Most of the time, she's confused, but friendly and trying to be helpful. But when she's stressed (which can be triggered by anything that she perceives as attempting to control her) she has a very nasty aggressive side. In those moments, she's strong and quick, threatening to caregivers, and a danger to herself. She'll try to kick a door down, or throw things that break. I've been trying in-home care with the concept of kindness when possible - but she will no longer wait for timely meals/snacks or nap or sleep at standard times. She on a 3-4 hour wake, eat, sleep cycle - which means a single caregiver can't be available at times she needs being overseen. She has a trust fund (not unlimited resources, but adequate) but few relatives and none who are able to advocate for her. We've tried assisted living twice and been asked to move her, but the typical next stage lock-up type facility really doesn't fit. She is healthy, active, keeps her room tidy, goes for long walks and is a loner - so (having had her in my home for 9 months), I have a vision of a fantasy place that would work for her. It would have food available at any hour, have a secured outdoor space where she could wander around without supervision and otherwise provide basic room and board facilities. She doesn't participate in "group" activities - and when that is encouraged or required, it WILL produce the outburst. She doesn't want to work "with" anybody or within a structure designed to keep all the residents occupied - just needs room, board, extra food and drink (she eats everything in sight and is NOT overweight) and allows freedom to come and go (obviously in a larger contained space). Any ides how to find such a place?