Repository logo

Societal and equity challenges for Brain Health Services. A user manual for Brain Health Services-part 6 of 6.

Published version



Change log


Milne, Richard 
Ribaldi, Federica 
Molinuevo, José Luis 
Frisoni, Giovanni B 


Brain Health Services are a novel approach to the personalized prevention of dementia. In this paper, we consider how such services can best reflect their social, cultural, and economic context and, in doing so, deliver fair and equitable access to risk reduction. We present specific areas of challenge associated with the social context for dementia prevention. The first concentrates on how Brain Health Services engage with the "at-risk" individual, recognizing the range of factors that shape an individual's risk of dementia and the efficacy of risk reduction measures. The second emphasizes the social context of Brain Health Services themselves and their ability to provide equitable access to risk reduction. We then elaborate proposals for meeting or mitigating these challenges. We suggest that considering these challenges will enable Brain Health Services to address two fundamental questions: the balance between an individualized "high-risk" and population focus for public health prevention and the ability of services to meet ethical standards of justice and health equity.



Aging, Alzheimer’s disease, Brain health services, Dementia, Equity, Prevention, Public health, Brain, Health Services, Humans, Public Health

Journal Title

Alzheimers Res Ther

Conference Name

Journal ISSN


Volume Title



Springer Science and Business Media LLC
Medical Research Council (G0601022)
Medical Research Council (G0601022/1)