While adult day services (ADS) continues to grow within the home and community-based services sector, questions remain as to the challenges that the industry faces and anticipates facing in the future. In this study, a national sample of ADS centers (N = 557) responded to open-ended questions regarding current and future challenges. Qualitative and quantitative analyses revealed that funding was a central concern around which a complex and interconnected constellation of challenges revolved, such as adequate staffing, marketing their services, physical space, and complicated care needs.Given the challenging economic times, these findings suggest that the continued evolution of the ADS industry depends largely on the implementation of changes in policy and funding mechanisms.
DabelkoHIKoenigTLDansoK. An examination of the adult day services industry using the resource dependence model within a values context. J Aging Soc Pol. 2008;20:201-217.
DabelkoHIZimmermanJ. Outcomes of adult day health services for participants: A conceptual model. J Appl Gerontol. 2008;1:78-92.
5.
GauglerJEJarrottSEZaritSHStephensMPTownsendAGreeneR. Adult day service use and reduction in caregiver hours: Effect on stress and psychological well-being for dementia caregivers. Int J Geriatr Psych. 2003;18:55-62.
6.
LawtonMPBrodyEMSapersteinAR. A controlled study of respite service for caregivers of Alzheimer’s patients. Gerontologist. 1989;29:8-16.
7.
MontgomeryRJVBorgattaEF. The effectiveness of alternative support strategies on family caregiving. Gerontologist. 1989;29:457-464.
8.
SchmittEMSandsLPWeissSDowlingGCovinskyK. Adult day health center participation and health-related quality of life. Gerontologist. 2010;50:531-540.
9.
ZaritSHStephensMAPTownsendAGreeneR. Stress reduction for family caregivers: Effects of adult day care use. J Gerontol B-Psychol. 1998;53B:S267-S277.
10.
ZaritSHStephensMAPTownsendAGreeneRLeitschSA. Patterns of adult day service use by family caregivers: A comparison of brief versus sustained use. Fam Relat. 1999;48:533-361.
11.
ChoSZaritSHChiribogaDA. Wives and daughters: Differential risk factors in the nursing home placement of cognitively impaired family members. Gerontologist. 2009;49:57-67.
12.
McCannJJHebertLELiYWolinskyFDGilleyDWAggarwalNT. The effect of adult day care services on time to nursing home placement in older adults with Alzheimer’s disease. Gerontologist. 2005;45:754-763.
Kaiser Family Foundation. Focus on health reform: Summary of coverage provisions in the Patient Protection and Affordable Care Act. Available at: http://www.kff.org/healthreform/upload/8023-R.pdf. Accessed June 25, 2011.
