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Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
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Public Health.

Walter D Dawson1,2,3,4, Allyson Stodola3, Ellis Hews3

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Summary
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Innovative programs like the Oregon Older Adult Behavioral Health Initiative (OABHI) and the Oregon Center of Excellence for Behavioral Health & Aging (OCEBHA) address co-occurring Alzheimer's disease and related dementias (ADRD) with behavioral health needs.

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Area of Science:

  • Gerontology
  • Public Health
  • Neuroscience

Background:

  • Co-occurring behavioral health conditions, including substance use disorders (SUDs) and serious mental illness (SMI), with Alzheimer's disease and related dementias (ADRD) represent an underrecognized public health issue.
  • Behavioral health conditions are a known risk factor for ADRD, highlighting the need for integrated care approaches.
  • The Oregon Older Adult Behavioral Health Initiative (OABHI) was established to address service gaps for older adults and individuals with physical disabilities experiencing behavioral health issues.

Purpose of the Study:

  • To describe the establishment and initial activities of the Oregon Center of Excellence for Behavioral Health & Aging (OCEBHA).
  • To highlight OCEBHA's unique focus on serious mental illness (SMI) and substance use in older adults.
  • To underscore the importance of state-level initiatives in addressing complex care needs.

Main Methods:

  • The Oregon Center of Excellence for Behavioral Health & Aging (OCEBHA) was established as a multi-disciplinary academic center.
  • OCEBHA aims to expand the behavioral health workforce for older adults and promote research, policy, and programs.
  • The Oregon Older Adult Behavioral Health Initiative (OABHI) utilizes a state-wide network of specialists for complex care consultation.

Main Results:

  • In its first year, OCEBHA developed a workforce assessment tool and a community asset map.
  • OCEBHA supported workforce development through a leadership academy and an annual conference.
  • A prior OABHI evaluation found that 52% of consumers had neurological/cognitive issues, with 13% diagnosed with ADRD.

Conclusions:

  • Collaborative, state-level initiatives like OCEBHA and OABHI are crucial for meeting the needs of individuals with co-occurring ADRD and behavioral health conditions.
  • These programs demonstrate a commitment to improving access to and quality of behavioral health services for vulnerable older populations.
  • The findings underscore the potential for innovative programs to address complex public health challenges in aging and behavioral health.