CTAC, who has been working since 2020 to rally faith leaders in this effort, is a Washington, D.C.-based nonprofit whose mission is to be a voice and improve lives for the 12 million people impacted by serious illness, including their families and caregivers.

Effort tackles health care barriers

With CTAC support, the Trager Institute’s Louisville Community of Care Project ā€“ Community Health Worker Initiative to Promote Health Equity (LCCP-CHWPHE) was launched earlier this year with funding from the Foundation for a Healthy Kentucky to address health disparities in this vulnerable 40203 zip code.

ā€œLCCP is a collaborative effort of more than 15 community partners assembling their collective resources,ā€ said Barbara Gordon, director of community engagement at the Trager Institute. ā€œThe church, major hospitals, and community resources are joining forces for the greater good of the people.ā€

This pilot program employs a dedicated neighborhood community health worker whose aim is to enhance the quality of life for residents through care navigation and community-based support. LCCPā€™s goal is to enroll 100 residents into the program by the end of 2025. So far, the initiative has offered health screenings and fairs to offer information and resources for 40203 residents.

Connecting the public to resources

Selected for her new role in June 2024 from her paraprofessional community health worker apprenticeship program at Trager Institute, LCCP coordinator Charlie Bell works as a liaison and advocate to improve access to primary care, support early diagnosis, reduce ER visits and address social determinants of health for clients.

With neighborhood input, factors like food, transportation and housing were identified as the most pressing hurdles to health care access and other quality of life issues. LCCP has gathered health care, business and nonprofit partners who can span the spectrum of social services.Ģż

As the point of contact and liaison to connect patients to resources, Bell explained there needs to be more ā€œwarm handoffs.ā€

ā€œWe may do a referral through an electronic medical record like MyChart but if itā€™s someone who doesnā€™t have an internet connection or doesnā€™t know how to use the computer, itā€™s a huge barrier. If we didn’t have the community of care project, then this would never be brought to light.ā€

Faith leaders fill the trust gap

Historically, one of the biggest challenges for community outreach efforts has been residentsā€™ distrust of health care providers, according to Bell, but leveraging the communityā€™s established relationships with faith leaders is helping to mitigate that factor.

Bell is working with Elder Angela Overton and faith project leads Rev. Dr. Angela Johnson, Rev. Lance West and Pastor Alma Wooley to keep 40203 residents from falling through the cracks of health care and social services access.

Overton, community engagement director for LCCP, and senior advisor and director of Faith Community Partnerships for CTAC said they hand-picked local faith leaders already working beyond the church walls in the local community. ā€œNo matter what your religion or if you have a religion, if you are struggling to navigate life with illness or chronic disease, we want to help you.ā€

The challenge of health inequities

An important overall framework for LCCP identifies stress and health inequities among African Americans, a key demographic of the 40203-zip code. Bell uses this context to address the social determinants of health while working to dismantle structural barriers that perpetuate health disparities.

ā€œWeā€™re still dealing with access to health care issues, mistrust in medical staff and discrimination like we did in the ā€˜60s and ā€˜70s,ā€ said Bell. ā€œIt’s surprising that these things are still happening in 2025.ā€

As a strategic planner, Overton works at the intersection of health care, spiritual care and clinical care, and said she has been shocked at the apathy she has seen in some community settings. ā€œThe system does not work for everyone, and the disheartening message I hear in boardrooms and executive meetings is that is just how it is,ā€ said Overton. ā€œBut this project from the beginning has made profound impacts on this community.ā€ ĢżIncreasing a neighborhoodā€™s access to health care changes lives, adds Bell.

ā€œWhat may seem like a simple fix or a few phone calls can change the world for a client. Getting an electric wheelchair to someone who was bedridden for three years changed the mobility for one client. She told me, ā€˜You saved my life, thank you for saving my lifeā€™ – you can’t get any higher than that,ā€ Bell said.

LCCP community partners include:

AARP, Accessia Health, Archangels, CenterWell, Chrysalis Ventures, Gildaā€™s Club, KIPDA, Norton Healthcare, University of Louisville, University of Louisville Trager Institute.

ā€œHealth equity is essential to improving the aging journey for everyone in our community. We must view health holistically, accounting for the social determinants that impact oneā€™s health and working to address each of them with patients so they can flourish,ā€ said Anna Faul, executive director of the . ā€œIt felt necessary for health equity to be our theme this year, especially with the growing aging population in the U.S. and the recent challenges to DEI initiatives.ā€Ģż

The Trager Institute/Optimal Aging Clinic and the Kentucky Association of Gerontology hosted the conference, held in person for the first time since 2019.

As the opening keynote speaker, Kentucky State Director of Faith-Based and Community Initiatives Charles Booker set the tone and mission of the conference, emphasizing the need to listen to the voices of those directly impacted by services and policies and the importance of strengthening community relationships.

Other keynote sessions included an update on Alzheimerā€™s and dementia research from Gregory Jicha, professor of neurology at the University of Kentucky; a call to action for womenā€™s caregiver roles and health disparities from Sam Cotton, associate professor at the UofL Department of Family and Geriatric Medicine; a panel on health equity and aging policy with Bob Blancato, executive director of the National Association of Nutrition and Aging Services Programs and Sandy Markwood, CEO of the National Association of Area Agencies on Aging; and a panel of six octogenarians and nonagenarians who shared insights on aging optimally.

The nearly 300 attendees also had the opportunity to participate in sessions on animal-assisted therapy, the benefits of adult day care, lifestyle medicine for preventing dementia, ageism, expansion of senior center services, mental health challenges in older adults and other topics.

ā€œThe Optimal Aging Conference was an enlightening and rewarding experience. Participants were able to journey through the landscapes of aging and health equity with every keynote and workshop presentation they attended. This conference reinforced my belief that, by embracing inclusivity and understanding, we can make every year of life a rich and fulfilling adventure for everyone,ā€ said Barbara Gordon, director of community engagement for the Trager Institute/Optimal Aging Clinic.Ģż Ģż

The annual conference aims to transform preconceptions about aging, hoping to ignite conversations in which aging is viewed as an opportunity rather than a disease. For more details and information about the 2025 event, visit the .

By Samantha Adams, UofL Trager Institute

Behavioral Health Service Organizations fall under a license category created by the Kentucky Cabinet for Health and Family Services. The designation was established to increase the number of entities in Kentucky that provide behavioral health services to Medicaid recipients in community-based programs.

ā€œThis classification allows our team to provide behavioral health services to a broader spectrum of our community, as many vulnerable individuals rely on these programs to receive mental health care,ā€ said Anna Faul, executive director of the UofL Trager Institute.Ģż

Faul says the change means the institute can hire more providers and scale services to their already existing statewide network established through theĢżGeriatric Workforce Enhancement Program (GWEP) and Behavioral Health Workforce Enhancement Program (BHWEP).

The UofL Trager Institute grant-supported GWEP and BHWEP programs provide health care and behavioral care training, care coordination and health resources through a partnership network that includes all 15 Area Development Districts covering 120 counties in Kentucky.

The institute philosophy integrates behavioral health and primary care, as reflected in theirĢżĢżā€“ a care coordination approach to health and well-being that addresses six comprehensive determinants of a patientā€™s health.Ģż

ā€œMental health is deeply connected to our overall health and well-being as we age,ā€ said Joe Dā€™Ambrosio, director of wellness at the UofL Trager Institute.Ģżā€œThe greater emotional strain of loss, mobility restrictions and physical changes can cause older adults to be at greater risk of developing serious, chronic mental health issues, such as depression or anxiety. In our practice, we are finding that both depression and anxiety are on an increase across all ages.ā€

Approximately 20% of adults in the United States age 18 and older are affected by . For older adults, but least recognized disorders.

Dā€™Ambrosio says, ā€œIn addition to the emotional and psychological toll, untreated mental health issues can cause greater physical distress through increased inflammation and stress on the body. Untreated mental health issues can, therefore, lead to further negative physical decline, especially for those who may have multiple chronic conditions such as diabetes, heart disease or COPD.ā€

The importance of expanding accessible and affordable behavioral health services to all individuals, and especially older adults, is underscored by data showing 30-to-80% of all primary care visits are driven in part by behavioral health conditions. Evidence equally suggests that integrating a comprehensive behavioral health approach to primary care can improve emotional and mental well-being while increasing adherence to chronic disease treatment protocols.

The UofL Trager Institute provides a variety of behavioral health service options and modalities at its Republic Bank Foundation Optimal Aging Clinic, including individual and group therapy, couples and marriage counseling andĢżĢżfor addressing depression in older adults. All services are available virtually.

To learn more about the behavioral health and tele-health offerings, visitĢż.

ā€œThere is both an urgent and widespread need to not only treat patients but deliver expertise and training remotely and safely to both professionals and medical learners,ā€ said R. Brent Wright, MD, associate dean for rural health innovationĢżat the UofL School of Medicine, who has been working with various companies to explore a smart glasses solution for telemedicine since 2014.

Long-term care facilities and emergency departments represent two of the areas with greatest need for the glasses for direct physician care during the pandemic. The UofL Trager Institute, emergency medicine and psychiatry are part of a feasibility study to test the Vuzix M400 smart glasses.

ā€œIt is imperative that we find solutions for health care to continue for the vulnerable nursing home population in Kentucky,ā€ said Anna Faul, PhD, executive director and professor, UofL Trager Institute. ā€œThe use of smart glasses to provide real-time, expert geriatric care to residents of long-term care facilities is a huge step in increasing access to care, particularly during COVID-19. Each nursing home in our study will receive smart glasses that will allow for remote video consults with specialized medical providers and behavioral health experts without the need for the providers to enter the facilities and expose themselves and other patients to COVID-19.ā€

The concept is fairly straightforward. An advanced practice nurse practitioner or other health care professional working at a LTC facility will put on the web-connected glasses and dial-in with an attending physician through the Zoom conference platform. A camera and microphone are attached to the glasses, and the technology has the potential to display and obtain information for the physician to access remotely. The physician can see and interact directly with the LTC resident, providing immediate consultation and evaluation.

The glasses allow for ease of mobility and hands-free interaction for the on-site provider, an advantage over current standard telehealth delivery which requires computers and monitors to be transported from bed-to-bed on large carts. Additionally, data can be input into medical records hands-free, and can be controlled by voice-commands.

Smart glasses will support health care workers at five LTC facilities and one emergency department in Kentucky. UofL researchers will conduct a brief feasibility study related to the use of these six pairs of smart glasses. If the data is promising, the study will be extended. Once the pandemic has subsided, researchers hope to investigate the utility of usage for medical education.

ā€œThis technology holds great promise. UofL faculty are exploring how to transform health care and this is part of an innovative solution as we provide care and educate the next generation of physicians,ā€ said Toni Ganzel, MD, dean of the UofL School of Medicine, and vice president for academic medical affairs.

ā€œThe pandemic has served as the catalyst for changing delivery of care. When you have to do things so rapidly and emergently, there is a call to be creative and innovative. Telemedicine allows us to share expertise while keeping a safe distance, and the smart glasses are very high-fidelity.

ā€œThe timing had to be right for this technology to become more accepted,” Wright said. “It will be big part of health care moving forward, even after this swell with the COVID-19 pandemic, and it will be exciting to see some of our current medical residents incorporate telemedicine into their future practices.”

ā€œOne of the big challenges I see in my clients is the inability to deal with uncertainty. The lack of control over this disease has confronted so many with what little power we have over our lives,ā€ said University of Louisville Trager Institute and Republic Bank Foundation Optimal Aging Clinic Director of Wellness Joseph G. Dā€™Ambrosio, PhD, JD, LMFT, CSW.

Dā€™Ambrosio, who also is an assistant professor in the UofL School of Medicine, says having an understanding of the disease is needed in order to protect ourselves and others, but it also is important to remember ā€œthis, too, shall pass, and we will be stronger because of it. Past generations have risen up and used crisis situations to improve the world, and we can do the same.ā€

He points out that a crisis can present an opportunity to stop and re-evaluate life.

ā€œI find that in times like this, it is important to look introspectively at who we are and how we want to truly live. So many of us live a life that was prescribed by either family, society or our own beliefs about what we should do to be successful ā€“ but it may not be allowing us to be as happy or as prosperous as we could, if we were doing what we really wanted,ā€ he said.

He gives advice on jump-starting mental strength that can lead individuals to the future life they truly want:

• Start a mindfulness practice. Begin by committing to 5 minutes in the morning and 5 minutes at night to silence and contemplation. Increase the time commitment daily so that you are doing at least 20 minutes twice a day. It will help situate you in the world where you can be your best self. There are many free apps such as Insight Timer or Calm that can help.
• Now is a good time to begin to live a healthy lifestyle. For many that means changing diet to include more fruits and vegetables, and eating less meat and dairy. Work hard to make your body as immune proof as it can be, Dā€™Ambrosio said.

• Most importantly, have compassion for yourself and those around you. ā€œWe forget what a little bit of shared love can do to change ourselves and the world,ā€ Dā€™Ambrosio said.

Parents: Routines give children a sense of safety and security

Children are among those most affected by the new normal, Dā€™Ambrosio said, and when a child experiences uncertainty it increases stress and feeling of helplessness.

ā€œA young childā€™s brain undergoes constant development as they grow. Routines help the part of a young childā€™s brain that is able to plan ahead and make predictions about the future. Having routines in place give children the space to feel good about themselves as they know what is coming, and understand that they can accomplish the tasks presented,ā€ he said.

Dā€™Ambrosio encourages parents not to be too rigid if they go off schedule, just confirm that tomorrow you are back on schedule.

ā€œBe kind to yourself and your children. These are stressful times and flexibility may be your biggest ally,ā€ he said.

He offers some important tips for making day-to-day life at home more enjoyable and manageable for both children and parents:

• Plan a specific time to awake and go to bed, do schoolwork, perform house chores, play, eat, exercise and have family time.
• Develop a specific time for children to spend by themselves either drawing or reading.
• Create a bedtime ritual, if you donā€™t already have one.
• Work with your children to make pictures or signs for each activity that they can see and count on happening.
• Be sure to let children know when the next routine is going to happen so that they can be prepared. For example, ā€œwe have 15 minutes left of study time so that we can take an exercise break.ā€
• Use a dry-erase board or poster to post a daily agenda that includes reading time, playtime, naps, etc.
• Assign chores to your children. Even children as young as 3 years old enjoy sharing adult responsibilities.
• When preparing meals, include children in the preparation even if it is something small.
• Encourage video-chatting with family and friends. Two children drawing together while on a video-chat can be fun and give the children a chance to connect.
• Help your children to become artists by using old magazines, wrapping paper and mail advertisements to make collages.
• Encourage independent childhood play time. Parents donā€™t have to be with kids 24/7, and the separation is a great way to help children differentiate from their parents. That is a skill they will need to get through the rest of their lives, Dā€™Ambrosio said.

Read a Q&A with Dā€™Ambrosio on mental health insights during the COVID-19 pandemic on the .

The interactive info session can be viewed on the Zoom platform at: . To learn how to access a Zoom meeting, .

ā€œAs most of us have heard by this point, older adults and individuals with serious chronic diseases such as respiratory conditions, heart disease and diabetes are at elevated risk for serious cases of COVID-19. Given the expertise of our leadership team in the areas of older adult health and chronic disease management, we want to provide practical advice and guidance for people who are scared and concerned for their safety and health,ā€ said Anna Faul, PhD, executive director of the UofL Trager Institute.ĢżĢżĢżĢż

This session addresses the following pressing questions:

• How best to protect yourself from getting the virus
• What to do if you think you have the virus
• How to prepare for quarantine
• How to address the anxiety that may arise because of the pandemic
• How to care for older adults who may be quarantined in nursing homes
• How to combat loneliness during quarantine and social distancing
• How to care for chronic illness during this pandemic
• How to maintain your weight and physical activity
• How to handle lost earnings
• How to prevent coronavirus-related scams

This session is recorded from the live March 17 event and available for distribution.ĢżĢżĢżĢżĢżĢżĢż

ā€œEven though older adults and persons with chronic diseases face greater risk relating to COVID-19, there are simple precautions all of us can take to keep ourselves, our families and our communities as healthy and resilient as possible. If you are high-risk it is important to take proactive steps now to try to prevent the disease ā€“ such as washing your hands, avoid touching your face, avoiding crowds and non-essential travel ā€“ as well as developing safety plans in the event of quarantine or illness,ā€ said Christian Davis Furman, MD, medical director of the UofL Trager Institute.

Important COVID-19 resources:

Ģż

The conference, now in its fourth year, will feature experts in aging, dementia and Alzheimerā€™s research, innovation and public health. The and the are hosting the conference April 19-21 at the Brown Hotel, 335 W. Broadway, in Louisville.

ā€œWe are thrilled to present such a strong line-up of speakers,ā€ said Anna Faul, PhD, executive director of the University of Louisville Trager Institute. ā€œThe presenters, along with our breakout and poster sessions, will provide an incredibly rich and engaging experience for anyone working in the aging field or who has interest in inspiring our understanding of aging,ā€ she said.

2020 Optimal Aging Conference Topics and Speakers:

Aging Inspired in Kentucky: Directions in Aging Policy (Panel Discussion)

• Sandy Markwood, national CEO, National Association of Area Agencies on Aging
• Eric Friedlander, acting secretary, Kentucky Cabinet for Health & Family Services
• LaDonna Koebel, executive director, Office of Senior Protection & Mediation, Kentucky Office of the Attorney General

A Community Network Approach to Health
Eric Feigl-Ding, PhD, chief health economist, MicroClinic International; faculty member, Harvard Medical School and Brigham and Womenā€™s Hospital, Boston

Ending the Alzheimer’s Pandemic
Dale Bredesen, MD, professor, UCLA; founding president and professor emeritus, Buck Institute for Research on Aging; author of New York Times bestseller, The End of Alzheimerā€™s

AARP Keynote: Words of Wisdom for #Agetech Entrepreneurs
Nigel Smith, MBA, director, Hatchery Ventures, AARP Innovation Labs, Washington, D.C.

Alzheimerā€™s Update
Gregory Jicha, MD, PhD, professor of neurology; director, Sanders-Brown Center on Aging at the University of Kentucky

Guided by the theme ā€œAging Inspired,ā€ conference attendees also will hear from experts on a number of topics including: how to prevent financial elder abuse, national programs and arts activism counteracting ageism, programs for caregivers of persons with Alzheimerā€™s Disease and related dementias, the future impacts of artificial intelligence and robotics in senior care, trauma-informed care of older adults, international evidence-based falls programs, lifestyle medicine nutrition and more.

ā€œThe 2020 Optimal Aging Conference provides outstanding resources, inspiring ideas, and continuing education for Kentuckyā€™s aging service professionals. The conference is a great opportunity for networking and professional development,ā€ said Stacey Watkins, president of the Kentucky Association of Gerontology.

The UofL Trager Institute also will host a mobile workshop for its new Republic Bank Foundation Optimal Aging Clinic. The clinic, located in Louisvilleā€™s Innovation Corridor, is a one-stop-shop that provides integrated life-long wellness by combining lifestyle and preventative medicine with specialized and acute care.

Early-bird registration ends March 22. More information, including registration, is .Ģż

N-AGE is a non-profit membership organization representing geriatric education centers and other organizations that provide education and training to health professionals.ĢżThe organization seeks to improve the quality of health care for older adults, including underserved and minority groups. N-AGE is a leading national voice for building a robust pipeline at every level of education to increase the size and skill set of students and professionals in the aging-related workforce.

ā€œI am honored to be selected for this national leadership position. As a long-time educator in the field of gerontology, I am deeply passionate about increasing the workforce size and improving the skills of the aging-related workforce,ā€ Faul said. ā€œWorkforce development is one of the UofL Trager Instituteā€™s strategic initiatives and we have received several HRSA-funded grants to support this goal. I look forward to taking what we have learned from these programs to a national level.ā€

ā€œWe are thrilled that Dr. Faul has joined the N-AGE Board of Directors. She is an experienced leader in the field who brings a wealth of knowledge about aging services and geriatrics,ā€ said Catherine P. Carrico, PhD, president of the N-AGE board.

As a new board member, Faul will serve as chair of the ³ÉČĖÖ±²„ and Training Committee. In this role, she will further the committeeā€™s goal of enhancing nationwide opportunities for the education of health care practitioners in geriatrics and gerontology. Specifically, Faul will work to increase the visibility of HRSA s and . This builds on her experience as principal investigator for both the UofL Trager Instituteā€™s HRSA Geriatric Workforce Enhancement Program and HRSA Behavioral Health Workforce Enhancement Program. She also has served as mentor for Samantha Cotton, PhD, program manager at the UofL Trager Institute and 2019 Geriatrics Academic Career Award recipient.

Faul learned of her board selection during the 2019 Gerontological Society of Americaā€™s 2019 Annual Scientific Meeting in Austin, Texas. She begins her 3-year term on the N-AGE board in January 2020.

ā€œI am grateful and excited to begin this new role on the National Association for Geriatric ³ÉČĖÖ±²„ Board. This is an incredible opportunity to elevate the leadership of the UofL Trager Institute, and the University of Louisville in shaping the future of geriatric education in our country,ā€ Faul said.

The has renewed the instituteā€™s $3.75 million grant to expand its Geriatrics Workforce Enhancement Program (GWEP) throughout Kentucky. The previous funding awarded in 2015 focused on areas in and around Louisville; the new funding will help the institute reach all 120 counties in the Commonwealth.

The UofL Schools of Law, Medicine, Dentistry and Nursing and the Kent School of Social Work will be part of this program to help individuals optimally age by intervening in multiple facets of care which include patients, their families and caregivers, interdisciplinary health professionals, practice models, health care systems and communities.

ā€œThis grant renewal speaks to the success of our Trager Institute, and we are deeply honored to be recognized at a federal level for our success and promise of future achievements to dramatically improve the health and well-being of older adults throughout Kentucky,ā€ said UofL President Neeli Bendapudi.

ā€œTo date, we have helped more than 300 older adults move toward the goal of optimal aging and we have trained more than 3,500 learners,ā€ said Anna Faul, PhD, executive director of the UofL Trager Institute. ā€œOur outcomes include the development of our nationally recognized Flourish Index which assesses the degree to which a patient is flourishing in six determinants of health. Weā€™ve also had numerous publications and have included our model of care at the Republic Bank Foundation Optimal Aging Clinic.ā€

During the next five years, the program seeks to address the following core health needs of older adults in Kentucky:

• High levels of chronic conditions and poor quality of life among older adults
• Lack of a robust rural primary care system, particularly the low number of geriatricians
• Lack of quality nursing home care in rural areas
• The need to create age-friendly emergency departments
• The need to coordinate coalitions and community stakeholders to maximize the potential of population health initiatives within rural environments
• The need to train a health care workforce that can deliver culturally appropriate services to the growing Hispanic populations
• Lack of knowledge among health care professionals about the need for alternative pain management strategies to address the risk of opioid misuse
• The need for dementia-friendly communities and compassionate care for people with Alzheimerā€™s and related dementia

Goals of the expanded efforts include strengthened partnerships, professional education for health care providers as well as students, community building and Alzheimerā€™s disease and related dementias training using the instituteā€™s own Compassionate Care curriculum.

The free community event, titled ā€œReconciling Pain and Giving Hope to Seniors,ā€ is Monday, May 13 from 10 a.m. to 3 p.m. at the located in Oldham County.

ā€œThere is often a stigma around talking about pain and pain management, in addition to a lack of understanding of options beyond opioids,ā€ said Mona Huff, UofL Trager Institute community organizer. ā€œGood health starts with self care and loving yourself.ĢżIt means asking for help when you need it.ĢżAsking for help is not a sign of weakness, but rather a sign of strength.ā€

Speakers include:

• Anna Faul, PhD, of the UofL Trager Institute, will provide an overview of the UofL Trager Instituteā€™s older adult pain management efforts
• Sarah Lawrence, PharmD, on ā€œPain and the Senior Adultā€
• Rev. Dr. John Inscore Essick on ā€œTalking About the Ways We Hurtā€
• Sarah Teeple on ā€œNatural Strategies for Pain Management: Your Holistic Toolkitā€
• Justin Magnuson on ā€œCompassionate Touch and Massage Therapyā€
• Andrea Helton ā€œAcupunctureā€™s Role in the Opioid Epidemic and a New Pain Management Modelā€

Other panel discussions and support groups are scheduled throughout the day.

This symposium is part of a broader effort led by the UofL Trager Institute to address opioid misuse among older adults, especially for those living in rural communities. Of the 173 patients who have received services through the UofL Trager Instituteā€™s , medication management issues related to opioid prescriptions and interactions with other medications were a factor for nearly 50% of patients. Medication safety also proved to be a problem, with family members or caregivers taking opioids from patients in at least 10% of cases.

Thanks to recently awarded supplemental funding with the UofL Trager Instituteā€™s Geriatrics Workforce Enhancement Program, the Institute has expanded its efforts in addressing older adult pain management. Expanded activities include increased screenings, student and professional trainings and community education.

Lunch is provided for those who to the symposium by May 7.Ģż

This event is held in partnership with the Kentucky Coalition for Healthy Communities, Tri-County Community Action Partnership, Barren River Area Development District and the Kentuckiana Regional Planning and Development District.