Older people with schizophrenia are an often neglected group. The author describes the history of these patients and gives detailed information about their condition over the past 15 years. For example, elderly people with psychosis have long been shuffled into poorhouses, county farms, and nursing homes. This has made the study of this group difficult. As the asylums expanded into state hospitals, the accounting of elderly people with schizophrenia continued to be difficult, due to overcrowding and poor diagnostic techniques. Only in the last 20 years has operational study of the elderly subgroup of chronically mentally ill people been possible.