Performance Improvement 2007. What Is the Role for Adult Day Services in the Health Care and Long-Term Care Systems?



Adult day services are non-residential community services provided outside an individual's home. This study examined the role such services play in health care and long-term care. The study identified operational and regulatory issues facing adult day service providers, and provided information to guide future research and policy analysis. Although promoted as community-based service for older persons, little was known about the provision, use, or outcomes of adult day services. Adult day services provide therapeutic activities, assistance with activities of daily living and meet caregivers' needs for respite care or to enable them to work. States are interested in the potential of adult day services to reduce health care costs, and prevent or delay nursing home placement.

Adult day services are relatively inexpensive compared to home care or nursing home care. However, the study identified a number of barriers to the use of these services. High cost or the lack of transportation is a major impediment to the use of adult day services. The study also found that adult day service providers have difficulty covering their costs solely through private payments and public program reimbursements. Nearly all providers receive a significant portion of their operating revenue through Medicaid or other public funding sources, but these reimbursements generally do not cover providers' costs. Many programs rely on volunteers, in-kind contributions and charitable donations to subsidize their operations.

Report Title: Regulatory Review of Adult Day Services: Final Report
Agency Sponsor: ASPE, Office of the Assistant Secretary for Planning and Evaluation
Federal Contact: Rosenoff, Emily, 202-690-6443
Performer: Research Triangle Institute; Research Triangle Park, NC
PIC ID: 8343

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"PerformanceImprovement2007.pdf" (pdf, 717.63Kb)

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