Primary Care Screening and Intervention for Patients With Dementia and Caregivers

The goal of this clinical trial is to evaluate the impact of screening for elder neglect in older adults with dementia in primary care settings and the impact of an intervention for caregivers of older adults with dementia. The hypothesis of the study are: * Neglect screening in primary care will have a positive impact on outcomes including a decrease in presence of neglect at 6 months and other patient and caregiver outcomes * Neglect screening paired with a caregiving intervention will have a greater impact on these outcomes than screening alone Researchers will compare three groups of participants to find out how effective the screening tool is on its own, and how effective it is when combined with the support program, compared to standard care. Participants will be asked to: * attend primary care clinic visits * complete questionnaires * participate in the intervention * participate in a semi-structured interview

Primary care provider Inclusion Criteria • Active PCP who may be a physician or nurse practitioner seeing adult primary care patients with dementia at: Weill Cornell Medicine Primary care provider Exclusion Criteria • Not a PCP of older adults with dementia who may be at risk of being neglected. Older Adult Inclusion Criteria: * Aged ≥ 60 years * Community-dwelling * Patient of WCM/NYP * Has diagnosis of dementia (based on medical records prior to enrollment) * Requires assistance with at least 1 ADL * Able to travel to a WCM/NYP clinic for study activities * Has informal (either unpaid or CDPAP) caregiver who provides ≥8 hours weekly * Not already known to be experiencing neglect from caregiver Older Adult Exclusion Criteria: * In hospice * Decision has already been made to re-locate to an institution (including long-term care skilled nursing facilities) Caregiver Inclusion Criteria: * Age ≥ 21 years * Living with or near the older adult * Self-identifies as a caregiver for the older adult * Provides ≥ 8 hours per week of direct care (may include logistics, oversight, observation, as well as hands-on care, but must include at least some in-person assistance) * Able to travel to a WCM/NYP clinic for study activities or participate in study activities virtually through Zoom on their personal device * Not a professional caregiver, does not receive direct payment in return for care (unless through CDPAP) * Can read and speak English at a 6th grade level * No active plan to disengage from providing care to older adult within the next year Caregiver Exclusion Criteria: * Unable to read and speak English at a 6th grade level * Hired/paid professional caregiver * Is blind or deaf * Active plan to disengage from providing care to older adult within the next year