At the Chapter’s 24-hour Helpline, we receive many calls regarding adult day programs for people with dementia. Many callers are unsure as to exactly what adult day programs are, and if the programs are suitable for the person with dementia (PWD). This issue of the Helpline Update will focus on Adult Day Services, and how they can become a significant part of the PWD’s plan of care.

Adult day services are community-based group programs that are designed to meet the needs of cognitively impaired adults. These programs provide a variety of health, social and related supportive programs for the PWD as well as the caregiver. Adult day programs operate during normal business hours Monday to Friday. Some programs are open on weekends, and some also provide extended weekday hours. It is important to note that the PWD does not have to attend the program everyday; many clients attend the centers two to three days per week.

There are two types of adult day programs – social and medical models. The social model provides supervision and socialization for the PWD. Activities include: discussion groups, arts and crafts,music therapy, dancing and pet therapy. Some centers offer memory exercises as well. Payment is usually private pay or by insurance. However, many of the Medicaid Long Term Care Programs do cover social adult day services. The medical model offers both social activities and medical care. The medical care includes administering medication and routine nurse monitoring. These programs accept Medicaid, private insurance or private pay. A medical model program may also accept Medicare if the client requires certain rehabilitation services. In most cases, both programs provide transportation to and from the center. Also, clients are served breakfast, hot lunches and snacks.

In choosing an adult day program it is important to not only speak with the program director by phone, but to go and visit the program to determine if it is the right fit for the person for whom you are caring. Be sure to ask questions about the program, and how your family member will be cared for while at the center.

Adult day programs provide the PWD an opportunity to engage in meaningful socialization within a structured, safe environment. At the same time, they provide the caregiver with some much needed respite. Remember, whenever something new is introduced, there is always an adjustment period for the PWD as well as the caregiver. So, if things get off to a rocky start don’t panic, give it some time and patience. The Helpline is always available to answer questions that you may have. We can be reached 24/7 at 800-272-3900 or helpline@alznyc.org.

On a personal note,my last day of service for the Chapter will be May 6, 2008. It has been my pleasure to have worked with the Chapter for the past two and a half years. Our Chapter has been instrumental in addressing the needs and concerns of countless people with dementia, family members, caregivers and professionals. I will always be grateful for the opportunity to have been a part of this wonderful organization.

— Janet Mitchell, LMSW
Manager, Helpline

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