{"id":29,"date":"2025-03-27T20:09:28","date_gmt":"2025-03-27T20:09:28","guid":{"rendered":"https:\/\/wp.gatewayexposome.org\/?page_id=29"},"modified":"2025-04-02T19:09:31","modified_gmt":"2025-04-02T19:09:31","slug":"community-service","status":"publish","type":"page","link":"https:\/\/wp.gatewayexposome.org\/index.php\/community-service\/","title":{"rendered":"COMMUNITY SERVICE"},"content":{"rendered":"<div class=\"custom-background\">\n\n\n<div class=\"wp-block-group is-content-justification-center is-nowrap is-layout-flex wp-container-core-group-is-layout-1 wp-block-group-is-layout-flex\">\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"140\" height=\"133\" src=\"https:\/\/wp.gatewayexposome.org\/wp-content\/uploads\/2025\/04\/community_service_environment.png\" alt=\"\" class=\"wp-image-323\" style=\"object-fit:cover;width:60px;height:60px\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading has-text-color has-link-color wp-elements-7d8d56a6948dfd083d7a598a21d43e08\" style=\"color:#4b2377;font-style:normal;font-weight:800\">Community Services Environment<\/h2>\n<\/div>\n\n\n\n<div style=\"display: flex; align-items: center; gap: 5px; \">\n    <div\n        style=\"\n        flex-grow: 1;\n        height: 2px;\n        background-color: #4ec16a;\n        position: relative;\n        \"\n    >\n        <div\n            style=\"\n                position: absolute;\n                top: 50%;\n                right: 0;\n                transform: translate(50%, -50%);\n                width: 12px;\n                height: 12px;\n                background-color: #4ec16a;\n                border-radius: 50%;\n\n\n            \"\n        >\n        <\/div>\n    <\/div>\n    <h2 class=\"townhalls-heading text-center\" style=\"margin-bottom: 0px; color: #4b2777;\">Team<\/h2>\n<\/div>\n\n\n\t<div id=\"fullCommunityTeamContainer\" >\n\t  <div class=\"team-container\">\n\t\t<div class=\"team-member\">\n\t\t  <img decoding=\"async\" src=\"https:\/\/wp.gatewayexposome.org\/wp-content\/uploads\/2025\/04\/hwajung_choi.png\" class=\"d-block rounded-circle mx-auto\" \/>\n\t\t  <p class=\"mt-2 fw-bold\" style=\"margin-bottom:0px;\">HwaJung Choi<\/p>\n\t\t  <p class=\"m-0\" style=\"margin-bottom:0px;\">University of Michigan<\/p>\n\t\t  <p class=\"m-0\" style=\"margin-bottom:0px;\">Domain Co-Lead<\/p>\n\t\t<\/div>\n\t\t<div class=\"team-member\">\n\t\t  <img decoding=\"async\" src=\"https:\/\/wp.gatewayexposome.org\/wp-content\/uploads\/2025\/04\/david_van_riper.png\" class=\"d-block rounded-circle mx-auto\" \/>\n\t\t  <p class=\"mt-2 fw-bold\" style=\"margin-bottom:0px;\">David Van Riper<\/p>\n\t\t  <p class=\"m-0\" style=\"margin-bottom:0px;\">University of Minnesota<\/p>\n\t\t  <p class=\"m-0\" style=\"margin-bottom:0px;\">Domain Co-Lead<\/p>\n\t\t<\/div>\n\t\t<div class=\"team-member\">\n\t\t  <img decoding=\"async\" src=\"https:\/\/wp.gatewayexposome.org\/wp-content\/uploads\/2025\/04\/tina_mainieri.png\" class=\"d-block rounded-circle mx-auto\" \/>\n\t\t  <p class=\"mt-2 fw-bold\" style=\"margin-bottom:0px;\">Tina Mainieri<\/p>\n\t\t  <p class=\"m-0\" style=\"margin-bottom:0px;\">University of Michigan<\/p>\n\t\t  <p class=\"m-0\" style=\"margin-bottom:0px;\">Project Manager<\/p>\n\t\t<\/div>\n\t\t<div class=\"team-member\">\n\t\t  <img decoding=\"async\" src=\"https:\/\/wp.gatewayexposome.org\/wp-content\/uploads\/2025\/04\/carson_crane.png\" class=\"d-block rounded-circle mx-auto\" \/>\n\t\t  <p class=\"mt-2 fw-bold\" style=\"margin-bottom:0px;\">Carson Crane<\/p>\n\t\t  <p class=\"m-0\" style=\"margin-bottom:0px;\">University of Minnesota<\/p>\n\t\t  <p class=\"m-0\" style=\"margin-bottom:0px;\">Research Coordinator<\/p>\n\t\t<\/div>\n\t\t<div class=\"team-member\">\n\t\t  <img decoding=\"async\" src=\"https:\/\/wp.gatewayexposome.org\/wp-content\/uploads\/2025\/04\/bona_park.png\" class=\"d-block rounded-circle mx-auto\" \/>\n\t\t  <p class=\"mt-2 mb-0 fw-bold\" style=\"margin-bottom:0px;\">Bona Park<\/p>\n\t\t  <p class=\"m-0\" style=\"margin-bottom:0px;\">University of Michigan<\/p>\n\t\t  <p class=\"m-0\" style=\"margin-bottom:0px;\">Research Coordinator<\/p>\n\t\t<\/div>\n\t  <\/div>\n\t<\/div>\n\n\t<style>\n\t  .team-container {\n\t\tdisplay: grid;\n\t\tgrid-template-columns: repeat(5, 1fr); \/* 5 items in a row on large screens *\/\n\t\tgap: 1rem;\n\t  }\n\n\t  .team-member {\n\t\ttext-align: center;\n\t  }\n\n\t  @media (max-width: 1023px) {\n\t\t.team-container {\n\t\t  grid-template-columns: repeat(2, 1fr); \/* 2 items in a row on tablet screens *\/\n\t\t}\n\t  }\n\n\t  @media (max-width: 767px) {\n\t\t.team-container {\n\t\t  grid-template-columns: 1fr; \/* 1 item in a row on mobile screens *\/\n\t\t}\n\t  }\n\n\t  .team-member img {\n\t\twidth: 10rem;\n\t\theight: 10rem;\n\t\tobject-fit: cover;\n\t\tborder: 5px solid #4ec16a;\n\t\tborder-radius: 50%;\n\t  }\n\n\t  .mt-2 {\n\t\tmargin-top: 0.5rem;\n\t  }\n\n\t  .fw-bold {\n\t\tfont-weight: bold;\n\t  }\n\n\t  .m-0 {\n\t\tmargin: 0;\n\t  }\n\t<\/style>\n \n\n\n\n<div style=\"display: flex; align-items: center; gap: 0px;\">\n    <h2 class=\"townhalls-heading\" style=\"margin-right: 0.2rem; margin-bottom: 0px; color: #4b2777;\" >\n    Overview\n    <\/h2>\n    <div\n    style=\"\n        position: relative;\n        width: 12px;\n        height: 12px;\n        background-color: #4ec16a;\n        border-radius: 50%;\"><\/div>\n    <div style=\"flex-grow: 1; height: 2px; background-color: #4ec16a\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-2 wp-block-group-is-layout-flex\" style=\"margin-top:var(--wp--preset--spacing--30);margin-bottom:var(--wp--preset--spacing--30)\">\n<p>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.<\/p>\n\n\n<div class=\"su-accordion su-u-trim\">\n<div class=\"su-spoiler su-spoiler-style-default su-spoiler-icon-plus su-spoiler-closed\" data-scroll-offset=\"0\" data-anchor-in-url=\"no\"><div class=\"su-spoiler-title\" tabindex=\"0\" role=\"button\"><span class=\"su-spoiler-icon\"><\/span><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/wp.gatewayexposome.org\/wp-content\/uploads\/2025\/04\/healthcare.png\" alt=\"Healthcare Icon\" width=\"20\" height=\"20\" style=\"vertical-align: middle;margin-right: 8px\" \/>Healthcare Services<\/div><div class=\"su-spoiler-content su-u-clearfix su-u-trim\">\n<p>\n    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\u2019s 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.\n  <\/p>\n<\/div><\/div>\n<div class=\"su-spoiler su-spoiler-style-default su-spoiler-icon-plus su-spoiler-closed\" data-scroll-offset=\"0\" data-anchor-in-url=\"no\"><div class=\"su-spoiler-title\" tabindex=\"0\" role=\"button\"><span class=\"su-spoiler-icon\"><\/span><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/wp.gatewayexposome.org\/wp-content\/uploads\/2025\/04\/ambulance.png\" alt=\"Safety and Emergency Icon\" width=\"20\" height=\"20\" style=\"vertical-align: middle;margin-right: 8px\" \/>Safety and Emergency Services<\/div><div class=\"su-spoiler-content su-u-clearfix su-u-trim\">\n<p>\n    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.\n  <\/p>\n<\/div><\/div>\n<div class=\"su-spoiler su-spoiler-style-default su-spoiler-icon-plus su-spoiler-closed\" data-scroll-offset=\"0\" data-anchor-in-url=\"no\"><div class=\"su-spoiler-title\" tabindex=\"0\" role=\"button\"><span class=\"su-spoiler-icon\"><\/span><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/wp.gatewayexposome.org\/wp-content\/uploads\/2025\/04\/long_term_care.png\" alt=\"Long Term Care Icon\" width=\"20\" height=\"20\" style=\"vertical-align: middle;margin-right: 8px\" \/>Long term Care Services<\/div><div class=\"su-spoiler-content su-u-clearfix su-u-trim\">\n<p>\n    Long-term care services comprise home-based, community-based, and institutional care services for aging adults. Home- and community-based services \u2014 including family caregiving, home health aides, adult day services, and respite care \u2014 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.\n  <\/p>\n<\/div><\/div>\n<div class=\"su-spoiler su-spoiler-style-default su-spoiler-icon-plus su-spoiler-closed\" data-scroll-offset=\"0\" data-anchor-in-url=\"no\"><div class=\"su-spoiler-title\" tabindex=\"0\" role=\"button\"><span class=\"su-spoiler-icon\"><\/span><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/wp.gatewayexposome.org\/wp-content\/uploads\/2025\/04\/senior_civic.png\" alt=\"Senior and Civic Icon\" width=\"20\" height=\"20\" style=\"vertical-align: middle;margin-right: 8px\" \/>Senior and Civic Services<\/div><div class=\"su-spoiler-content su-u-clearfix su-u-trim\">\n<p>\n    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.\n  <\/p>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"display: flex; align-items: center; gap: 5px; \">\n<div\n  style=\"\n    flex-grow: 1;\n    height: 2px;\n    background-color: #4ec16a;\n    position: relative;\n  \"\n>\n  <div\n    style=\"\n      position: absolute;\n      top: 50%;\n      right: 0;\n      transform: translate(50%, -50%);\n      width: 12px;\n      height: 12px;\n      background-color: #4ec16a;\n      border-radius: 50%;\n    \"\n  ><\/div>\n<\/div>\n<h2 class=\"townhalls-heading text-center m-2\" style=\"margin-bottom: 0px; margin-left: 10px; color: #4b2777;\">Priorities<\/h2>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"margin-top:var(--wp--preset--spacing--30);margin-bottom:var(--wp--preset--spacing--40)\">\n<h2 class=\"wp-block-heading has-text-color has-link-color wp-elements-24f3e6761746b19fb28dc645d862a5eb\" style=\"color:#4b2777;font-size:24px;font-style:normal;font-weight:700\">Community Insights<\/h2>\n\n\n\n<p>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.<\/p>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-content-justification-center is-layout-constrained wp-block-column-is-layout-constrained\">\n<p class=\"has-text-color has-link-color wp-elements-240dec38577d830dfb994119b7f50f6b\" style=\"color:#4b2777\"><strong>Key Themes<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Care<\/li>\n\n\n\n<li>Promoting healthy behaviors<\/li>\n\n\n\n<li>Basic needs and amenities<\/li>\n\n\n\n<li>Education, knowledge, and awareness<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-content-justification-center is-layout-constrained wp-block-column-is-layout-constrained\">\n<p class=\"has-text-color has-link-color wp-elements-ef0053464b03a1ca185eca7d58bb6ad1\" style=\"color:#4b2777;padding-right:0;padding-left:0\"><strong>Gaps in research<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Data on care quality<\/li>\n\n\n\n<li>Access to restricted data, such as geographic information<\/li>\n\n\n\n<li>Improved documentation of available data (e.g., periods)<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"display: flex; align-items: center; gap: 0px; \">\n    <h2 class=\"townhalls-heading\" style=\"margin-right: 0.2rem; margin-bottom: 0px; color: #4b2777;\">\n        Measures\n    <\/h2>\n    <div\n        style=\"\n        position: relative;\n        width: 12px;\n        height: 12px;\n        background-color: #4ec16a;\n        border-radius: 50%;\n        \"\n    ><\/div>\n    <div\n        style=\"flex-grow: 1; height: 2px; background-color: #4ec16a\"\n    ><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"margin-top:var(--wp--preset--spacing--30);margin-bottom:var(--wp--preset--spacing--30);padding-top:0\">\n<p>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.<\/p>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center is-layout-flex wp-container-core-columns-is-layout-2 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-content-justification-center is-layout-constrained wp-block-column-is-layout-constrained\">\n<p class=\"has-text-color has-link-color wp-elements-5792b322012b184c64fab7c0335d64f3\" style=\"color:#4b2777\"><strong><strong>Existing Measures<\/strong><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Care quality<\/li>\n\n\n\n<li>Walkability and access to everyday amenities<\/li>\n\n\n\n<li>Area deprivation index<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-content-justification-center is-layout-constrained wp-block-column-is-layout-constrained\">\n<p class=\"has-text-color has-link-color wp-elements-28dfb0abb1f9b95f4c88f078067e56e9\" style=\"color:#4b2777;padding-right:0;padding-left:0\"><strong><strong>Novel Measures<\/strong><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Coming soon<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"display: flex; align-items: center; gap: 5px; \">\n    <div\n    style=\"\n        flex-grow: 1;\n        height: 2px;\n        background-color: #4ec16a;\n        position: relative;\n    \"\n    >\n    <div\n        style=\"\n        position: absolute;\n        top: 50%;\n        right: 0;\n        transform: translate(50%, -50%);\n        width: 12px;\n        height: 12px;\n        background-color: #4ec16a;\n        border-radius: 50%;\n        \"\n    ><\/div>\n    <\/div>\n    <h2 class=\"townhalls-heading\" style=\"padding-left: 0.2rem; color: #4b2777; margin-bottom: 0px;\">\n        Learn about other exposome domains\n    <\/h2>\n<\/div>\n\n\n\n<div class=\"wp-block-columns has-ast-global-color-4-background-color has-background is-layout-flex wp-container-core-columns-is-layout-3 wp-block-columns-is-layout-flex\" style=\"margin-top:var(--wp--preset--spacing--40);margin-bottom:var(--wp--preset--spacing--40)\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><a href=\"https:\/\/wp.gatewayexposome.org\/index.php\/policy-environment\/\" style=\"text-decoration: none; color: black;\">\n<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter is-resized size-full\"><a href=\"https:\/\/wp.gatewayexposome.org\/index.php\/policy-environment\/\"><img loading=\"lazy\" decoding=\"async\" width=\"140\" height=\"132\" src=\"https:\/\/wp.gatewayexposome.org\/wp-content\/uploads\/2025\/04\/policy_environment.png\" alt=\"\" class=\"wp-image-352\" style=\"object-fit:cover;width:100px;height:100px\"\/><\/a><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-text-align-center\"><strong>Policy Environment<\/strong><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><a href=\"https:\/\/wp.gatewayexposome.org\/index.php\/methods\/\" style=\"text-decoration: none; color: black;\">\n<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter is-resized size-large\"><a href=\"https:\/\/wp.gatewayexposome.org\/index.php\/methods\/\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"707\" src=\"https:\/\/wp.gatewayexposome.org\/wp-content\/uploads\/2025\/04\/methods-1024x707.png\" alt=\"\" class=\"wp-image-349\" style=\"object-fit:cover;width:100px;height:100px\" srcset=\"https:\/\/wp.gatewayexposome.org\/wp-content\/uploads\/2025\/04\/methods-1024x707.png 1024w, https:\/\/wp.gatewayexposome.org\/wp-content\/uploads\/2025\/04\/methods-300x207.png 300w, https:\/\/wp.gatewayexposome.org\/wp-content\/uploads\/2025\/04\/methods-768x530.png 768w, https:\/\/wp.gatewayexposome.org\/wp-content\/uploads\/2025\/04\/methods.png 1448w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-text-align-center\"><strong>Methods<\/strong><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><a href=\"https:\/\/wp.gatewayexposome.org\/index.php\/community-service\/\" style=\"text-decoration: none; color: black;\">\n<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter is-resized size-full\"><a href=\"https:\/\/wp.gatewayexposome.org\/index.php\/community-service\/\"><img loading=\"lazy\" decoding=\"async\" width=\"140\" height=\"133\" src=\"https:\/\/wp.gatewayexposome.org\/wp-content\/uploads\/2025\/04\/community_service_environment.png\" alt=\"\" class=\"wp-image-323\" style=\"object-fit:cover;width:100px;height:100px\"\/><\/a><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-text-align-center\"><strong>Community Services<\/strong><\/p>\n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n\n\n<\/div>\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Community Services Environment Team Overview The Community Services domain focuses on care and support systems, including healthcare, long-term care, senior [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-29","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin 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