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Chronic disease control branch

California Healthy Brain Initiative (HBI)

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​The purpose of the California Healthy Brai​n Initiative (HBI) is to implement public health strategies that promote brain health, address dementia and support people with dementia and their caregivers. The State of California supports activities that are consistent with the Alzheimer's Association  and the United States Centers for Disease Control and Prevention's published Healthy Brain Initiative: State and Local Road Map for Public Health, 2023-2027 (Road Map, PDF, 20.4 MB), which is categorized into four traditional domains of public health:

  1. Strengthen Partnerships and Policies: Public health strengthens, supports and mobilizes community partnerships to improve brain health. It also creates, champions and implements supportive policies and plans.

  2. Measure, Evaluate and Utilize Data: Public health monitors health status to identify and solve community health problems and evaluates effectiveness, accessibility and quality of personal and population-based health care services. Findings are translated into data-informed programs and policies to improve brain health across the life course.

  3. Build a Diverse and Skilled Workforce: Public health trains and prepares the public health and health care workforce to educate their constituents and provide the best care to people at risk for or living with dementia while supporting caregivers.

  4. Engage and Educate the Public: Public health engages with diverse communities to understand how messages are best delivered and what information to convey to specific populations. Public health communicates effectively to educate people about factors that influence brain health and ways to maintain or improve their cognitive health and quality of life.

Healthy Brain Initiative Road Map Framework​​

HBI Projects 2022-2025​​

​Through 2022 Budget Act (Assembly Bill 179, Chapter 249, Statutes of 2022), CDPH Chronic Disease Control Branch Alzheimer’s Disease Program (ADP) has funded thirteen (13) local health jurisdictions (LHJs) to implement HBI Road Map activities locally. Their work incorporates the following fundamental planning principles: eliminating health disparities, improving health equity, collaborating across multiple sectors, and leveraging public and private resources for sustained impact. Currently funded HBI LHJs include:

County of Alameda, Department of Public Health

County of Butte, Department of Public Health

County of Los Angeles, Department of Public Health

County of Monterey, Department of Health

Orange County Health Care Agency

County of Placer, Health & Human Services, Public Health Division

County of Sacramento, Department of Health Service, Division of Public Health

County of San Diego, Department of Health & Human Services, Division of Public Health

County of San Luis Obispo, Department of Public Health

County of Santa Clara Public Health Department

Shasta County Health and Human Services Agency

Siskiyou County Health and Human Services Agency, Public Health Division

Sutter County Public Health Branch

​HBI Projects 2020-2022

2020-2022 California Healthy Brain Initiative State and Local Public Health Partnerships to Address Dementia: Pilot Program Evaluation Report: Outcomes, Best Practices, and Recommendations

The following report includes an overview of the successful outcomes that the California HBI pilot program achieved across the state. Successful outcomes include building local partnerships, spreading awareness of Alzheimer's disease and related dementias (ADRDs), and improving accessibility to resources that address ADRDs among California's diverse populations. These successes speak to the importance of prevention and risk reduction in public health efforts to address ADRDs and demonstrate that the continuation and expansion of the California HBI program may translate to further successes in other counties across California and nationwide.

2020-2022 California Healthy Brain Initiative Evaluation Report​ (PDF, 3.3 MB)

For questions, please contact AlzheimersD@cdph.ca.gov

Go to Alzheimer’s Disease Program Homepage.

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