An administrator's dilemma: keeping the innovative mental health and aging programs alive after the grant funds end

Too often innovative and successful mental health and aging programs terminate when external funding sources end. This article describes one such project that has survived and even flourished well beyond the grant period. The original program is set forth, and changes in both the type of services offered and in the clientele are reviewed. The rationale for deviations from the original model are highlighted. Expansion, contraction and reexpansion of the range of services offered, as well as factors that impeded and enhanced program survival, are noted. The critical role of administrative leadership, vision and support for geropsychiatric services and staff is emphasized.