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November 1983

Health Manpower Shortage in Geriatric Psychiatry-Reply

Arch Gen Psychiatry. 1983;40(11):1257. doi:10.1001/archpsyc.1983.01790100103019

In Reply.—  Dr Small correctly noted that the Graduate Medical Education National Advisory Committee (GMENAC) did not specifically address the need for geriatric psychiatrists. As we acknowledged, the report was criticized for failing to recognize specific needs in a variety of special areas, including academic medicine, underserved populations, and veterans hospitals. In determining overall needs for adult psychiatrists, estimates of prevalence were made for psychiatric disorders affecting all persons aged 18 years and over. In this process, the psychiatry panel considered the needs of geriatric populations and applied identical procedures to these as to other population groups in the context of their overall analysis. With specific regard to organic mental syndromes, the panel estimated the prevalence rate among persons aged 65 years and older to be 3.6%; as with other disorders, the panel defined norms of care, then applied these figures to the projected population in 1990. Although the panel projected that