INTRODUCTIONOlder adults represent the fastest growing segment of the homeless community. Little is known about the prevalence of dementia and mild cognitive impairment (MCI) in this population.METHODSDementia and MCI screening using the Montreal Cognitive Assessment (MoCA) was incorporated into the standard senior evaluation for adult clients aged ≥ 55 in a large emergency homeless shelter.RESULTSIn a 6‐week period, 104 of 112 (92.9%) assessments were positive for dementia or MCI using a standard cutoff of 26, and 81 (72.3%) were positive using a conservative cutoff of 23. There was no significant difference in MoCA scores based on sex or education level, and no significant correlation between age and MoCA score.DISCUSSIONOlder adults experiencing homelessness may have a high likelihood of dementia or MCI. Routine MoCA screening in older adults experiencing homelessness is feasible and can help to identify services needed to successfully exit homelessness.

中文翻译：

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在紧急无家可归者收容所进行痴呆症和轻度认知障碍筛查

简介 老年人是无家可归者群体中增长最快的群体。关于这一人群中痴呆症和轻度认知障碍 (MCI) 的患病率知之甚少。 方法使用蒙特利尔认知评估 (MoCA) 进行的痴呆症和 MCI 筛查被纳入大型紧急无家可归者收容所中年龄 ≥ 55 岁成年客户的标准高级评估中结果 在 6 周期间，使用标准截止值 26 进行的 112 项评估中，有 104 项 (92.9%) 呈痴呆或 MCI 阳性，使用保守截止值 23 时，有 81 项 (72.3%) 呈阳性。 MoCA 评分基于性别或教育水平，年龄和 MoCA 评分之间没有显着相关性。讨论无家可归的老年人可能有很高的可能性患痴呆症或 MCI。对无家可归的老年人进行常规 MoCA 筛查是可行的，并且可以帮助确定成功摆脱无家可归所需的服务。