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Dementia Care Pathways

Transforming dementia care in Alberta

For the hundreds of thousands of Canadians living with dementia and their families, a timely diagnosis can change everything.

The Dementia Care Pathways Project is a forward-looking initiative to transform how dementia is identified, treated and supported in Alberta. By connecting early diagnosis with integrated clinical care, research and community resources, we’re building a pathway that meets people where they are and moves them toward better outcomes.

Why it Matters

Dementia is a growing health issue in Canada. Right now, about 600,000 Canadians are living with dementia. By 2030, that number could grow to almost one million people. Dementia affects not only the person living with it, but also their families, friends and caregivers.

Many people with dementia live at home with support from family members and caregivers. As we learn more about dementia, we are finding better ways to recognize it earlier and support people in their own communities.

The Dementia Care Pathways Project was created to help make this possible.

Getting a diagnosis earlier can help people and families get the support they need sooner. It can improve access to treatments, connect people to research opportunities and give families more time to plan.

This project brings together health-care providers, researchers, community groups, people living with dementia and caregivers to create a clearer and more connected path for dementia care. The goal is to make it easier for people to get the right care and support at the right time.

This four-year initiative focuses on three key pillars:

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Clinical Pathway for Early Diagnosis and Care
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Provincial Dementia Patient Registry
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Social Health Resources and Navigation

Clinical pathway

A dementia diagnosis can be the start of a long and difficult journey for people living with dementia and the people who care for them. Families often face confusion, stress and challenges finding the right help and support.

Right now, getting a diagnosis and ongoing care can take a long time. Care is not always connected, and families may struggle to know where to turn next.

The Dementia Care Pathways Project will create a more connected care pathway that brings together family doctors, specialists, health-care teams and community supports. It will help people living with dementia and their care partners get support for their physical health, emotional well-being, daily living needs and future planning.

The goal is to help people get the right care, information and support at the right time — from the first signs of memory concerns through every stage of care.

How It Works
  • Connects family doctors, specialists, and health-care teams
  • Improves access to testing, diagnosis and ongoing care
  • Helps families find community programs, education and support services
  • Supports both physical health and social well-being
  • Reduces delays and gaps in care
Where We’re Starting

The pathway will be piloted at three sites chosen to reflect the diversity of where Albertans live and receive care:

  • Kaye Edmonton Family Medicine Clinic: Serving urban patients and families
  • McLeod River Primary Care Network: Extending the model to rural communities
  • TBD: A third site providing additional refinement and relevance.
Built to Last

Co-designed with clinicians and people living with dementia, the pathway will be hosted in our provincial electronic medical records and the Alberta Pathway Hub, easily accessible by family physicians and primary health care providers — positioning it for long-term adoption and provincial reach well beyond the pilot.

Provincial dementia patient registry

Some of the most promising advances in dementia care depend on something deceptively simple: knowing who is willing to help. Clinical trials and research studies are only as strong as the people who participate in them — and right now, Alberta lacks a comprehensive patient database to make those connections happen.

By creating a central resource that identifies individuals with memory impairment and a dementia diagnosis, who are interested in research participation connects them with clinical trials and researchers across Alberta, we can accelerate the development of new treatments and care to keep Albertans at the forefront of discoveries that will benefit people everywhere.

What the Registry Will Do
  • Identify people living with dementia who are interested in research participation
  • Improve recruitment for clinical trials, reducing one of the biggest barriers to research progress
  • Provide researchers with valuable clinical data to support collaboration across the province
Why It Matters
  • Faster development of new treatments and ways of providing care
  • More Albertans contributing to, and benefiting from, leading-edge research
  • Stronger province-wide collaboration among researchers and care teams

Social health resources and navigation

A dementia diagnosis doesn’t end at the clinic door. For people living with dementia and their families, some of the most important support happens between appointments — in communities, relationships and the everyday activities that bring meaning and connection to life.

Health is about more than managing symptoms. It’s about maintaining the relationships, routines and community participation that support well-being long after a diagnosis. This pillar of the Dementia Care Pathways Project is dedicated to understanding what that looks like in practice and making it easier for people to find the support they need, when they need it.

What We’re Working On
  • Studying how individuals and families adapt and find their footing after a dementia diagnosis
  • Co-designing community resource tools alongside people living with dementia — so the tools reflect real experiences and real needs
  • Developing community asset maps to help patients and care partners navigate available local resources with confidence
The Goal
Better resources, better navigation and a stronger sense of connection for every person and family affected by dementia in our community.

Project timeline

Start: August 2025  |  Duration: Four years

Year 1 (2025–2026):

Project launch

Co-design workshops with clinicians, families and people living with dementia

Initial development of clinical pathway

Registry planning and infrastructure development

Year 2:

Clinical pathway pilot implementation

Registry recruitment begins

Social health research interviews and community mapping

Year 3

Evaluation of pilot care pathway

Expansion of registry participation

Development of navigation tools and social prescribing resources

Year 4

Final pathway refinement

Public release of community asset maps

Knowledge translation and provincial dissemination

Our Partners

The project is led by University of Alberta researchers Dr. Adrian Wagg and Dr. Holly Symonds-Brown, and supported by a $1 million grant from Alberta’s Primary Care Innovation Fund, alongside early funding from the University Hospital Foundation and donors who believe in building a brighter future for dementia care.
“By creating a system level care pathway from the perspective of the end-user and designed to address many of the obstacles to early diagnosis, we hope to overcome the tortuous and fragmented journey that many adults with cognitive concerns and their care partners face in today’s healthcare system.”

Dr. Adrian Wagg,
Dementia Care Pathways Co-Lead
“This project is about listening to people living with dementia, caregivers and families about what works well, what’s difficult and then co-designing solutions with them.”

Dr. Holly Symonds-Brown,
Dementia Care Pathways Co-Lead

Project updates

New project to support dementia patients and their families​

The University Hospital Foundation is proud to launch the Dementia Care Pathways Project, a bold initiative aimed at transforming how we diagnose and support Albertans living with dementia in our communities.

Creating a Pathway for Albertans with Dementia

Today, almost 70,000 Canadians are living with dementia — a number projected to rise to one million by 2030. In Alberta, the need for new approaches to care has never been greater.

Donate

The Dementia Care Pathways Project is expected to cost $3.1 million, $1 million of which is being provided by the Government of Alberta’s Primary Care Innovation fund. We need your help to close the gap.

You can join us in our goal of leading better care and support for those with dementia and their loved ones.

Contact

If you are interested in learning more about the Dementia Care Pathways project or would like to be involved, please contact demcare@ualberta.ca