Boston Public Health Commission BOLD Project - The Boston Public Health Commission (BPHC) is applying for the Component 2 Award CDC-RFA DP23-0010, BOLD Public Health Programs to Address Alzheimer's Disease & Related Dementias (ADRD).
BPHC, the City of Boston’s local health department, was awarded a two-year “Core Capacity” grant through the BOLD Initiative in September 2021. Through that award, BPHC organized an ADRD stakeholder coalition, conducted a community needs assessment, and drafted an ADRD strategic plan for the jurisdiction that will be publicly released in early September 2023.
The BOLD Community Needs Assessment, conducted from March – July 2022, identified critical gaps in Boston’s ADRD surveillance, and revealed racial, ethnic, and socioeconomic disparities in the rates of hospitalizations and mortality due to ADRD and related chronic disease risk factors among Boston residents. Through listening sessions and key informant interviews, BPHC also uncovered needs and challenges in dementia care coordination for patients and families, and in ensuring medical and social services providers have adequate skills, knowledge, and willingness to screen, diagnose, treat, and support Boston residents who have or are at disproportionate risk of having ADRD across primary, secondary, and tertiary prevention levels.
Informed by the findings of the needs assessment, BPHC proposes to mobilize, sustain, and facilitate a diverse group of community partners and stakeholders who share a commitment to building and changing policies, systems, and environments related to ADRD in the city of Boston, with a particular focus on African American, Black, Hispanic, and Latino residents who are at higher risk of having ADRD, who bear a large burden of caregiving, and who may face barriers to risk reduction. This implementation project (Component 2) will use a public health approach – with an emphasis on social determinants of health – to build sustainable capacity and infrastructure for operationalizing and continually updating the Boston ADRD Strategic Plan.
In Project Years 1-2, BPHC will focus on achieving short term outcomes, including expanding the multi-disciplinary BOLD Stakeholder Coalition, educating partners, policymakers, and the public about ADRD topics using the best available tools, resources, and trainings, improving and optimizing the Boston BOLD ADRD strategic plan for implementation, building better ADRD surveillance data collection systems, and building capacity for increased community-clinical linkages among health care systems and community-based organizations.
In Project Years 3-5, BPHC will work to sustain short-term outcomes, while also increasing awareness and understanding of ADRD topics, increasing the number of projects and initiatives that are informed by population-level ADRD data, and facilitating further coordination among health care systems, public health agencies, and community-based organizations. In the long-term, BPHC aims to build strong and sustainable public health infrastructure that helps increase the proportion of older adults or caregivers who receive a diagnosis for ADRD; increasing the proportion of older adults who talk to their healthcare provider about changes in their memory; and reducing preventable hospitalizations related to ADRD.