@article{discovery10137636,
            note = {This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.},
          volume = {13},
           month = {October},
            year = {2021},
           title = {Brain Health Services: organization, structure, and challenges for implementation. A user manual for Brain Health Services-part 1 of 6},
         journal = {Alzheimer's Research and Therapy},
          number = {1},
             url = {https://doi.org/10.1186/s13195-021-00827-2},
          author = {Altomare, D and Molinuevo, JL and Ritchie, C and Ribaldi, F and Carrera, E and Dubois, B and Jessen, F and McWhirter, L and Scheltens, P and van der Flier, WM and Vellas, B and D{\'e}monet, JF and Frisoni, GB and Abramowicz, M and Altomare, D and Barkhof, F and Berthier, M and Bieler, M and Blennow, K and Brayne, C and Brioschi, A and Ch{\'e}telat, G and Csajka, C and Demonet, JF and Dodich, A and Garibotto, V and Georges, J and Hurst, S and Kivipelto, M and Llewellyn, D and Milne, R and Minguill{\'o}n, C and Miniussi, C and Nilsson, PM and Ranson, J and Solomon, A and van Der Flier, W and van Duijn, C and Visser, L},
        abstract = {Dementia has a devastating impact on the quality of life of patients and families and comes with a huge cost to society. Dementia prevention is considered a public health priority by the World Health Organization. Delaying the onset of dementia by treating associated risk factors will bring huge individual and societal benefit. Empirical evidence suggests that, in higher-income countries, dementia incidence is decreasing as a result of healthier lifestyles. This observation supports the notion that preventing dementia is possible and that a certain degree of prevention is already in action. Further reduction of dementia incidence through deliberate prevention plans is needed to counteract its growing prevalence due to increasing life expectancy. An increasing number of individuals with normal cognitive performance seek help in the current memory clinics asking an evaluation of their dementia risk, preventive interventions, or interventions to ameliorate their cognitive performance. Consistent evidence suggests that some of these individuals are indeed at increased risk of dementia. This new health demand asks for a shift of target population, from patients with cognitive impairment to worried but cognitively unimpaired individuals. However, current memory clinics do not have the programs and protocols in place to deal with this new population. We envision the development of new services, henceforth called Brain Health Services, devoted to respond to demands from cognitively unimpaired individuals concerned about their risk of dementia. The missions of Brain Health Services will be (i) dementia risk profiling, (ii) dementia risk communication, (iii) dementia risk reduction, and (iv) cognitive enhancement. In this paper, we present the organizational and structural challenges associated with the set-up of Brain Health Services.}
}