The scope of the issue : the need for a multidisciplinary approach -- A multidisciplinary approach : impact on the need for services -- Health issues : impact on the need for services -- Mental health issues : impact on the need for services -- Legal dilemmas : implications for health and social functioning -- Religiosity, spirituality, and ethical issues : including religious organizations in the service network -- Cultural competency : the impact of ethnicity on the need for services -- Social functioning : assessment and impact on the need for services -- The role of community practitioners : the service network --Elder assessment : a multidisciplinary approach -- The coordination of a referral and treatment plan -- Implications of the multidisciplinary approach