This NOFO carries out actions from the Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer's Act PL115-40 6. This NOFO will fund public health departments to increase their capacity to contribute to the field of Alzheimer’s Disease and Related Dementias (ADRD) to expand and

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improve the response to ADRD in their jurisdictions and develop a connected approach to build the dementia infrastructure, including addressing social determinants of health to facilitate health equity, to improve the public health approach to Alzheimer’s disease and related dementias (ADRD) using the CDC Healthy Brain Initiative State and Local Public Health Partnerships to Address Dementia:
The 2018-2023 Road Map (for state/local applicants) as well as the Road Map for Indian Country (for tribal applicants) as a framework.

This 5-year NOFO will fund awardees in two different components, both with an emphasis on ADRD risk reduction, early diagnosis of ADRD, prevention and management of comorbidities leading to preventable hospitalizations, coordination of community services, caregiving for persons with ADRD, health equity, SDOH and community-clinical linkages:
Component 1:
“Capacity Building and Implementation” For jurisdictions without previous full spectrum ADRD-related goal setting, improve the infrastructure for dementia, create or expand a coalition, develop a single jurisdiction-wide ADRD strategic plan, and implement strategies and activities described below.

Component 1 will be funded for 2 planning years and 3 implementation years.

Component 2:
“Implementation” is for jurisdictions with infrastructure in place to implement jurisdiction-wide ADRD strategies and activities.

Component 2 will be funded for 5 full implementation years.Recipients will apply for either Component 1 or Component 2. In addition to strategies and activities listed in the NOFO, recipients are expected to increase awareness and understanding among the general public (including populations of high burden), providers, and other professionals, of ADRD topics including risk reduction, early diagnosis of ADRD, prevention and management of comorbidities leading to preventable hospitalizations, and caregiving for persons with dementia.

Recipients are also expected to increase coordination of statewide efforts including improvement of community-clinical linkages between clinical, services, supports and community resources.