PROJECT SUMMARY/ABSTRACT: The COVID-19 pandemic is having a devastating effect on our elderly population living in long-term care facilities, such as nursing homes. In particular, care for patients with Alzheimer’s Disease and related dementias (ADRD) is extremely challenging due to their special needs and difficulty adhering to social distancing requirements. This administrative supplement under the Stanford Aging and Ethogeriatrics (SAGE) Research Center (P30 AG059307) will examine the emotional distress caused by the COVID-19 pandemic and its impact on dementia risk in racial minorities. Aim 1 will examine the extent to which COVID-19-imposed emotional distress mediates the association between childhood social distress and late-life increased risk of dementia by race. Aim 2 will examine the mental health and coping strategies of aging minority residents in nursing homes during the COVID- 19 pandemic by recruiting respondents in nursing homes in selected segregated Metropolitan Statistical Areas (SMAs). These results are expected to shed new light on the extent to which the COVID-19 pandemic is exacerbating the effects of emotional distress on minorities living with dementia and how coping strategies may help to mitigate that risk and the provision of dementia care. Our results from both Aims will be integrated and complement each other by providing robust statistical evidence on the association between stress and ADRD as well as first-hand evidence and perspectives from residents and caregivers, who are currently at the frontline of the COVID-19 pandemic.