Alzheimer's Disease Programs Initiative (ADPI) - Dementia Capability in Indian Country

Cooperative agreements under the ADPI Dementia Capability in Indian Country Funding Opportunity Announcement (FOA) are intended to support and promote the development and implementation of dementia-capable home and community-based service (HCBS) systems in Indian Country. The Dementia Capability in Indian Country program is intended to support federally recognized tribes, tribal organizations, and/or consortiums representing federally recognized tribes in these target activities. The dementia-capable systems resulting from activities under this program are expected to provide quality, person-centered services and supports that help Tribal elders and other individuals living with dementia and their caregivers remain independent and safe in their communities. Applicants for the 36-month Dementia Capability in Indian Country cooperative agreement are those entities that are presently responsible for the provision of and actively providing home and community-based services in tribal communities (i.e., tribes, tribal organizations and/or consortiums representing federally recognized tribes). Applicants will propose to enhance existing service systems with dementia services, resulting in the provision of services to Tribal elders and their caregivers through a dementia-capable system. Responsive applications will include a signed resolution(s) permitting the tribal organization to apply for the ADPI Dementia-Capability in Indian Country funding opportunity. The inclusion of the resolution will demonstrate tribal leadership support and the authority to conduct the activities proposed in the application. If the organization is applying as a consortium, a signed resolution to apply for the current grant cycle from each member of the consortium is required. Applicants are expected to develop a three-year program that includes dementia-capable supports and services for elders living with dementia and their caregivers as well as dementia education and training of the greater tribal communities. Eligible applicants will collaborate with relevant subject matter experts and community and government entities to design and implement culturally competent quality, person-centered services and support programs. Applicants will propose three-year programs that include project milestones that will demonstrate continued progress toward stated goals. Additional Application Elements Highlights of additional program requirements to which applicants are subject are noted below with further information outlined in the full funding opportunity description: • Inclusion of a signed resolution(s) permitting the tribal organization to apply for the ADPI Dementia-Capability in Indian Country funding opportunity; • Propose implementation of a minimum of one dementia-specific evidence-based or evidence-informed intervention during the course of the grant (Administration for Community Living (ACL)/Administration on Aging (AoA) definitions of evidence-based and evidence informed are provided in this FOA); • 10% cost sharing/match; • Dedication of a percentage of TOTAL grant funds to the provision of direct services as defined in the announcement (Year 1: 25%, Year 2: 35%, Year 3: 45%); • Phased program implementation including program milestones for each year; • No single program partner may receive more than 20 percent of funding (Note: pass-through or conduit projects are prohibited); • Participation by primary grantee and partners in an initial and then annual Dementia Capability Assessment; • Robust, third-party, program evaluation, including anticipated program outcomes and measures to demonstrate program impact on persons living with dementia and their caregivers; • Compliance with program-specific, OMB-approved data collection activities, and • Participation in technical assistance opportunities.