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Summer 2008 | Vol 11 No 4

Note from the Editor

Older adults constitute the fastest growing population group in North America. More older people means more older people at risk for and experiencing mental health and substance use problems – and more families and communities affected. Yet mental health and addiction among older adults is one of the most under-researched and misunderstood areas of health care, swept aside by stigma and ageism – our attitude that older adults have nothing left to contribute and that poor health is a natural part of aging. But, in the words of gerontology writer Harry Moody, old age brings with it an “abundance of life.” Indeed, human development doesn’t stop at 65 or 80 or 90; it lasts a lifetime.

The stories in this issue show that prevention and treatment can make a big difference; it is never too late, even for a population we dismiss as set in its ways or not worth attending to. Dr. Benoit Mulsant, a world-renowned gerontologist, introduces the issue, asking “Why should we care about older adults”? Elizabeth Scott reports on the valuable role of community outreach in meeting the needs of older adults with substance use issues. Astrid Van Den Broek writes about the intersection between grief, loneliness and gambling among older adults. Anne Ptasznik discusses the often overlooked needs of older LGBT adults. The Q&A column examines prescription medication use, misuse and abuse.

This issue also examines the positive side of aging. Older adults carry with them years of experience. Psychiatrist Dr. Mary Seeman tells us why older psychiatrists are better. We also profile a program that promotes creative expression among people with dementia. Lesley Young discusses the traditional role of aboriginal elders, who are respected for their knowledge and wisdom and can teach us all that older adults have a valued and productive role to play in society. Ruth von Fuchs, president of the Right to Die Society of Canada, and psychiatrist Dr. Isaac Sakinofsky present two sides of the debate around rational suicide, a topic that relates not only to older adults, but to us all.

Enjoy this stimulating issue of CrossCurrents. Send us your comments and ideas. Write a letter to the editor expressing your thoughts on our stories. It is your input that furthers the dialogue around mental health and addiction issues.

Hema Zbogar
tel 416 595-6714
hema_zbogar@camh.net