Addressing Dementia in Tribal and Urban Indian Communities: Enhancing Sustainable Models of Care

For program and eligibility questions:
Dr. Jolie Crowder
jolie.crowder@ihs.gov

For grants management, financial, review process, and application status questions:
DGM@ihs.gov

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This program will provide funding to support the expansion of culturally relevant dementia care and services for American Indian and Alaska Native people living with dementia, their caregivers, and their communities.

The program will:

• Expand and improve capacity to provide culturally relevant services, clinical diagnostic workflow in a primary care setting, and patient care coordination
• Plan for and evaluate the long-term sustainability of comprehensive dementia care and services, including diagnostic and procedural coding and billing for clinical and community services
• Develop, document, and disseminate local models for comprehensive dementia care, services, and best practices throughout the project

Required activities include:

1. Use existing and new evidence to address all 5 primary drivers of care:
   • Awareness and early recognition
   • Accurate and timely diagnosis
   • Interdisciplinary assessment to identify care goals and gaps in care
   • Management and referral - coordination of healthcare and social services
   • Caregiver support
2. Expand current dementia care and services to include a comprehensive approach to clinical care and services for people living with dementia and their caregivers
3. Increase the number of people served who are living with dementia and their caregivers and families
4. Increase coordination of local care and services and improve community-clinical linkages
5. Develop a sustainability plan to support care and services after the award ends. The plan must include:
   • Business planning for existing and new services that include public, tribal, and private reimbursement options
   • Plans for increased scalability or service reach
   • Plans to implement new and emerging evidence-based care and services
6. Create tools, resources, and presentations
7. Plan, implement, and share findings from the project evaluation that include both process and outcome measures
8. Work with the IHS on an expected program evaluation that will include creating and testing common data elements to track program implementation and support program improvement nationally
9. Participate in regular web-based opportunities to share experience and expertise
10. Attend at least one annual, 2-day in-person meeting in a location to be determined

Eligible applicants include:

• Federally recognized Tribes
• Tribal organizations
• Urban Indian organizations
• Alaska Native villages, groups, and corporations

Award ceiling: $200,000 per year
Award floor: $100,000 per year
Project period: 3 years
Estimated number of awards: 8
Estimated total program funding: $1,600,000

Links to the full announcement and online application process are available through grants.gov. The application instructions will be found on the related documents tab.