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Lynda A. Anderson, PhDDirector, Healthy Aging Program
Division of Population HealthNational Center for Chronic Disease Prevention and Health Promotion
Centers for Disease Control and Prevention
Community ConversationsOctober 30, 2014
The Healthy Brain Initiative
Road Map
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CDC’s Healthy Brain Initiative
In 2006, Congress appropriated funds to CDC’s Healthy Aging Program to “address brain health with a focus on lifestyle issues”
Goals of The Healthy Brain Initiative:
Better understand the publics’ perceptions about cognitive health and burden of cognitive impairment through public health surveillance systems
Build a strong evidence base for policy, communication, and programmatic interventions
Translate that foundation into effective public health practice by public health departments and their partners in states and communities
3
2007 HBI Road Map
2007 HBI Road Map served as a catalyst for numerous accomplishments* on the part of multiple stakeholders
Healthy People 2020, “Dementias, including Alzheimer’s disease”
To increase the proportion of persons with diagnosed Alzheimer’s disease and other dementias, or their caregiver, who are aware of the diagnosis.To reduce the proportion of preventable hospitalizations in persons with diagnosed Alzheimer’s disease and other dementias.
*2011 Progress Report of CDC’s accomplishments available at www.cdc.gov/aging/healthybrain/resources.htm
Awareness of Dementia Diagnosis, Adults 65+ Years, 2007—2009*
Male
Black
White
65-74
85+
< 100%
200-399%
0 10 20 30 40 50 60 70
Family Income
(percent Poverty
Threshold)
Age (years)
*2014 HP2020 Progress review; available at www.cdc.gov/nchs/healthy_people/hp2020/hp2020_OA_DIA_progress_review.htm NOTE: = 95% confidence interval. Categories of black/white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. SOURCE: Medicare Current Beneficiary Survey (MCBS), CMS.
HP2020 Target: 38.3%
Percent
4
Increase desired
I
5
Used a participatory method to invite input from more than 280 experts
35 actions public health community can do over next 5 years
Released July 2013
The Healthy Brain Initiative: The Public Health Road Map for State and National Partnerships, 2013–2018
66
2013 Healthy Brain Initiative Road Map
Actions for state and local public health agencies and their partners to:
Promote cognitive functioning,
Address cognitive impairment for individuals living in the community, and
Help meet the needs of care partners
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2013 Road Map Domains
Monitor and evaluate
Educate and empower
Develop policy and mobilize partnerships
Assure a competent workforce
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CDC Select HBI Activities
Monitor Behavioral Risk Factor Surveillance System (BRFSS) Cognitive Decline and Caregiver Modules
Funded the Alzheimer’s Association to work with states and territories to include the modules in their 2015 questionnaires
Educate and Empower
2015 CDC Healthy Brain Initiative Research Network
Thematic network of CDC’s Prevention Research Centers
A new project on developing and testing public health messages about cognitive health and impairment
IOM study on “Public Health Dimensions of Cognitive Health”
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http://www.nbcnews.com/video/nightly-news/51836163/#51836163
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CDC Select HBI Activities
Policy and Partnerships
Fund key partnerships through cooperative agreements:
Alzheimer’s Association
Public Health website: www.alz.org/publichealth/
National Association of Chronic Disease Directors
Opportunity Grants – select HBI Road Map actions
Association of State and Territorial Health Officials
Increasing awareness and incorporating cognitive health in public health efforts
Provide data and support to HP 2020 DIA topic area and objectives
Workforce
Collaborate on efforts with the Health Resources and Services Administration
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For more information please contact Centers for Disease Control and Prevention1600 Clifton Road NE, Atlanta, GA 30333Telephone, 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: [email protected] Web: www.cdc.gov
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
For more information about the Healthy Aging Program: Visit www.cdc.gov/agingTelephone: 770 488-5360
Lynda Anderson, PhD at [email protected]