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Adapted Comprehensive Geriatric Assessments for Vulnerable Older Adults, Including those experiencing Housing instability and Homelessness

Older adults experiencing homelessness face accelerated aging and complex multimorbidity, yet they often remain underserved by traditional care models that assume housing stability. Person-centred assessment approaches, including the use of an adapted Comprehensive Geriatric Assessment (CGA) template, are needed to address the unique needs of vulnerably housed populations. The Guidance document describes a framework that incorporates trauma-informed approaches and evaluates structural barriers such as medication access, nutrition, and hygiene. Implementing this adapted CGA allows interprofessional teams to distinguish medical conditions from social contributors to decline, supporting realistic, client-driven care plans that improve diagnostic clarity and reduce avoidable acute care utilization.

Related Resources

Related Resources

Central East Cognition Referral Pathway Guidance Document

ICIC 2026 Presentations: Frailty Pathways: A Population Health Management Strategy for Older Adults

Frailty Screening & Management in Primary Care

Community Paramedicine Frailty Pathway

ICIC 2026 Presentations: Strengthening Specialized Geriatric Services: A Provider Experience Evaluation in Central East Ontario, Canada

Frailty Screening & Management in the Community

ICIC 2026 Presentations: Building Ontario's Workforce Capacity for Integrated Geriatric Services: Findings from a Provincial Training Needs Assessment

ICIC 2026 Presentations: Measuring the Value of Integrated Geriatric Emergency Care: A Return on Investment Evaluation of Ontario’s Central East GEM Nurse Program

Integrating Frailty into Chronic Disease Management: Enhancing Care for Older Adults living with Complexity

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