Rural Iowa ‘critically short’ of dementia services

News

January 30th, 2025 by Ric Hanson

(Iowa News Service) – Families of rural Iowans with Alzheimer’s disease and other forms of dementia face a crucial lack of mental health services and advocates are meeting with some rural residents today to assess their most important needs.
Iowa has only 26 geriatricians practicing in the state. The Alzheimer’s Association said the state needs at least four times as many to meet the growing demand by 2050, and 32% more direct care workers for dementia patients by 2030.

Lauren Livingston, communications director for the Iowa chapter of the Alzheimer’s Association, said the current provider shortage falls most heavily on rural Iowa, which has been declared a dementia care “desert.”

Elder care nurse playing jigsaw puzzle with senior woman in nursing home

“Most rural communities are unfortunately not lucky enough to have even a neurologist that is specialized in Alzheimer’s disease and can help diagnose,” Livingston pointed out. “Even with that first step of diagnosis, there isn’t anywhere to even get a referral to a doctor who would know how to diagnose it or what the next steps were.”

The Alzheimer’s Association said 11% of Iowans age 65 and older are living with the disease. Today’s (Thursday’s) online forum is designed to hear from affected rural residents about their most pressing concerns.

Livingston noted they hope to get good information from rural health care providers, families and caregivers about the types of support services missing in their communities.

“Then from there, we want to be able to put together more of a plan of how we can help in these rural communities and close that gap,” Livingston emphasized.

Roughly 62,000 Iowans live with Alzheimer’s disease, and another 100,000 are unpaid family caregivers. AARP Iowa is pushing for a measure in the state legislature to offer them a tax credit to help offset their out-of-pocket care expenses.