$0 Tennessee — Dementia Care Resource Checklist

Silver Alert Tennessee — How the TBI Missing Persons System Works

What Tennessee's Silver Alert System Is

Tennessee's Silver Alert program is a rapid-response notification system for missing vulnerable adults. It's coordinated by the Tennessee Bureau of Investigation (TBI) under T.C.A. § 38-6-121, enacted in May 2021 to replace the older, less coordinated "Care Alert" program.

The system is designed for missing people who meet Tennessee's statutory definition of a "missing citizen": someone 60 or older who is believed in danger or unable to return to safety; someone of any age with documented dementia who is believed in danger or unable to return to safety; or someone 18 or older with an intellectual, developmental, or physical disability who faces the same risk. When activated, the TBI pushes alerts through local and regional television, radio, and digital media; the National Weather Service emergency broadcast network; Tennessee Department of Transportation (TDOT) dynamic highway message signs; and the TBI's social media channels and "TBI Find" mobile app.

Unlike an AMBER Alert (which is for abducted children), a Silver Alert doesn't require evidence of a crime. The triggering condition is simpler and more urgent: a vulnerable adult is missing and faces a credible threat of bodily harm due to their cognitive impairment, weather conditions, or medical needs.

Who Qualifies for a Silver Alert

Not every missing person report triggers a Silver Alert. The system has specific eligibility criteria that local law enforcement must verify before escalating to the TBI:

  • The missing person must fit a statutory category: age 60 or older; any age with documented dementia; or age 18 or older with an intellectual, developmental, or physical disability
  • They must be believed to be in danger because of the qualifying condition or unable to return to safety without assistance
  • Local law enforcement must notify the TBI within four hours of receiving notice and enter the report into the National Crime Information Center (NCIC) within four hours of completing the verification process
  • Local law enforcement must have enough identifying information to broadcast (physical description, recent photo, vehicle information if applicable)

The key word is "documented." For a dementia-based alert, a family member saying "Mom gets confused sometimes" isn't sufficient; law enforcement must receive medical documentation of the dementia.

Step-by-Step: How to Activate a Silver Alert

If your parent with dementia has wandered and is missing, here is the exact sequence to follow:

1. Call 911 immediately. Do not wait. Do not search for a set period first. Tennessee has no waiting period for reporting a missing person. The first minutes and hours are critical because a person with dementia may wander into traffic, fall into water, or become exposed to dangerous weather conditions.

2. Explicitly request a Silver Alert. Tell the 911 dispatcher and responding officers that the missing person has a documented cognitive impairment (use the specific diagnosis — Alzheimer's disease, vascular dementia, etc.) and is in immediate danger. Don't assume the officers will automatically consider a Silver Alert — request it clearly.

3. Provide critical identifiers. Officers will need:

  • A recent, high-resolution digital photograph
  • Exact physical description: height, weight, hair color, eye color
  • Clothing last worn
  • Distinguishing features: scars, tattoos, medical bracelets, hearing aids
  • Vehicle information if they may be driving (make, model, color, license plate)

4. Share behavioral and medical information. This is where your preparation pays off. Tell officers:

  • The name your parent responds to (formal name, nickname, or both)
  • Whether they respond to their own name when called
  • Whether police lights or sirens will trigger fear or aggression
  • Specific calming techniques that work (a familiar phrase, a favorite song)
  • Medical conditions requiring immediate attention (insulin dependency, seizure risk)
  • Nearby locations they might seek out — former homes, workplaces, churches, childhood addresses. People with dementia often navigate toward places from their deep past, not their recent routine.

5. Local police escalate to the TBI. Once responding officers verify that the missing person meets the Silver Alert criteria, the local agency must notify the TBI within four hours of receiving notice and enter the report into NCIC within four hours of completing the verification. The TBI on-call analyst reviews the case and coordinates the regional or statewide broadcast.

6. The public responds. Anyone who spots a person matching the Silver Alert description is instructed to contact local law enforcement or call the TBI directly at 1-800-TBI-FIND (1-800-824-3463).

Free Download

Get the Tennessee — Dementia Care Resource Checklist

Everything in this article as a printable checklist — plus action plans and reference guides you can start using today.

Preparing Before a Wandering Emergency

The best time to prepare for a Silver Alert is long before you need one. Once your parent wanders, the stress of the moment makes it hard to recall details accurately or locate necessary documents.

Build a wandering response profile now. Compile the following in one printable document and keep copies at home, in your car, and with any secondary caregivers:

  • A current, clear photograph (update it every three months — facial features change with weight loss and medication effects)
  • Full physical description including height, weight, and any distinguishing marks
  • Current medications and medical conditions
  • Behavioral notes: how they respond to strangers, what triggers agitation, calming techniques
  • A list of familiar locations they might gravitate toward (former homes, childhood neighborhoods, favorite parks, houses of worship)
  • Emergency contacts for all family members and healthcare providers

Register with local law enforcement. Some Tennessee sheriff's departments maintain voluntary registries for residents with cognitive impairments. Contact your local sheriff's office and ask whether they accept pre-registration. Providing your parent's information in advance allows officers to access the profile immediately when a report comes in, shaving critical time off the activation process.

Consider GPS tracking. GPS-enabled devices designed for people with dementia range from wristband trackers to shoe inserts to clip-on devices. The technology isn't perfect — devices need charging, and a confused person may remove unfamiliar objects — but a real-time location signal can reduce search time from hours to minutes. Some devices include geofencing features that alert you when the wearer leaves a predefined area.

Secure the home environment. Door alarms, deadbolt locks placed at unusual heights (above eye level or at floor level), and motion-sensor alerts on exterior doors can provide early warning before a wandering episode becomes a search operation. Cover or disguise doorknobs and exit signs, since people with dementia often fixate on visible exit cues.

After the Alert: What to Expect

If a Silver Alert is issued, the TBI coordinates the broadcast but doesn't directly manage the ground search — that remains with local law enforcement. The alert typically stays active until the person is found or until law enforcement determines the criteria are no longer met.

When the person is found, the TBI deactivates the alert through the same broadcast channels. If your parent is located by someone who responded to the alert, law enforcement will coordinate the reunion and may request a medical evaluation if the person shows signs of injury, dehydration, or exposure.

After recovery, document what happened. Note the circumstances of the wandering (time of day, what triggered it, where they were found) and share this information with their physician. Repeated wandering episodes may indicate disease progression that warrants a reassessment of the current care plan — possibly including a transition to a secured memory care unit.

If you're managing a parent's dementia care in Tennessee and want to plan ahead for wandering risks alongside the full landscape of TennCare eligibility, legal planning, and facility evaluation, our Tennessee Dementia & Memory Care Guide covers the entire care navigation process in one place.

Get Your Free Tennessee — Dementia Care Resource Checklist

Download the Tennessee — Dementia Care Resource Checklist — a printable guide with checklists, scripts, and action plans you can start using today.

Learn More →