The development of effective systems of mental health care for an ageing global population is a pressing challenge. No ideal model exists. Current internationally agreed principles are outlined above, which emphasize the central role of primary health care and the importance of access to specialized services when appropriate, as well as suggesting ways to address the problem in countries with limited resources. To develop effective services, more health services research is needed to determine the efficacy of existing services, some of which may function as excellent models or may need modifying according to the needs of the area to be served.

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