Indian Health Service - Alzheimer's Disease and Dementia Program

Planning for the Future
Advance Care Planning in Native Communities

The Indian Health Service (IHS) Alzheimer’s Program and the Elder Health Team are developing advance care planning (ACP) and planning tools to help people think about and share what matters most to them in their future health care. ACP considers the care a person would and wouldn’t want, who they trust to speak for them, and the values, beliefs, and traditions they want honored.

Caption: Sandy Haldane served as her mother’s and father’s health care agent once they reached a certain age. In March, we released three new videos about timely dementia diagnosis and ACP. Advance Care Plans: Honoring Wishes and Traditions shares perspectives from providers and a family member. They explain why planning ahead matters and offer simple ways to start these conversations. The video shows that ACP is more than a medical task. It is a way to honor a person’s wishes, traditions, and loved ones. 

To help shape this work, we held two virtual discussion groups in February. Participants talked about the emotions that can come with ACP and the importance of always honoring culture, family roles, and community values.

Participant insights are helping to shape the final ACP materials. They asked for simple language, a warm tone, and examples that reflect American Indian and Alaska Native families and traditions. Providers also said they need tools that make these conversations easier to introduce during regular visits, not only during times of crisis.

By listening to community members and frontline staff, we are creating materials that support trust, understanding, and choice. For more information on IHS Elder Health Care, visit the website.

Pictured: Sandy Haldane served as her mother’s and father’s health care agent once they reached a certain age. 

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APPLY NOW: CAReS Program NOFO for Dementia Support Available

2026 Notice of Funding Opportunity OpenThe 2026 Notice of Funding Opportunity is now open for the Addressing Dementia in Tribal and Urban Indian Communities: CAReS Program. This opportunity supports stronger, culturally responsive dementia care for American Indian and Alaska Native people, caregivers, and communities.

Applicants may apply for one of two funding tracks. Option A offers up to $750,000 in the first year to one awardee to expand dementia care through mini-projects, training, and technical assistance. Option B offers up to $300,000 in the first year to one awardee to develop a caregiver support and training center.

Federally recognized tribes, tribal organizations, urban Indian organizations, and qualified nonprofit organizations are encouraged to learn more and apply by June 1, 2026. 

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Dementia Care: Ongoing Training for Health Teams

New Clinical Dementia Training Series

The Indian Health Service Alzheimer’s Program is offering online training led by experts in aging and dementia. This training series helps health care professionals in IHS, Tribal, and urban clinics learn how to identify memory and thinking problems and make a diagnosis of mild cognitive impairment or dementia. It also covers treatment and ongoing care in ways that respect cultural practices and values.

These courses are designed for the following health care disciplines:

  • Primary Care Providers
  • Pharmacy Professionals
  • Nursing
  • Community Health Representatives (CHRs)
  • Behavioral Health Professionals
  • Dentists

Registration is required. You can select as many webinars as you wish to attend on the registration form webpage. Once registered, the Zoom link will be provided to you in a confirmation email. For questions, contact the TRIAD training team.

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