Indian Health Service - Alzheimer's Disease and Dementia Program

Northern Valley Indian Health Advances Dementia Care with Early Detection and Community Engagement

Northern Valley Indian Health (NVIH) is advancing dementia care for American Indian and Alaska Native communities in Northern California. By introducing the Mini-CogŠ, a quick and easy tool for detecting early signs of Alzheimer’s and other dementias, NVIH helps more people benefit from early detection and get the support they need to manage memory problems.

The three-minute screening tool can be used in medical, dental, and community settings, making it a practical option for many providers. With funding from the Indian Health Service Alzheimer’s Program grants, NVIH expanded the use of the Mini-CogŠ across its programs by growing its team and prioritizing education on early dementia screening.

To encourage more Mini-CogŠ screenings, NVIH launched a friendly competition among staff, boosting confidence and enthusiasm.

“I think the competition helped our team get comfortable with the Mini-CogŠ process,” said NVIH Community Health RN Coordinator Tonya Tyler. “Now, screenings are done regularly.” 

Building on these efforts, NVIH also:

  • Develops personalized care plans for patients and their families.
  • Offers training and education on dementia care to caregivers.
  • Hosts interactive presentations on the importance of early screening.
  • Provides culturally relevant patient education materials.
The educational events engage community members in fun, interactive ways while fostering collaboration with local partners. For example, NVIH meets quarterly with the Butte County Public Health Healthy Brain Initiative to address dementia-related issues. These gatherings build trust and create meaningful connections among healthcare providers, staff, patients, and caregivers.

NVIH’s dedication to early detection and community-centered care empowers families and shapes a brighter, healthier future for the communities it serves. For more information on Northern Valley Indian Health, visit www.nvih.org/services

The Alzheimer's Program website has IHS training videos that show how quick and easy it is to use the Mini-CogŠ. 

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Geriatric Nurse Fellowship: Clinical Impact

Keller Presents a Project Aimed at Better Understanding the Community Barriers to Using Long-Term Service and Supports.

John M. Keller is a Registered Nurse for the Indian Health Council (IHC) in California and is a member of the Indian Health Geriatric Nurse Fellowship (GNF) Program. 

As part of the Indian Health Geriatric Nurse Fellowship program, participants like Mr. Keller develop projects or activities that are presented at the close of each GNF cohort. Keller’s project is Evaluating Perceptions to Placement Outside of the Home for Indigenous Relatives Living with Dementia. This project aimed to better understand actual or perceived barriers in their community so that they could address them more effectively. 

Pearls from his project were:

• Lack of trust in the healthcare system is not a significant concern in their community.

• Conversations about advanced planning within their community need to start at an earlier age.

• Awareness of organizations that offer information or training for people living with dementia or their caregivers is low; only 20% of people know where to get help.

• The top three reasons why someone decides to care for a family member at home: concerns about receiving loving care, cost, and feelings of guilt.

You can be part of the newest GNF cohort and do meaningful work like this in your community. The deadline to apply is November 8th. For more information on how to apply, visit the Indian Health Geriatric Nurse Fellowship Program page on the Alzheimer’s Program website. 

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November is National Family Caregivers Month! ​​​​​

In American Indian and Alaska Native communities, caregiving is rooted in family and community cultural values. This tradition is meaningful but challenging—especially for caregivers of those with Alzheimer's and other types of dementia.

Learn how to honor caregivers and find support by reading the resources on the National Council on Aging website. You can also read Dr. Jolie Crowder's IHS Alzheimer's Program blog this November, which honors American Indian and Alaska Native family caregivers!

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Alzheimer’s Association Resources​​​​​​

They’re Here to Help!

Share the following helpline with your patients and their families. Encourage them to talk to a dementia expert at the Alzheimer’s Association's free 24/7 Helpline. They can get confidential support, crisis assistance, local resources, and information in over 200 languages.

Call 800.272.3900

There are other ways to get help, too. Read more about the resources available to everyone!

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