What Are Adult Day Services
Updated AUGUST 11, 2017
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Adult Day Services
Adult Day Services programs offer a safe, positive, caring alternative to nursing home care for those who do not need 24-hour skilled nursing. These programs are designed to help people stay mentally and physically active, reduce isolation, improve their health, and prevent decline of their abilities.
People typically attend a center in their community two to five times a week, based on their individual need. All programs either provide or can assist with transportation arrangements. Program hours typically range from four to eight hours per day; however, some centers offer extended hours to accommodate working caregivers. Many centers also provide caregiver support groups and training.
Services vary from center to center but may include therapeutic activities such as art, singing, age-appropriate games, health monitoring, social work, meals, dietary counseling, physical, occupational and speech therapy. Some programs focus on a specific population -- for example those who share a similar cultural or ethnic background or younger adults with head injuries or developmental disabilities. Families also receive help with information and referral to other services, as needed.
California's licensed adult day services centers may operate as one or more program types.
Adult Day Program (ADP)
Licensed by California Department of Social Services Community Care Licensing Division
ADP centers offer a non-medical model of care through a day-time program for elderly and younger adults with a focus on protective supervision by trained aides, structured activities, health monitoring, meals, out-of-home respite and support for the caregiver.
Adult Day Health Care (ADHC)
Licensed by California Department of Public Health
ADHC centers offer a medical model of care through an out-patient day program for older persons and adults with chronic medical, cognitive or mental health conditions and/or disabilities that are at risk of needing institutional care. A coordinated team of licensed professionals, including nurses, social workers and physical, speech and occupational therapists, focus on medical, preventive and social care to improve health outcomes for high cost / high risk patients. Also provided are activities, personal care, hot meals, nutritional counseling, and transportation to and from the center. The majority of participants are Medi-Cal beneficiaries. Effective April 1, 2012, Medi-Cal beneficiaries are subject to the state's eligibility criteria for Community Based Adult Services (CBAS) and must be in Medi-Cal managed care where available and required.
Community Based Adult Services (CBAS)
Licensed by California Department of Public Health with Medi-Cal Provider Approval by California Department of Health Care Services / California Department of Aging
CBAS centers are licensed ADHCs approved by the state to provide a medical model of care to Medi-Cal beneficiaries. While CBAS services are the same as described under Adult Day Health Care (above), Medi-Cal beneficiaries must meet strict CBAS eligibility requirements, and, with few exceptions, must enroll in a Medi-Cal managed care plan or county organized health system, if one exists in the beneficiary's county of residence.
Alzheimer's Day Care Resource Center (ADCRC)
A specialty designation by the state for a licensed ADP and/ or ADHC / CBAS center
ADCRC centers are licensed ADP or ADHC / CBAS centers offering specialized Alzheimer's care for the moderate to late stage Alzheimer's patient or persons with similar conditions. A highly trained team applies a philosophy of care emphasizing dignity and respect, while fostering optimal independence according to each patient's level of functioning. Also provided are caregiver respite and support.
California Association for Adult Day Services