We have completed a survey using a novel needs assessment schedule that was developed and validated with elderly patients with functional psychiatric disorders—the EPNS (Elderly Psychiatric Needs Schedule)—which is available from the first author (5). In this study we assessed the needs of an epidemiologically based sample of elderly patients with functional psychiatric disorders who were in contact with either old-age psychiatry or adult general psychiatry. Our objective was to explore which of the two services better meets the needs of these patients. Preliminary results suggested that the patients in contact with old-age psychiatry had significantly fewer unmet needs than those in contact with general adult psychiatry. However, this study had some methodological limitations: because it was conducted in an inner-city London area, the study should be repeated in suburban and rural areas.