years, 55 to 64 years, 65 to 74 years, 75 to 84 years, and 85 years and older. Age-specific death rates were calculated for each age group of public mental health clients by dividing the number of deaths in that age group by the total number of clients served in that age group. To adjust or standardize, the age-specific death rate for each group was multiplied by the population percentage for that age group in the standard population used by CDC. These age-adjusted products for the age groups are added to create the AADRs for the served public mental health client population in the state each year. Similar procedures are used by CDC to calculate the AADRs published in the National Vital Statistics Reports (11-18) and are used in this article for the age-adjusted rates for each of the states.