PROGRAM SPOTLIGHT ADULT DAY SERVICES

Adult Day Services (ADS) are daytime programs that provide clinical and non-clinical services to participants to address their unmet needs. ADS aims to assist participants with their activities of daily living (ADLs) while maximizing their independence and supporting them to live independently in their communities or residences. ADS programs can either be Adult Day Care (ADC) or Adult Day Health (ADH).

What is Adult Day Care (ADC)

ADC is a daytime program that provides core services for adults with medical or disabling conditions who do not require nursing assistance or intervention.

Services include assistance with activities of daily living, social services on a consulting basis, routine health monitoring, and general health education and group based therapeutic activities. Adults get to take part in recreational or social activities and may also receive nutritional meals and snacks. A shower can also be provided along with some personal ADLs while at the center.

Although transportation is not provided for ADC programs, they may be able to assist the client in finding local transportation resources to and from the facility for participating adults.

Who is eligible for ADC?

Someone who:

• Has a current assessment in CARE

• Is enrolled in COPES, RCL, New Freedom, or other approved funding, and

• Has an unmet need for one or more of the following core services:

- Personal care services

- Health monitoring with consultation from an RN

- General therapeutic activities

- Supervision or protection

- Lives in an in-home setting

What is Adult Day Health (ADH)?

ADH is a supervised daytime program providing skilled nursing or rehabilitative therapy in addition to the core services offered at ADC.

ADH services are appropriate for adults with medical or disabling conditions who require the intervention or services of a Registered Nurse or licensed rehabilitative therapist on each day of attendance.

The client can also receive intermittent supportive counseling.

ADH provides skilled nursing or rehabilitative therapy in addition to the core services offered at ADC.

All core services within ADC and

• Skilled nursing services

• Restorative, rehabilitative

• Skilled therapies: physical and occupational therapy, speech-language pathology, and audiology

• Supportive counseling services, case management

• Client transportation is included in the daily rate

• No adjustment to CARE hours

Who is eligible for ADH?

• Someone who:

• Has a current assessment in CARE

• Is enrolled in COPES, RCL, new freedom, or other approved funding

• Has an unmet need for one or more of the following:

- Skilled Nursing

- Skilled therapy

- Counseling

• Lives in an in-home setting, assisted living facility, or adult family home that does not offer the needed service(s)

There are currently 15 ADH providers in 10 Washington counties, including Benton, Clark, King, Kitsap, Pierce, Snohomish, Spokane, Lewis/Mason/Thurston, Skagit and Whitman.

For more information about ADS programs, please contact Susan Worthington, HCS ADS Program Manager.