This hearing examines the mental health needs of America's Black and Hispanic elderly in New York State and, particularly, in the New York City area, and considers solutions for service delivery. Seven expert witnesses testified. Few research studies specifically target aged Blacks and Puerto Ricans; however, many minority elderly share the following characteristics of persons who are at-risk of mental illness: (1) low income; (2) unmarried; (3) low education; and (4) poor physical health. Elderly Puerto Ricans have an extremely high level of depressive symptoms, and Puerto Rican women have significantly higher levels than men. Poor English language skills and very low acculturation contribute to the vulnerability of elderly Puerto Ricans. Aged Blacks suffer from the physical and psychological effects of a lifetime of racial oppression. All witnesses agreed on the need for a comprehensive, interagency approach to mental health service delivery that utilizes the clients' social networks. Service delivery to older Puerto Ricans should include bilingual services. Delivery to older Blacks should include holistic assessment and treatment planning. Other factors to be considered include the following: (1) affordability; (2) improvement of existing day treatment and inpatient services; (3) development of mobile treatment services; and (4) service for elderly mentally disabled homeless. Each report is accompanied by a list of references. (FMW)