Older adults comprise 12% of the population but consume 36% of the nation’s health care resources (Rice & Fineman, 2004). While there are numerous drivers of health care costs (Yamamoto, 2013), there is strong evidence that the complexities and multidimensional nature of many of the chronic conditions impacting older adults (e.g., heart disease, cancer, mental health, etc.) are costly and require significant expertise in geriatric care across the health professions. The need is even greater when considering how rapidly our country is aging and that by 2050 older adults will comprise 20% of the U.S. population (Federal Interagency Forum on Aging-Related Statistics, 2012). Training programs today are not producing the numbers of geriatric experts needed to strengthen clinical practices in aging or infusing sufficient geriatric content into their curricula. These broad trends are true for Occupational Therapy as well. The goal of this special issue Innovations in Clinical Practice with Older Adults is to address this gap in knowledge and provide a “state of the science” update in social and behavioral gerontology for health care professionals and educators preparing the next generation of professionals to meet older patients’ needs. These papers address biological and psychosocial issues as well as the institutional and policy contexts that shape health care services and delivery. The papers included in this Special Issue were invited papers from authors who presented their research and clinical implications of this work at the Institute of Gerontology’s Issues in Aging Conference at Wayne State University in Detroit, Michigan in May 2013. This conference is an annual event targeting health care professionals, case managers, long-term care home administrators and others dedicated to improving the lives of older adults. As guest editors, we asked these contributors to prepare their papers to be especially relevant to occupational therapy, but also other health professions. We worked to ensure the papers were well-integrated with each other. We also encouraged authors to craft their papers with the intent of sharing evidence-based clinical assessment tools and interventions that were relevant and easy to use in any practice setting. The articles now include topics frequently confronted in community-based and long-term care settings, and also those incorporating “high tech” approaches to assessment and treatment to bedside approaches requiring “high touch” assessment and intervention. As editors we were committed to a special issue that included