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� <br /> / Adult Day Services <br /> November 12,2008 <br /> Page 2 of 2 <br /> From the website of the National Adult Day Services Association(www.nadsa.org): <br /> Adult day service centers provide a coordinated program of professional and <br /> compassionate services for adults in a community-based group setting. Services are <br /> designed to provide social and some health services to adults who need supervised <br /> care in a safe place outside the home during the day. They also afford caregivers <br /> respite from the demanding responsibilities of caregiving. Adult day centers generally <br /> operate during normal business hours five days a week. Some programs offer services <br /> in the evenings and on weekends. Although each facility may differ in terms of <br /> features, these general services are offered by most adult day centers: <br /> Social activities—interaction with other participants in planned activities appropriate <br /> for their conditions <br /> Transportation—cloor-to-door service <br /> Meals and snacks—participants are provided with meals and snacks, those with <br /> special dietary needs are offered special meals <br /> Personal care—help with toileting, grooming, eating and other personal activities of <br /> daily living <br /> Therapeutic activities—exercise and mental interaction for all participants. <br /> In general, there are three types of adult day centers: social (which provides meals, <br /> recreation and some health-related services), medical/health(which provides social <br /> activities as well as more intensive health and therapeutic services) and specialized <br /> (which provide services only to specific care recipients, such as those with diagnosed <br /> dementias or developmental disabilities. Caregivers typically select the type of center <br /> a care recipient attends based on the caxe needed. (Emphasis added.) <br /> Attached in a letter from Mr. Penn received in response to Staff's request for information. <br /> Mr. Penn further explained that for 70 to 80 percent of the clients the fees are paid by the <br /> State through a program that provides and arranges a variety of alternative (less expensive) <br /> services for elderly persons that would meet the criteria for admission to a nursing home and <br /> who are eligible for Medical Assistance or will soon be eligible for Medical Assistance. The <br /> rest of the clients pay their own way. Clients stay the entire day, with the usual minimum of <br /> two days a week. They are transported by Metro Mobility, Dial-a-Ride, or, if they are outside <br /> the service areas of these services, by the center's vehicles. <br /> This is very different from"Senior Centers" such as the Gillespie Center. Senior Centers are <br /> for able-bodied persons who primarily want a place to hang out and socialize. <br /> Conclusion <br /> Because of the medical nature of the program Staff concluded Sojourn could be considered a <br /> "clinic" and, unless Council is of a different opinion, would issue a letter to that effect. <br />