Adult Day Centers Help Seniors Stay at Home

Adult day centers are a relatively new concept in the medical field. They are gaining in popularity due to the fact that they enable seniors, and those with physical and mental disabilities to remain in a home setting of choice while still receiving medical care. There are two types of state licensed adult day centers, social models and medical models. Both categories can provide vital resources and care for those they serve. However, this Road to Recovery Guidebook focuses on the medical model adult daycare centers.All licensed medical model adult day centers in the Commonwealth of Kentucky must meet stringent criteria set in place by state regulations. Licensed nursing staff onsite daily during operating hours to meet the needs of each client is required. Each client possesses individual care plans that are reviewed regularly by the physician, adult daycenter team, and caregivers. Medical model adult daycenters offer a wide variety of benefits to the clients they serve as well as the entire medical team responsible for their overall well being.Social activities are offered at adult day centers, which enables participants to engage in a variety of programs while interacting with their peers. Through planned activities appropriate for their individual capabilities, clients are able to build upon their physical and mental conditions. Therapeutic activities occur daily at medical model adult day centers including exercise, educational, and mental stimulation. Various centers offer physical therapy onsite.Personal care is a concern many caregivers debate when deciding to assist a loved one at home. Adult day centers are able to give onsite personal care to loved ones including bathing, grooming, toileting, eating, and other personal activities related to daily living. The services offered may differ depending upon the individual center.Transportation is also available to clients who attend adult day centers. Depending upon the funding source, many clients are able to receive transportation for free or at a minimal fee. State Medicaid programs provide free transportation to clients who qualify. Depending upon the county the client lives in they may qualify for assisted public transportation. Other funding sources may not provide reimbursement for transportation, however many allow for discounted rates. It is important to question the adult day center regarding their individual policies when dealing with transportation. Also inquire upon assistance offered to each client in obtaining transportation.Meals and snacks are provided at medical model adult day centers. A minimum of lunch and one snack must be provided each day. Many adult day centers go above the state mandated minimum and offer a continental breakfast followed by a catered lunch. Therapeutic diets are also given at medical model adult day centers. Clients receiving physician ordered diets such as diabetic or healthy heart will be accommodated. Again, these are great questions to ask when considering potential adult day centers. Inquiring will help to clarify the quality of care the client will receive.Funding options for medical model adult day centers has increased as awareness for the great benefits adult day centers can provide has reached the mainstream medical field. Individual adult daycenters are eligible for various funding. Not all adult day centers qualify or except all funding sources available. It is important that clients are accessed physically and financially to know what funding source would best benefit them. Adult day center admissions staff can assist in these efforts.Medical model adult daycenters are a very economical choice for clients when compared to long-term care and home health rates. Funding sources for adult day centers include but may not exclude: long term care insurance; Medicaid; Veterans Affairs; KIPDA; and private pay. Each client may qualify for multiple funding sources, however clients cannot duplicate services. Many funding sources will offer in-home services to clients at no additional charge. This enables clients to receive medical attention during the day at the adult day center and in home care on nights and weekends.Insurances such as Medicare, Humana, Anthem, etc do not fund adult day centers. However, these private insurances often compliment medical model adult day centers services through in home and outpatient care. Choosing the right resources to present to clients considering medical model adult day centers is a vital step.All adult day centers are not created equally. When deciding which facility is appropriate consider the specialty of each center. Many medical adult day centers cater to seniors, Alzheimer disease, stroke victims, COPD, heart conditions, and various diagnoses of more mature clients, while other medical model adult day centers cater to younger clients with diagnosis of mental or physical impairments.It is important to inquire about staff ratios and staff training. Though, not state mandated, many adult day centers staff a 1:5 staff to client ratio. Also consider the adult day center’s stance on coordinating services for each client. Medical model adult day center’s can provide case management for clients depending upon their funding sources, which improves continuity of services, thus allowing for greater quality of care.Many adult day centers will assess clients in a hospital or clinical setting to assist the client and caregiver in deciding if adult day is the right fit for them. This eliminates pressure on clinical and hospital staff when coordinating services upon discharge. Again, finding an adult day center that will “hold the hand” of the client through the enrollment process is vital to proper placement. Medical model adult day centers are an asset to any medical team whether a doctor’s office, hospital, long-term care facility, or home health. They allow clients to remain safely in a home setting, while promoting independence and medical support. Adult day centers help promote a client’s present and provide a happy and healthier future.