Adult Day Care Centers

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Adult Day Care Centers
Naomi Noel
University of the Rockies

Abstract
Adult day cares have not received the acclaim due. They are an invaluable part of the communities that they serve. They incorporate succinct mission statements to effectively get their point across while also employing a wide range of professionals to better serve their clientele. The utilize needs based assessment tools for enrollment as well as needs assessment surveys to gather information from the surrounding community. The chain of command is laid out so that ethical guidelines can easily be established and appropriately enforced. They also referrals to agencies better equipped to handle particular situations in order to better serve their clientele. Within the next five to ten years, the need for their services will increase. However, unless federal guidelines change and more funding is established the current trend of only operating for a few years will continue.

Adult Day Care Centers
The majority of in-home care providers for physically or cognitively disabled adults are family members, generally an adult child or a spouse. Without the care of these family members, many adults would require nursing home care. Family caregivers are extremely valuable, but often need additional help in caring for a loved one. Caregiving can take an enormous toll, both financially and physically. Adult day care can provide needed respite from caregiving and may reduce the need for a nursing home. An adult day care center, also commonly known as adult day services or adult day health care, is a non-residential facility providing activities for elderly and/or handicapped individuals. While centers of this kind are available, they often have waitlists due to the high demand. Most centers operate 10 – 12 hours per day and provide meals, social/recreational outings, and general supervision. Adult daycare centers operate under a social model and/or a health care model. Daycare centers may focus on providing care only for persons with Alzheimer's and related dementias or their services may be available for any disabled adult. The original concept was to provide a "sitting service" as it were to provide activities and stimulation for care-recipients in an environment outside of the home. The care-recipient would receive supervision and possibly some limited care while the caregiver would have a break from the routine of daily caregiving thus allowing them to take care of other responsibilities or simply have time to themselves. This also allowed peace and quiet to relieve the stress of caregiving. The care center might offer transportation at a nominal additional cost to transport the loved one to and from the center. This initial model is still around but it has undergone some tweaking in order to prove profitable. There are now three basic models for adult day care that were developed mostly so the government would be inclined to contribute financially. The traditional model with social services, activities, crafts and some individualized attention; the medical model with all of the aforementioned services plus skilled services such as nurses, therapist, psychiatrists and geriatric physicians; and the Alzheimer’s model with services specifically designed to support and care for Alzheimer’s patients.

Participation in adult day care often prevents re-hospitalizations and may delay admission to residential long term care. For participants who would otherwise want to stay at home alone, the social stimulation and recreational activities may improve or maintain physical and cognitive function.

Adult Day Care Centers are designed to provide care and companionship for seniors who need assistance or supervision during the day. The goals of the programs are to delay or prevent institutionalization by providing alternative care, to enhance self-esteem and to encourage socialization. (Eldercare.gov, 2012) A...
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