Breaking Barriers in Elder Care: TCRHCC Launches Infusion Therapy for Dementia Patients
The Tuba City Regional Health Care Center (TCRHCC) Dementia Program provides caring, culturally responsive support for people living with Alzheimer’s disease and other dementias. TCRHCC recently started a monoclonal antibody infusion treatment program for early Alzheimer’s disease. The first patient began receiving services in November 2025.
“One of our proudest achievements is that TCRHCC is the first health care facility on the Navajo Nation to begin infusion treatment for Alzheimer’s patients,” said Monica Begay, Alzheimer’s and Dementia Program coordinator.
This is a major step forward for Navajo community members and those in areas nearby. In the past, patients often had to travel for several hours to off-reservation sites for highly specialized dementia services. By offering the monoclonal antibody, Leqembi, at TCRHCC, patients can now receive a specialized Alzheimer’s treatment closer to home. Leqembi is a prescription medicine used to treat people with early Alzheimer’s disease, including mild cognitive impairment (MCI) or mild dementia.
The treatment protocol lasts about 18 months. Patients receive regular MRI scans and follow-up appointments so providers can watch for any changes and ensure safety. This level of coordination and long-term care requires consistent and clear education for patients and caregivers about what to expect throughout the process.
This highly specialized dementia care is just one of many services offered by the TCRHCC Alzheimer’s and Dementia Program. Their work is supported through funding from the Indian Health Service Alzheimer’s Program. As a grantee, the Nation has been able to increase education for patients, families and caregivers. Staff created educational materials that reflect local culture, including brochures and presentations translated into Diné with voiceover support.
Looking ahead, staff are preparing to launch caregiver support groups and offer additional education sessions after completing training from the Alzheimer’s Association. These efforts will continue to strengthen care for people living with dementia and the families who support them.
Pictured: Tuba City Alzheimer's and Dementia group: Program Coordinator Monica Begay, Ambulatory Care Program Director Michelle Maloney, Mental Health and ENT/Audiology Veronica Granger.
Cold weather can be challenging for people living with dementia. Memory loss and changes in judgment can make it harder to dress warmly, stay a safe distance from heaters, or remember to come back inside. 
