Inclusion Criteria:  Residents who meet at least one of the following eligibility criteria will be eligible:  dementia diagnosis or related disorder Cognitive Function Scale score indicative of impairment positive Patient Health Questionnaire (PHQ-9) depression score mental health diagnosis (e.g., ICD-10 codes) indication of agitation or aggression per MDS behavior items active prescription for a PRN or scheduled antipsychotic, sedative/hypnotic, or benzodiazepine/anxiolytic  Exclusion Criteria:  Residents admitted for hospice or respite care