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Caregivers and advocates told state advisory council doctors often leave families without follow-up; council favors navigators, education and legal planning
Summary
Caregivers and nonprofit partners described patchwork services across Tennessee, urged consistent toolkits, legal/financial planning and workforce development; the advisory council proposed training, a resource library and navigator pilots to close gaps.
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Caregivers and nonprofit partners used the advisory council meeting to describe gaps in post‑diagnosis support and uneven access to services across Tennessee. Amanda Leach, West Tennessee regional director for Alzheimer's Tennessee, said clinicians commonly provide a diagnosis and medication but limited direction afterward: "Here is, your prescription. Let's start out with Aricept, Namenda ... come back and see me 6 months," she recounted to illustrate families' experience.
Tanya Reynolds, who cares for her 58‑year‑old husband with early‑onset Alzheimer's, stressed the difficulty of finding local supports and the value of having a consistent starting point for families. Elaine Cole, a financial adviser, urged early legal and financial planning — power of attorney and living‑will documentation — so decisions can be made before cognition declines. "Those power of attorney's documents have to be done while they can clearly make those decisions," Elaine said.
Speakers also emphasized non‑medical supports: nutrition, hydration and sleep as factors that can affect cognition, and non‑pharmacologic interventions. The meeting outlined a planned "STAR caregiver" six‑week course to teach environment and behavior strategies that can reduce reliance on medication.
Participants urged building workforce capacity through student engagement and interdisciplinary training. Dr. Cathy Scott, a social work professor at the University of Tennessee at Chattanooga, highlighted the need to expose students early to aging care and to create interprofessional education opportunities that bring together nurses, social workers, therapists and chaplains.
Council members said they will compile a county‑broken resource library and circulate the Memory Lane toolkit for feedback; they also plan to recruit navigators for regional pilots and train community members and providers through a Scribe Prevention Institute certification. No formal policy or legislative vote was taken during the meeting; the group framed these steps as administrative implementation of the ADPI grant.
Next procedural step: advisory council members will review circulated PowerPoints, submit feedback by email and await finalized contracts and training schedules.

