Serving Older Adults Experiencing Homelessness

Coordinate shelter, housing and care connections for older adults without diagnosing or providing untrained care.

A self-paced field guide for case managers, outreach workers, shelter and interim housing staff and housing navigators who serve adults 50+ (and younger adults with age-related support needs). Rich Los Angeles context. Skills that work wherever you practice. Not clinical training and not software training.

What you'll be able to do

• Map mobility, daily activities, preferences and who already helps—without turning support needs into an eligibility judgment, a capacity assessment or a diagnosis.
• Clarify a questionable hospital or skilled nursing facility discharge before you accept or refuse the handoff.
• Notice a sudden change from a person's baseline, call 911 for emergency warning signs, and follow your site's procedure alongside the call.
• Sequence personal-care, health-plan, aging and housing supports against a real unit timeline.
• Protect choice and continuity when someone else controls conversations or money, and route possible abuse concerns without overpromising.

Included in the download

• 57-page field guide with five lessons. Each lesson has a layer-by-layer view (federal, California, LA County, other cities, and "check yours"), worked decisions, practice scenarios with model answers, self-checks with feedback, and numbered sources.
• Four printable one-page job aids: Support-needs and preferences map, Discharge handoff checklist, Observed-change and escalation card, and Care-and-housing coordination ladder.
• A Check Yours worksheet (PDF and Word) for finding APS, ombudsman, discharge, plan-based care and emergency contacts where you work.
• Start Here and a license for the tier you choose: one named person, a site team of up to 15 named users, or an agency of up to 50 named users.

Before you buy

• Sources: built on 48 legal and policy claims, each traced to its original source and read in full where noted. The sources include 42 CFR 483.15 (SNF transfer/discharge), California H&S §1262.5 (hospital homeless-discharge planning), W&I elder/dependent adult and APS definitions and reporting, CDSS Home Safe and HDAP program pages, DHCS ECM/Community Supports guidance (plan-mediated), and research on older adults experiencing homelessness (CASPEH / HOPE HOME). Rules were checked in October 2026.
• What it isn't: clinical training, legal advice, a certification, or a replacement for your agency's policies, counsel, APS procedures or required trainings. No agency endorsement is implied.
• Accessibility: the PDFs aren't certified PDF/UA accessible. The worksheet is also supplied in Word.

License options

• Individual Practitioner, $49: one named person.
• Program / Site Team, $199: up to 15 named users in one program at one address, or one established mobile or remote team.
• Agency / Multi-Site, $499: up to 50 named users across the programs and sites one organization runs directly (for a government buyer, one named department or bureau).

The license you choose is in LICENSE.txt in your download and governs use. Refunds follow the policy shown at checkout and applicable law.