Carolyn Johnson, a 70-year-old Sacramento resident, says those challenges are becoming more visible as California’s aging population grows.

“A lot of people still think mental health is something older generations don’t talk about,” Johnson said. “But loneliness, grief, anxiety, and depression absolutely affect us, especially when people lose spouses, retire, or become isolated.”

Johnson, who retired after more than 30 years as a school librarian, says she has watched many friends struggle to navigate behavioral healthcare systems that often feel designed for younger populations.

“Sometimes seniors just give up trying to get help,” she said. “The process can feel overwhelming.”

The Commission warns that unmet behavioral health needs can lead to worse physical health outcomes and higher healthcare costs over time. Advocates are now urging local governments and policymakers to include older adults directly in planning decisions as counties develop new Integrated Plans under the Behavioral Health Services Act.

“Older Californians are at a critical intersection of health, aging, and equity,” Commission Chair Dr. David Lindeman said in the release. “We cannot afford to reduce services at a time when need is growing.”

State officials say California’s broader Master Plan for Aging is intended to address many of these concerns through expanded healthcare access, dementia prevention and care, affordable housing initiatives, climate preparedness programs, and greater support for caregivers.

The governor’s proclamation specifically highlighted “home and community care essential to our economy and our families” as well as efforts to improve “behavioral health system modernization, including more geriatric care.”

For Johnson, the discussion surrounding aging is ultimately about dignity and visibility.

“There are so many older people still contributing every day,” she said. “People volunteer, care for family members, mentor our grandchildren, and stay active in our communities. Aging shouldn’t mean becoming invisible.”

CCoA is encouraging Californians across the state to “Get Loud” in support of behavioral health protections for older adults, warning that the decisions being made now could shape the quality of life for millions of residents in the coming decades.

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