illustration of a road going from hospital to home

Coming Home from the Hospital

When someone has Alzheimer’s disease or a related dementia, his/her ability to provide care for him/herself becomes limited. As the disease progresses, the person will become increasingly dependent on others to manage care at home. Caregivers play a significant role in helping provide care and minimizing unnecessary hospitalizations and readmissions.

The Care Transitions Notebook can be downloaded free of charge:

The Coaches Training & Facilitator Guides assist providers as they work with caregivers:

Project Replication
Materials are available for use with permission from Alzheimer’s Los Angeles by sending a request to

The Hospital to Home Transitions project was a partnership between Alzheimer’s Los Angeles, UCLA Department of Neurology, and Partners in Care Foundation.

Financial assistance for this project was supported by a grant from UniHealth Foundation, a non-profit philanthropic organization whose mission is to support and facilitate activities that significantly improve the health and well-being of individuals and communities within its service area.