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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

2026 Age-Well Annual Conference Presentation: Evaluating a Centralized Data Reporting and Visualization System for a Regional Geriatric Program

AFHTO 2026 Presentation: Designing a Regional Cognition Referral Pathway: Integrating Primary Care, Specialist, and Community Supports for Older Adults

Community Paramedicine Frailty Pathway

Canadian Association on Gerontology (CAG) 2026 Presentation: Integrated Care for Vulnerably Housed Older Adults: Barriers and Enablers to Implementation and Sustainability

HPCO 2026 Presentation: Understanding barriers and facilitators to goal-setting and shared decision-
making with persons with dementia in specialized geriatric services

AGS 2026 Presentation: Strengthening Geriatric Capacity in Ontario’s Health Workforce: Results of a Provincial Training Needs Assessment to Support Specialized Geriatric Services

Canadian Association on Gerontology (CAG) 2026 Presentation: Optimizing Regional Cognition Referral Pathways: Evaluating Standardized Referral Redistribution Criteria Across Specialized Geriatric Services (SGS)

Central East Cognition Referral Pathway Guidance Document

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

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