Mental health care for older Californians is a critical issue with opportunities for improvement. In this Jan. 25, 2018, seminar, Center Faculty Associate Janet Frank and Center Research Scientist Kathryn Kietzman discuss results from the first study to assess how California's public mental health delivery system has served adults age 60 and older since passage of the Mental Health Services Act (MHSA) in 2004. Study findings show many unmet needs among older adults with mental illness in the public mental health delivery system, but they also reveal evidence of promising programs and strategies that counties have advanced to address these deficits. Based on their evaluation, authors recommend policy changes than can improve care to older adults with mental illness.