Dr. Cohen has brought together an impressive group of experts and clinicians, who deal with all the aspects of schizophrenia in later life. In addition to providing practical information for the service provider, the book also reviews relevant literature about outcome and covers subjects such as schizophrenia in old age, comparisons with the younger population, medical problems of aging, epidemiology, aging, medications and their side effects, gender differences, and many other topics. The wide variety of relevant topics is both a strength and a weakness. It is not clear to me who the intended audience is. This comprehensive approach makes the book very useful and at the same time less accessible. As is unavoidable with this kind of book, it is superficial in some aspects and goes into considerable depths in others. It is a primer in certain ways but also loses some of its focus because different clinicians and researchers have different information needs. The book could have benefited from a chapter dealing with practical suggestions for the overextended mental health workers who have this population under their care, as well as from a table listing specific needs cross-referenced with the specific chapters. I would like to see a next edition extended into a handbook about this important topic. It should be required reading for any psychiatrist or mental health worker dealing with older patients who have chronic schizophrenia. Medical students and family members of patients may find useful information to get an idea about the complexity of the disorder.