Team

HwaJung Choi

University of Michigan

Domain Co-Lead

David Van Riper

University of Minnesota

Domain Co-Lead

Tina Mainieri

University of Michigan

Project Manager

Carson Crane

University of Minnesota

Research Coordinator

Bona Park

University of Michigan

Research Coordinator

Overview

The Community Services domain focuses on care and support systems, including healthcare, long-term care, senior services, and emergency preparedness. Research in this domain focuses on developing frameworks and innovative methods for measuring the availability and accessibility of community services, going beyond mere presence to assess their quality, quantity, and access.

Healthcare IconHealthcare Services

Healthcare services play a critical role in preventing or delaying cognitive decline and dementia by providing treatment for underlying risk factors. Better access to healthcare resources such as medical facilities, physicians, and nurses in one’s community may contribute to early detection and treatment of dementia risks, as well as promote resilience for those living with dementia through increased utilization of care services.

Safety and Emergency IconSafety and Emergency Services

Safety and emergency services contribute to the surveillance, preparedness, and responsiveness to natural and human-made disasters, such as fire, floods, or infectious disease outbreaks. By alerting about and responding promptly to hazardous environments and incidents, these services may protect people from being exposed to dangerous conditions that may contribute to cognitive decline. Safety and emergency services also improve the safety of individuals living with dementia who are more vulnerable to the adverse environment and require additional support.

Long Term Care IconLong term Care Services

Long-term care services comprise home-based, community-based, and institutional care services for aging adults. Home- and community-based services — including family caregiving, home health aides, adult day services, and respite care — help people with dementia function and remain in their homes. Institutional care services, like nursing home care, are provided in a residential setting where people receive both medical and custodial services. Coordination among long-term care entities is especially important for sustainable and comprehensive care to meet the needs of people living with dementia.

Senior and Civic IconSenior and Civic Services

Social support and engagement promote better cognitive function. Senior and civic services include activities that facilitate social support and engagement, such as community gardening, meal delivery, exercise programs, and financial management. Support provided by these services may contribute to resilience for people living with dementia and their caregivers while they manage challenges related to functional decline and caregiving.

Priorities

In the fall of 2024, the GECC hosted a series of town hall meetings with hundreds of unique participants. These meetings yielded critical insights for the Community Services domain, including highlighting key themes and gaps in research.

  • Care
  • Promoting healthy behaviors
  • Basic needs and amenities
  • Education, knowledge, and awareness
  • Data on care quality
  • Access to restricted data, such as geographic information
  • Improved documentation of available data (e.g., periods)

Measures

To address these priorities and facilitate a better understanding of the relationship between the exposome and AD/ADRD outcomes, the Community Services domain will leverage existing measures as well as develop novel measures.

  • Care quality
  • Walkability and access to everyday amenities
  • Area deprivation index
  • Coming soon

Learn about other exposome domains

Policy Environment

Methods

Community Services

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