The Journal of Behavioral Health Services & Research February 2002, Volume 29, Issue 1, pp 91-98 Mental health service use and cost of care for older adults in assisted living facilities: Implications for public policy Marion Becker RN, PhD, Paul Stiles JD, PhD, Lawrence Schonfeld PhD … show all 3 hide » Download PDF (761 KB) Abstract With changing demographics prompting greater demand for assisted living facility (ALF) care, indigent older adults with mental health needs face underfunded residential care options and mental health systems currently unprepared to meet their service requirements. In particular, overreliance on inpatient mental health services for older individuals with mental illness and inadequate reimbursement of ALF facilities potentially increase costs and threaten availability of ALF care. This article analyzes Florida's administrative data and presents findings on mental health service use and cost of care for poor older persons. Using Florida as an example, the authors recommend policy changes to ensure the quality and availability of residential care for low-income adults with mental health needs.