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Continuum of Care Matrix for Alaskans with Alzheimer’s Disease and Related Dementias
and Older Alaskans (Age 60 and older)

​Levels of Community Care

Characteristics

Level I:
Frontier/Village

Level II:
Sub-Regional Center or Town

Level III:
Regional Center or Small City

Level IV:
Urban Center

Level V:
Metropolitan Area

I. Services for Individuals with Alzheimer’s Disease and Related Dementias

a. Outreach & Education

Information and referral available statewide through SeniorCare toll-free number. Literature, audio/video resources available through Alzheimer’s Resource or Geriatric Ed Centers

Information and referral available statewide through SeniorCare toll-free number.

Literature, audio/video resources, some trainings available through Alzheimer’s Resource or Geriatric Ed Centers

Information and referral available statewide through SeniorCare toll-free number. Aging and Disability Resource Center in Kenai.

Literature, audio/video resources, some trainings available through Alzheimer’s Resource or Geriatric Ed Centers

Information and referral available statewide through SeniorCare toll-free number.

Aging and Disability Resource Center in Juneau .

Literature, audio/video resources, trainings available through Alzheimer’s Resource or Geriatric Ed Centers

Information and referral available statewide through SeniorCare toll-free number.

Literature, audio/video resources, trainings available through Alzheimer’s Resource or Geriatric Ed Centers. Statewide conferences.

b. Assessment

Assessment – targeted, personal service.

Assessment – targeted, personal service.

Assessment – targeted, personal service.

Assessment – targeted, personal service.

Assessment – targeted, personal service.

c. Medical

Community Health Aides

Health Clinics, Physician’s Assistants, Public Health Nurses

Health Clinics, Physician’s Assistants, Public Health Nurses, Nurse Practitioners, physicians, some small communities have hospitals

Health Clinics, Physician’s Assistants, Public Health Nurses, Nurse Practitioners, physicians, hospitals

Health Clinics, Physician’s Assistants, Public Health Nurses, Nurse Practitioners, physicians, hospitals

d. Pharmaceutical

Prescription medications available primarily through village-based IHS clinics or dispensaries.

Prescription medications available primarily through IHS clinics and some private pharmacies, physicians and nurse practitioners.

Prescription medications available through IHS clinics, hospitals, private pharmacies, physicians and nurse practitioners.

Prescription medications available through IHS clinics, hospitals, private pharmacies, physicians and nurse practitioners.

Prescription medications available through IHS clinics, hospitals, private pharmacies, physicians and nurse practitioners.

e. Home and Community Based Services

i. Care coordination

Care coordination – targeted, personal service, dependent on available workforce

Care coordination – targeted, personal service, dependent on available workforce

Care coordination – targeted, personal service, dependent on available workforce

Care coordination – targeted, personal service, dependent on available workforce

Care coordination – targeted, personal service, dependent on available workforce

ii. Personal care attendant

Personal care attendant – very limited, not available in many villages due to workforce shortage

Personal care attendant – targeted, personal, very limited, not available in many towns due to workforce shortage

Personal care attendant – targeted personal, dependent on available workforce

Personal care attendant – targeted personal, dependent on available workforce

Personal care attendant – targeted personal, dependent on available workforce

iii. Chore services

Chore services – very limited, not available in most villages due to workforce shortage

Chore services – limited, dependent on workforce availability

Chore services – dependent on workforce availability

Chore services – dependent on workforce availability

Chore services – dependent on workforce availability

iv. Respite

Respite – very limited, not available in most villages

Respite – limited, not available in all towns

Respite – dependent on workforce availability

Respite – dependent on workforce availability

Respite – dependent on workforce availability

v. Adult day programs for individuals with ADRD. 15 programs across state, two which coordinate with community mental health centers for assessment, referral and medication management.

not available

not available

Adult day programs – limited availability

Adult day programs

Adult day programs

vi. Meals – congregate and home-delivered

Congregate meals very limited, not available in most villages/home delivered meals not available

Congregate meals limited, not available in all towns/ home delivered meals not available

Meals – congregate and home-delivered, one or both available in some communities

Meals – congregate and home-delivered available

Meals – congregate and home-delivered available

vii. Assisted transportation

Not available

Not available

Assisted transportation - limited availability

Assisted transportation

Assisted transportation

viii. Environmental

modifications

Environmental modifications – rarely available due to lack of local contractors

Environmental modifications – dependent on availability of local contractors

Environmental modifications – dependent on availability of local contractors

Environmental modifications

Environmental modifications

ix. Specialized medical

equipment

Specialized medical equipment – limited availability

Specialized medical equipment – limited availability

Specialized medical equipment

Specialized medical equipment

Specialized medical equipment

f. Family Caregiver Support

Family caregiver support – very limited, not available in most villages

Family caregiver support – limited, not available in all towns.

Family caregiver support – dependent on workforce availability

Family caregiver support – dependent on workforce availability

Family caregiver support – dependent on workforce availability

g. Legal Service (AoA funded through Alaska Legal Services

Phone and internet assistance available

Phone and internet assistance available

Legal Service – in person and phone and internet assistance available

Legal Service – in person and phone and internet assistance available

Legal Service – in person and phone and internet assistance available

h. Residential Care

i. Assisted Living Homes

Not available

Not available

Assisted Living Homes – limited availability

Assisted Living Homes

Assisted Living Homes

ii. Pioneers Homes

Not available

Not available

Pioneers Homes – Ketchikan , Palmer, Sitka

Pioneers Homes – Fairbanks and Juneau

Pioneers Home - Anchorage

iii. Nursing Homes

Not available

Not available

Nursing Homes – limited availability

Nursing Homes

Nursing Homes

II. Specialized Behavioral Health Services for Seniors

a. Mental Health

Not available

Mental Health for Seniors – limited assessment and referral

Mental Health for Seniors – limited assessment and referral

Mental Health for Seniors – limited assessment and referral

Not available

b. Chemical Dependency

Not available

Chemical Dependency – limited assessment and referral

Chemical Dependency – limited assessment and referral

Chemical Dependency – limited assessment and referral

Chemical Dependency Treatment – Inpatient elders program

 

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