Planned Pathways-Strengthening Dementia-Capable Community Supports in Monroe County - Episcopal Senior Life Communities with partners Rochester Regional Health Unity Geriatrics, Episcopal Diocese of Rochester, New York State Office of Aging, Monroe County Department of Human Services, WellMed Charitable Foundation, Lifetime Assistance Inc., CaringKind, Splaine Consulting, Rev. Dr. Cynthia Huling Hummel, Isaac Health, The Arc of Monroe, and YLA Impact is proposing to address challenges people living alone with dementia, people living with IDD and dementia and family caregivers experience while navigating home and community-based services (HCBS) by implementing Planned Pathways, an innovative system to strengthen and expand dementia-capable HCBS in Rochester/Monroe County, New York. We will build dementia capacity from our Neighborhood Program expanding HCBS into community, improving dementia capability for the 3 priority populations. Project goal: maximize independence, quality of life, and health of people living with dementia (PLWD), including people living alone and people with IDD and their caregivers. Objectives: (1) deliver dementia-capable HCBS, including evidence-based (EB) programs to PLWD specific to those living alone and those with IDD; (2) deliver dementia-capable HCBS, including EB programs and short-term respite services to family caregivers; (3) offer dementia education to HCBS providers (including IDD) who support PLWD and those at increased risk. Key outcomes: for those with PLWD will be improved quality of life, increased independence, improved health outcomes, and decreased social isolation; for family caregivers will be decreased burden, increased preparedness; for providers, increased knowledge and confidence. Expected products: 120 PLWD receive services including 50 people with IDD, 25 people living alone, 185 family caregivers; 72 providers, including 22 providers representing IDD providers; 150 stakeholders focused on people who live alone; 100 stakeholders focused on IDD; and 150 EB sessions. Duration: 36 months, Sept 30, 2026 – Sept 29, 2029. 6 months planning, 30 months implementation.
