The MIND at Home approach to dementia care coordination for community-residing people with dementia is in large part the result of initial conversations between Dr. Kostas Lyketsos and Mr. Leroy (Roy) E. Hoffberger about how to address the needs of the growing population of people with dementia who are cared for at home by family caregivers. These conversations and subsequent discussions with other Hopkins dementia specialists, including Drs. Deirdre Johnston and Peter Rabins, on how to provide quality dementia-related care to community residents led to the development and testing of Maximizing Independence (MIND) at Home that began in 2006. Since then, the development path for MIND has included Phase I (an observational study), Phase II (a pilot trial) with a 12 month extension, and an IT project to enhance the MIND health record system. These projects served as the foundation for the latest MIND at Home projects described below. Read more about the early development and testing phases of MIND at Home on the Research pages of this site.
Our champion throughout the development and testing of the MIND at Home model of care coordination has been Roy Hoffberger. Through his strong support of and commitment to the development and testing of the MIND at Home intervention, Mr. Hoffberger helped to establish a critical collaboration between Johns Hopkins investigators and The Associated: Jewish Community Federation of Baltimore. Through his support and campaigning, Mr. Hoffberger raised $2.25 million from private foundations and other philanthropic individuals to support the first phases of the MIND at Home research projects. The MIND at Home team members are extremely grateful for his support.
Our latest MIND at Home projects were funded by a Center for Medicare & Medicaid Innovation (CMMI) award (1C1CMS331332) and a grant from the National Institute on Aging (NIA) (R01AG046274). The CMMI award is a demonstration project to evaluate the effectiveness of an expanded, more intensive version of the MIND at Home program, called MIND-Plus. The NIA funded project is a randomized controlled trial to evaluate a leaner, more targeted version of the MIND at Home program, called MIND-Streamlined. Together, these complementary projects will serve to simultaneously advance the science and health policies related to care of this population. If proven cost effective, MIND at Home may serve as a nationally scalable model with the potential to change how dementia care services are provided and coordinated at the community level. Read more about these two current innovative research projects on the Research pages of this site.
Our home is located on the Johns Hopkins Bayview Medical Campus on a hill in east Baltimore, Maryland. The MIND at Home team has offices in the Alpha Commons Building and the east Tower of the historic Mason F. Lord Building. The Mason F. Lord Building was erected in 1866 and known at that time as the Bay View Asylum. Since then, it has been repeatedly renovated, updated and renamed—ultimately for Mason F. Lord (1926-1965), who was the first full-time chief of chronic and community medicine at Baltimore City Hospitals. Lord, who was dedicated to the innovative care of the elderly and the chronically ill, strove to create community-wide home care programs and to improve nursing homes. It is fitting that the MIND at Home project offices are located in the building named for M.F. Lord, who was devoted to improving the care of older adults.