The main purpose of this book is to visualize the agenda of older people by exploring the major psychosocial problems, coping mechanisms, and support systems at Addis Ababa. The study attempted to explore the major psychosocial problems, underlying causes and contributing factors for the psychosocial vulnerability of the elderly and obstacles facing in the course of service provision. Moreover, important statistical tests were made to see if there is statistically significant difference between institutionalized and non institutionalized elderly in the study area. Based on the findings, conclusions and recommendations were made on how care and support for the elderly could be harmonized. Hence, since there has not been scientific study to explore the psychosocial problems, coping mechanisms, and support systems of the elderly in Ethiopia, this monograph will be extremely helpful for both the humanitarian and government agents working for the well being issues of the elderly, that should be vital and burning agenda of every country at this time.