Population Health
We believe there’s a better way to care for people. Our population health services meet you where you are, offering personalized support to help you live well. Whether you need help planning ahead, navigating dementia care, managing complex health needs, or finding resources, our team is here to help you find the right support—because better care leads to a better life.
How can we help you?
Advance care planning
Guidance and support for thinking about, documenting, and communicating preferences for future health care. This means understanding what matters most to the individual and making sure their wishes are known and respected.
Dementia care and caregiver support
Support for individuals living with dementia and the people who care for them. This may include education, care coordination, caregiver support, and help navigating changing needs.
Emotional wellness and mental health support
One-on-one coaching and support to help older adults improve mood, reduce loneliness, and build routines that support emotional well-being.
Care management
Ongoing support for individuals with complex health, social, or daily living needs to help coordinate care, navigate services, and maintain independence.
Resource navigation
Short-term help connecting people to community resources like transportation, food support, housing assistance, and other local services.
Caregiver education and support
Education, coaching, and support groups for family caregivers navigating the challenges and responsibilities of caring for a loved one.
Advance care planning
Our team provides guidance and support to help individuals make informed decisions and feel more confident about the future. This may include conversations about values, goals, and health care preferences, choosing a decision-maker, completing or updating health-care directive documents, and sharing wishes with family members and care teams.
Who this support is for:
- Adults of any age planning ahead
- Individuals living with chronic or serious illness or those who are experiencing cognitive changes
- Anyone wanting clarity and peace of mind about options for future care
Advance care planning can be revisited at any time as health needs or life circumstances change.
Dementia care and caregiver support
Our team works alongside individuals living with dementia and their caregivers to manage changing needs, connect with resources, and improve quality of life. This may include education and guidance, care coordination and planning, support and coaching for caregivers, help connecting with respite care or other community resources, and ongoing check-ins.
Who this support is for:
- People living with dementia
- Family members and caregivers
- Individuals needing ongoing dementia-related support
Some individuals may qualify for additional support services through Medicare-covered programs. Our team can help determine eligibility.
Emotional wellness
Through PEARLS (Program to Encourage Active, Rewarding Lives), our team provides short-term, one-on-one coaching designed to help older adults improve mood, strengthen coping skills, and reconnect with meaningful activities and routines.
PEARLS uses evidence-based problem-solving and goal-setting strategies to support emotional well-being in a practical, supportive way. Rather than ongoing therapy, the program focuses on building skills and routines that help individuals feel more connected, confident, and engaged in daily life.
Who this support is for:
- Older adults experiencing low mood or depression
- Individuals feeling isolated or disconnected
- Older adults looking to improve emotional well-being
- Caregivers needing support focused on emotional wellness
This project is made possible in part, under the Federal Older American’s Act through a contract with the NWRDC/Dancing Sky AAA under an Area Plan approved by the Minnesota Board on Aging.
Care management
Care management provides long-term, personalized support to help individuals navigate complex health, social, and daily living needs while maintaining stability and independence.
Our team works closely with individuals, caregivers, health-care providers, and community services to coordinate care and ensure support stays aligned with changing needs over time. This may include coordinating care across providers and services, support with managing chronic conditions, assistance in navigating health-care and community systems, collaborative care planning, and ongoing follow-up and reassessment.
Who this support is for:
- Individuals with multiple or ongoing needs
- People living with chronic or complex health conditions
- Individuals experiencing social, medical, or functional challeneges
- Older adults needing long-term coordinated support
Resource navigation
Resource navigation provides short-term assistance connecting you to helpful local services and community resources. Our team helps identify available programs, makes referrals, and ensures connections are successful. This might include transportation, food support, housing or utility assistance, community programs, help completing applications, and follow-up support.
Who this support is for:
- Individuals with short-term or specific needs
- Older adults looking for community support
- Families navigating resources
Caregiver education and support
Our caregiver education and support services help caregivers feel more confident, informed, and supported throughout their caregiving journey.
We provide education, coaching, emotional support, and opportunities to connect with others in similar situations. Support may include one-on-one caregiver consultation and coaching, education about caregiving strategies and self-care, support groups and learning opportunities, and guidance navigating caregiving challenges and available resources.
Who this support is for:
- Family caregivers
- Unpaid caregivers supporting older adults
- Individuals caring for someone living with dementia or chronic illness
- Caregivers seeking education, problem-solving support, or emotional support
Funded under contract with the Central MN Council on Aging as part of the Older Americans Act Program.
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How can we help you?
Our experts are here to listen to your needs and make recommendations.
