Caregiving Support: What is an Adult Day Program?

What Comes Next? Adult Day Programs 

Memory loss can be caused by a variety of illnesses, and it is often progressive in nature. Over time, caring for a loved one with dementia at home can be exhausting. If the caregiver is an elderly spouse, he or she may have their own health problems to cope with. If the person with dementia lives with an adult child who works, it may not be safe to leave their parent home alone unattended. An Adult Day Program may be a good option in these instances. 

Adult Day Programs are similar to Senior Centers, but they are developed for people with memory loss and/or physical disabilities. Staff members host a wide variety of activities, from arts and crafts to exercise groups to memory boosting games. There is frequently a social worker on site to support the participant and provide guidance to the family. Wheelchair accessible transportation is often included, as is lunch. Some programs offer physical therapy, or have specialty services such as a salon/barber on the premises. Many programs accept participants that are incontinent. Participants can choose to attend anywhere from once a week to five days a week. 

Socialization and participating in activities that keep the mind active have been found to be very beneficial for people with memory loss. These interactions can help to boost one's mood, and may also help with a better night’s sleep related to being more active during the day. In addition to all of this, the caregiver receives a much needed break while their loved one is at the program. Caregivers can use the time to gather with friends, or go shopping and run errands without having to worry about leaving their loved one home alone, or having to bring them to the store with them. 

Costs vary considerably, ranging in the area of $100-$150 a day. Some programs provide a discount for veterans. In New Jersey, most programs will be covered by Medicaid. For those paying privately, keep in mind transportation and lunch are most likely included, and the participant can be at the program all day. If a private aide costs $20-$35 an hour, with most agencies requiring a 4 hour block of time, a Day Program is a cost effective option.

Michelle Rutigliano, LCSW

Michelle Rutigliano is a Licensed Clinical Social Worker who earned her Master of Social Work degree from Hunter College School of Social Work in 1995.  She majored in Gerontology and Group Work.  Her social work career has spanned over 25 years and has been exclusively focused on assisting families coping with memory loss and physical illness.  Michelle is certified through NASW to engage in Advanced Care Planning conversations in New Jersey.  Michelle has a strong desire to help clients and families prepare emotionally and practically for their future.  She has a clinical interest in Cognitive Behavioral Therapy, Acceptance and Commitment Therapy and Motivational Interviewing techniques.

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Caregiving Support: Questions to ask when hiring a private caregiver

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Caregiving Support: Determining what level of care is needed for your loved one