Monday, November 9, 2020
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Updates: The Healthy Brain Initiative and BOLD
Lisa C. McGuire, Phd
Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Population Health
Health Brain Initiative - BOLD
- Advance brain health as a central part of public health practice (nationally)
- BOLD is designed to create a strong public health infrastructure for dementia and dementia caregiving
- https://www.cdc.gov/aging/funding/hbi/index.html
- https://www.cdc.gov/aging/funding/php/index.html
- https://www.cdc.gov/aging/funding/phc/index.html
NATIONAL HEALTHY BRAIN INITIATIVE
- Five year, multi-component approach for Alzheimer's and related dementias (ADRD) public health activities. Activities are expected to promote brain health, address cognitive impairment including ADRD, and support the needs of caregivers.
- Component A: Fund an organization with national scope and reach within states, to develop and implement public health strategies guided by the Healthy Brain Initiative (HBI) Road Map Series
- The Alzheimer's Association
- Component B: Fund organizations to support populations with a high burden of ADRD
- International Association for Indigenous Aging (AI/AN).
- University of Illinois at Chicago (IDD)
- UsAgainstAlzheimer's (Hispanic/Latino & African American)
- https://www.cdc.gov/aging/funding/hbi/index.html
Health Brain Initiative
- Advance brain health as a central part of public health practice (nationally)
- Implementation and evaluation of HBI Road Map Series
- Development of future road maps
BOLD Public Health Programs
- Building Our Largest Dementia Infrastructure (BOLD)--Public Health Programs to Address Alzheimer's Disease and Related Dementias (CDC-RFA-DP20-2004)
- Funded 16 public health programs from states, political subdivisions of states, tribes and tribal organizations for 3-year awards at the Enhanced or Core level.
- Enhanced Level
- Georgia
- Minnesota
- Rhode Island
- Virginia
- Wisconsin
- Core Level
- Colorado
- Hawaii
- Iowa
- Los Angeles County
- Maine
- Mississippi
- Nevada
- North Carolina
- Northwest Portland Area Indian Health Board
- Oklahoma
- Vermont
- https://www.cdc.gov/aging/funding/php/index.html
BOLD Public Health Centers of Excellence
- Building Our Largest Dementia Infrastructure (BOLD)--Public Health Centers of Excellence to Address Alzheimer's Disease and Related Dementias (CDC-RFA-DP20-2005)
- Funded 5-year awards to 3 Public Health Centers of Excellence*:
- Dementia Caregiving - University of Minnesota
- Dementia Risk Reduction - Alzheimer's Association
- Early Detection of Dementia - NYU School of Medicine
- *Based on HBI Issue Maps
- Dementia Caregiving https://www.cdc.gov/aging/healthybrain/issue-maps/supporting-caregivers.html
- Dementia Risk Reduction https://www.cdc.gov/aging/healthybrain/issue-maps/risk-reduction.html
- Early Detection of Dementia https://www.cdc.gov/aging/healthybrain/issue-maps/early-detection.html
- https://www.cdc.gov/aging/funding/phc/index.html
3 Components of BOLD
- Establishes Alzheimer's Centers of Excellence
- Provides funding for public health departments across the country
- Increases data analysis and timely reporting
- https://www.cdc.gov/aging/bold/index.html
Priority Areas in BOLD
- Address Alzheimer's as an urgent public health issue to create population-level change
- Early detection and diagnosis
- Preventable hospitalizations
- Care planning and management
- Support for caregivers
- Attention to:
- Health disparities
- Rural areas
- High burden populations
BOLD
BOLD is designed to create a strong public health infrastructure for dementia and dementia caregiving
Long-term Outcomes (where all circles overlap)
- Diagnosis and awareness of ADRD
- Talk to provider about changes in memory
- Reduce preventable hospitalizations
- Utilization of Medicare benefits
THANK YOU
Lisa McGuire, PhD
lmcguire@cdc.gov