on ageing with serious mental illness and highlights areas where possible interventions can decrease subjective experiences of disability and improve perceptions of self over the life course. In doing so, this chapter provides new directions for social work research, policy and practice, as well as recommended further readings on the topic.