To learn more about elderly patients who use outpatient mental health services, we retrospectively reviewed the charts of 75 patients overage 60 treated in an inner-city community mental health center during a 1-year period and compared them with 34 patients in a hospital-based psychogeriatric clinic and 26 patients in a suburban geriatric outreach program. The patients in the three settings differed with regard to age of onset and type of psychopathology, use of psychotropic medication, and mental health needs.