The "sandwich generation" in the United States, consisting of adults aged 40 to 59 who care for both their aging parents and their own children, is facing substantial challenges. Traditionally, individuals in this age group became empty nesters, but recent findings from the Pew Research Center reveal that 54% of parents in their 40s are now simultaneously caring for seniors and providing financial support to their adult children.

​In March, Kentucky Gov. Andy Beshear signed a bill (S.B. 61) setting minimum training requirements for direct care staff members that are employed by facilities or programs regulated by the cabinet that provide services to individuals who exhibit symptoms of Alzheimer’s disease or other dementias in the populations they serve. Facilities or programs must ensure that all direct care staff have completed cabinet-approved culturally competent and person-centered training before providing care to Alzheimer’s clients. The Office of Dementia Services in the Department for Aging and Independent Living has been designated to review and approve all provider agencies' dementia training curriculums.