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Referencing a universal screening program for unhoused older adults seeking emergency shelter services as a case example, this paper calls attention to alignment of programmatic features with the four principles of biomedical ethics, beneficence, nonmaleficence, autonomy, and justice. Regarding beneficence, homeless services workers gain insight into clients\u2019 needs and can facilitate engagement with resources to aid in their successful exiting of homelessness. Using assessment findings to promote safety in shelter environments incorporates nonmaleficence. Concerning autonomy, by choosing to share screening results with healthcare providers and other human service stakeholders such as public safety officials and social service professionals, older adults are empowered to take charge of their care. Justice is embodied by the ability to influence policy changes related to homelessness prevention and equitable distribution of health resources.<\/jats:p>","DOI":"10.1177\/09697330251328672","type":"journal-article","created":{"date-parts":[[2025,3,21]],"date-time":"2025-03-21T23:51:25Z","timestamp":1742601085000},"page":"2551-2562","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Ethical analysis of community-based dementia screening for unhoused older adults"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-4259-6646","authenticated-orcid":false,"given":"Alisa","family":"Squires","sequence":"first","affiliation":[{"name":"Arizona State University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana M","family":"Bowman","sequence":"additional","affiliation":[{"name":"Arizona State University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1382-1310","authenticated-orcid":false,"given":"Heather M","family":"Ross","sequence":"additional","affiliation":[{"name":"Arizona State University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,3,21]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Alzheimer\u2019s Disease International. 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