From Barrier Identification to Systems
Engineering in Community-Based Behavioral Health Integration

Older adults are more open to behavioral health support than ever—but many systems still struggle to connect them to care.
This report breaks down where those gaps happen and how to improve the path from need to support.
What's Inside:
How attitudes are shifting
Older adults are becoming more open to support, but gaps remain.
Where systems are falling short
A clear look at what's (not) happening inside community programs
Why referrals don't stick
The "handoff gap" explained -- where connection to care breaks down
What's getting in the way
Real barriers like workforce shortages, transportation, and access
What to do differently
Practical ways to strengthen referrals and follow-through
The bigger picture
How systems -- not just stigma -- shape access to care
Download the free report
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This website is supported by the Administration for Community Living (ACL), U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $3,260,699 with 100 percent funding by ACL/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by ACL/HHS, or the U.S. Government.