| February 24, 2007
Adult Day Programs
3,500+ - # of adult day centers currently operating in the U.S.
150,000 - # older Americans enrolled in adult day programs daily
72 - average age of the adult day consumer
78% - of adult day centers are nonprofit
74% - of adult day care centers are affiliated with larger organizations such as home care, skilled nursing facilities, medical centers or multipurpose senior organizations
66% - of all participants are women
25% - of participants live alone
59% - of participants require assistance with two or more activities of daily living
41% - require assistance in three or more areas.
$56 - average daily fee for services
Source: National Adult Day Services Association
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 Adult day services are a growing option for Indiana seniors
by Tina McIntosh, Vice President
Indiana Association of Adult Day Services
Adult day services (ADS) provide important respite to informal caregivers and help those caregiving family members or friends who juggle work with caregiving responsibilities by providing services and supervision during working hours. By supporting informal caregivers, ADS enable participants to live in the community and can delay or prevent nursing home placement.
Adult day services are a great compliment to the work of other aging-related industries. We can now work with a client at the same time he is receiving home health care. We support PT, OT and speech therapy. We work with hospice patients, assisted living residence and home companion companies. And even though our goal is to help families stay together in their own homes as long as possible, we are a huge referral source for nursing homes and other long-term care options.
Models of care
In the world of ADS, there are two models of care: the social model and the medical model. Both models offer community-based group programs designed to individually meet the needs of adults with functional or cognitive impairments. ADS offer structured, comprehensive programs to give adults a variety of social and other related support services in a protective setting. The difference between the two models is that the medical model also offers health-related services. Adult day centers generally operate programs during normal business hours five days a week, though some programs offer services in the evenings and on weekends.
Indiana regulations
Indiana does not have licensing requirements for ADS. The state has, under the Family and Social Services Administration (FSSA), several Medicaid Home and Community-Based Services Waivers, including the Aged and Disabled Waiver, which covers adult day services. Providers of the services must be certified as Medicaid providers by FSSA and must comply with any ADS standards and guidelines defined by FSSA.
According to a February 2004 public policy report by the Administration on Aging (AoA) the majority of ADS monies come from private pay. Participants and their families typically pay out-of-pocket to cover the cost of adult day services. The second largest amounts of public revenues come from state Medicaid home- and community-based waiver programs. Other sources of public funding reported were Title III of the Older Americans Act, the Veteran’s Administration, and the Social Services Block Grant.
Indiana adult day services are eligible for the Child and Adult Care Food Program (CACFP). According to the federal regulations, nonresidential daytime care centers that care for adults age 60 years of age and older or functionally impaired persons may be eligible to receive reimbursement for meals served. This program is administered by the Indiana Department of Education. Federal requirements can be found at www.fus.usda.gov/cnd/care | |
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Get connected
If you haven't been to visit a local ADS or if it's been awhile, it's time to connect. This industry is booming and is starting to get a lot of attention thanks to statewide surveys supporting the need and national television shows mentioning ADS. You can log onto Indiana Association of Adult Day Services to locate the centers nearest you and to learn more about this option of care. Considering starting an adult day center? Contact IAADS for start-up kits and trainings which will save you countless hours along the way.
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Online ADS resources
Considering opening or operating an ADS? Visit www.nadsa.org for the white paper “Planning and Creating Successful Adult Day Services and Other Home and Community Based Services.”
For the July 2006 full report on adult day services by U.S. Health and Human Services, “Adult Day Services: A Key Community Service for Older Adults” go to http://aspe.hhs.gov/daltep/reports/2006/keyADS.htm
For the Robert Wood Johnson-funded National Study of Adult Day Services which outlines the shortage of adult day services in most U.S. counties go to http://www.rwjf.org/news/special/adultdayServices.jhtml
Other publications and articles about adult day services and designing and programming for adult day services:
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University of Indianapolis Center for Aging & Community presents an IN Place series event:
"Empowering Indiana Families to Meet the Challenges of Population Aging:
Taking Charge and Taking Action"
Speaker: JoAnn Burke, PhD
Coordinator, Elderhood Institute, St. Mary's College
Wednesday, April 18, 2007
INDIANAPOLIS
co-hosted by NORC-Elder Source
Jewish Community Center - Laikin Auditorium
6905 Hoover Road
8:00-8:30am Continental breakfast
8:30-9:30 Presentation
9:30-10:00am Q&A
ANDERSON
co-hosted by Lifestream Services, Inc.
Anderson Public Library
111 E. 12th Street
1:30-2:30pm Presentation
2:30-3:00pm Q&A
There is no charge to attend either presentation, but RSVPs are requested. RSVP to Lidia Dubicki at (317) 791-5930 or via e-mail by Friday, April 13.
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News from the world of aging
The Caregiving Project for Older Americans announced the formation of a panel of national experts to develop new solutions for the growing crisis in caring for older adults. The project is a joint collaboration of the International Longevity Center-USA (ILC-USA) and the Schmieding Center for Senior Health & Education (SCSHE). To learn more about the project visit http://www.ilcusa.org/prj/caregiving.htm.
Older Americans Month will be celebrated in May 2007. Recently, the U.S. Administration on Aging announced the theme for the month is "Older Americans: Making Choices for a Healthier Future." In the coming months, the AoA website will offer activities and materials for use in celebrating Older Americans Month.
The National Women's Health Information Center recently launched a new website on Aging Well, Living Well.
Smile for the day
Now that's what we call living well! Ninety-six year old George Rush is featured in a video magazine segement called "Living Voice" on the Flanner and Buchanan Funeral Center website. Do yourself a favor and check out his story. "Living Voice" also features several other inspiring stories and has a place to submit the name of someone you think would make a great feature story.
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 Grants to go for
Take Action: Healthy People, Places and Practices in Communities Project Grants: The Department of Health and Human Services (HHS) Office of Public Health and
Science, Office of Disease Prevention and Health Promotion and the Regional Health Administrators are requesting proposals from community-based organizations to evaluate the impact of a unique set of healthy lifestyles activities in local settings that support the President’s HealthierUS initiative.
The proposed activities should address one or more of the four parts of the President’s HealthierUS initiative: 1) be physically active; 2) eat a nutritious diet; 3) get preventive screenings, and 4) make healthy choices/avoid risky behaviors.
Eligibility requirements: Not-for-profit, community-based organizations including faith-based groups, after school programs, coalitions and others are encouraged to submit proposals. The one-year project period will run from July 1, 2007 through June 30, 2008.
Due date: Proposals are due March 30, 2007.
Award amount: Funding for these activities will be between $2,000 and $5,000 and a national evaluation of the project will be conducted.
For more information: Background information on the project, proposal instructions and forms are available at http://www.osophs.dhhs.gov/ophs/healthypeople
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Have news to share?
If you have an idea or suggestion for the IANA e-news, or if your organization has an announcement you would like published, please contact Amy Magan at amagan@uindy.edu or (317) 791-5933. Announcements should be no more than 200 words and should be applicable to aging service providers. All submissions are subject to editing for length and clarity.
The IANA e-news is published the third week of each month by the University of Indianapolis Center for Aging & Community.
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University of Indianapolis Center for Aging & Community
901 S. Shelby Street Indianapolis, IN 46203
(317) 791-5930 PHONE (317) 791-5945 FAX http://cac.uindy.edu
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