This presentation explores the clinical and ethical complexities of caring for older adults with cognitive impairment who are unhoused, emphasizing field-based strategies for managing behavioral symptoms, and navigating limited resources. It introduces a coordinated care model that integrates acute intervention, housing stabilization, and conservatorship to support recovery in nontraditional settings.

Listed below are the key objectives:

• Discuss treatment concerns for older adults afflicted by homelessness.
• Review criteria for dementia diagnosis and assessment.
• Discuss treatment considerations for dementias with behavioral disturbances, and depression and anxiety within this context.
• Describe the structure and function of an integrated, recovery-oriented care ecosystem.
• Explain the coordinated acute care workflow, including field-based interventions, inpatient collaboration, and housing stabilization.
• Discuss the role of conservatorship in managing dementia among individuals experiencing homelessness.

These recordings of the Department of Mental Health (DMH) Quarterly Psychiatrists’ Meeting (QPM) are restricted. They are provided specifically for DMH psychiatrists who missed and/or want to review the quarterly meeting.