Stanford University/Palo Alto Veteran's Administration CADC
3801 Miranda Avenue, (116F-PAD)
Bldg. 6, Second Floor, Room C264
Palo Alto, CA 94304
Jared Tinklenberg, M.D. Director/Principal Investigator
History and Background
The Stanford/VA Palo Alto CADC, located at the Department of Veterans Affairs Health Care System in Palo Alto, has addressed the specialized situations and concerns encountered by individuals with memory disorders and their caregivers since 1989.One of the premier assessment centers in Northern California, theStanford/VA CADC offersspecialized diagnostic and support services to optimize the cognitive, functional, and behavioral abilities of individuals with memory disorders, and to improve health care delivery and quality of life for both patients and caregivers. Our areas of service mainly comprise Santa Clara, San Mateo, Santa Cruz, San Benito, and Monterey Counties, as well as parts of Alameda and Stanislaus Counties. The ethnically and culturally diverse populations residing in these areas include many individuals of Asian and Hispanic or Latino descent. Our outreach efforts for some time now have focused on underserved and vulnerable populations, including veterans and ethnic minorities. Our multilingual, diverse staff is sensitive to the unique issues facing these groups. With many Bay Area seniors at risk of developing cognitive impairment, the Stanford/VA CADC actively engages this burgeoning problem by offering patients and their families access to no-cost, state-of-the-art diagnostic assessments,referral services,specialized support groups, and educational programs about health maintenance, Alzheimer’s disease, and related dementias.
The Stanford/VA CADC provides a high level of expertise in multiple health care disciplines. In addition to providing advanced caregiver support, community education, and professional training, the Center has gained a strong reputation in the community for helping Californians with difficult-to-diagnose conditions. Early identification of cognitive decline and AD is critical so that available treatments, which are most effective before extensive damage to the brain has occurred, can be started, and families can plan for the future, take advantage of available community services, and develop effective coping strategies. Our primary goal is to keep patients in the community, avoiding or postponing institutionalization.
Additionally, our staff is available for consultation and support throughout the course of the illness. The availability of our ongoing crisis intervention services has played a significant role in helping many caregivers manage acute problems and may reduce reliance on California emergency services (e.g., 911 phone calls, emergency room visits, etc.).
Economic Development and Professional Training
The Stanford/VA CADC provides the basic infrastructure to attract new resources into the local economy, leveraging the investment of the state by approximately six-fold or more. These include support from various Federal sources, private Foundation grants, industry for clinical trials, and a range of specialized funds for research and student training.
The CADCs have helped to build a vital workforce to address the current and changing demographics of California and the State’s growing need for services with the proficiency and sensitivity to accommodate individuals with memory disorders. Our Center has played a significant role in the training and capacity development of local physicians, nurses, physician assistants, health care professionals, and research investigators. The Stanford/VA CADC is a site of a VA centrally-funded geriatric psychiatry fellow training program and provides additional educational opportunities for professionals through residencies, rotations, clerkships, continuing medical education courses, academic classes, lectures, and presentations.
The Stanford/VA CADC’s long-standing partnerships with many local physicians, professionals, and community organizations offer a network of education and support for patients and families. Our collaborators include the Alzheimer’s Association of Northern California, Family Caregiver Alliance, Parkinson’s Institute, Kaiser Permanente, and local senior centers, such as Rosener House Adult Day Services. We have been instrumental in educating thousands of California patients, caregivers, and family members about prevention and treatment of Alzheimer’s disease, Mild Cognitive Impairment (MCI), and related disorders. For more than 20 years now, the Center has offered support groups to educate families on memory disorders, as well as to address psychosocial concerns
Information about the Clinic
A referral from a physician is not necessary to participate. Individuals with complaints of memory problems may self-refer, or receive referrals from family members, community agencies, or personal physicians. We often receive referrals from friends and family members of former and current patients, and our Center follows many of these families longitudinally. Our scope is not limited to Alzheimer’s disease. The Stanford/VA CADC clinical team has experience evaluating complex or unusual cases, and we are happy to provide second opinions. Veterans and non-veterans alike are welcome to participate.
There is no cost for the services provided by the Stanford/VA CADC. However, to complete the diagnostic workup, patients may be referred to their private physicians for laboratory tests and/or brain scans. Veterans may be eligible to receive these services through the VA Health Care System.
- Jared R. Tinklenberg, MD, Staff Psychiatrist, Director
- Jerome A. Yesavage, MD, Chief of Psychiatry, Co-Director
- Terry P. Miller, MD, Senior Medical Consultant
- Helen D. Davies, MS, APRN, BC, Senior Nursing Consultant
- Shamala V. Kanchan, MD, Staff Psychiatrist
- Pauline A. Luu, BS, Program Administrator
- Lori A. Newkirk, MBA, Patient Information Coordinator
- Sally Joseph, BA, Data Manager
- Virginia L. Dao, BA, Clinical Assistant
- Elena Marinelli, BA, Clinical Assistant
- Tia Johnson, Administrative Assistant
- Rashid Jahangiri, MD, Geriatric Fellow (Annual Rotation)
Opportunities to Participate in Research
Our Center works collaboratively with the Stanford Aging Clinical Research Center and the VA Mental Illness Research Education and Clinical Care Center. We refer patients to clinical trials evaluating new ways of treating and diagnosing Alzheimer's disease. We also refer patients to studies of aging that focus on how different factors, such as regular exercise, may slow down cognitive decline in old age. We are currently interested in further exploring the influence of genetic factors, such as family history, in the development of Alzheimer’s disease and other memory problems. Patients may be invited to take part in one or more of these studies. For a complete list of current research opportunities, please refer to the Stanford/VA Palo Alto CADC website at Stanford/VA Palo Alto CADC website.