Note that multiple OMH surveys, from 1987 through 2006, found similar variations in proportion of our integration of older patients with younger at each visit, and accepted our original philosophy of reflecting for the patients the real-time world. This patient mix compares favorably with the increasingly sought-for 21^st Century clinical view of needed transition services. (See 1999 U.S. Supreme Court decision in: OLMSTEAD V.  L. C. )