Port Gamble S'Klallam Comprehensive ADRD Care Initiative - The Port Gamble S’Klallam Tribe (PGST) will improve the quality of life, health, and safety for Tribal Elders, people living with Alzheimer's disease and related dementias (ADRD), intellectual and developmental disabilities (IDD), and their family caregivers by creating a culturally responsive dementia-capable system of care. The project will strengthen dementia-capable health systems, support caregivers, and improve community and at-home safety through coordinated services, workforce development, and evidence-based interventions. Located in western Washington State, PGST serves 1,556 enrolled Tribal members, including 283 Elders. Elders face significant barriers to dementia care, such as rural geography, transportation limitations, housing instability, and poverty rates above state averages. From September 30, 2026, through September 29, 2029, PGST will address these challenges by: Expanding cognitive screening, care coordination, and referral pathways across Tribal health and social service programs. Providing the evidence-based Savvy Caregiver in Indian Country program twice annually, reaching at least 100 caregivers over three years. Delivering dementia-specific workforce training to at least 150 Tribal staff and partners. Implementing safety interventions for at least 150 individuals living with or at-risk for ADRD. Establishing a coordinated dementia care network. Rooted in Tribal values like honoring Elders and community responsibility, these efforts will increase access to culturally appropriate dementia services, strengthen caregiver knowledge, expand workforce capacity, improve care coordination, and reduce risks for vulnerable adults. By the end of the project, PGST will have a sustainable, community-led dementia-capable system that supports independence, safety, and well-being for Tribal Elders and their caregivers.
