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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

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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

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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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Implementing HBI Road Map Actions in States   

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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: cdcinfo@cdc.gov 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 laa0@cdc.gov