Adult Day Services

Serving North Carolina families with professional daytime care for older adults and persons with disabilities

  • Does someone you know live alone or stay alone during the day but have a poor memory?
  • Do you want someone to share the care in helping you with an adult with mental retardation or mental illness?
  • Are you looking for a service to supplement home care for a loved one?

All of the statements above describe people who can benefit from the services offered in over 100 adult day programs in North Carolina, 3400+ nationally. "Adult Day Services" are daytime programs designed to meet the needs of adults who need supervised care during the day while returning to their homes or the homes of their loved ones in the evenings.

Regular use of the health and social services offered in these programs helps reduce the risk of hospitalization and provides access to health and social services in a supportive environment. Many family caregivers can continue working when they take advantage of adult day programs for their loved ones. Other families may choose adult day services for peace of mind and "time off" from the caregiving routine to approach other responsibilities such as balancing other family responsibilities or taking care of themselves.

Programs Must Be Certified

Adult day services in North Carolina are certified by the Department of Health and Human Services, Division of Aging and Adult Services. Programs are required to meet strict requirements for certification. They are inspected monthly by local Departments of Social Services, and are recertified annually. Programs certified to provide health services meet additional requirements and are also monitored regularly by local Health Departments.

Strict Ratios are Maintained

Maximum allowable staff to participant ratios in adult day services in North Carolina are as follows 1:8 (social centers), 1:6 (social/health centers) and 1:5 (health centers). The variety services offered at each center is determined by its management. Adult day services offer an individualized plan of care to meet the needs of each person attending, often referred to as a participant. Participants attend on a scheduled basis, and services may include, but not be limited to, the following:

  • Supervision
  • Meals and snacks
  • Group and individual activities
  • Formal exercise
  • Intergenerational programming
  • Health monitoring
  • Caregiver Support Group
  • Nursing services
  • Transportation
  • Therapeutic Art Activities
  • Therapeutic Music Programs
  • Therapeutic Programming with Pets
  • Podiatry
  • Hair Care
  • Manicures
  • Health Care
  • Medication Management
  • Shower/Bath
  • Medical Evaluation
  • Therapeutic Dance Activities
  • Specialized Diets
  • Horticulture Therapy
  • Reminiscence Therapy
  • Physical Therapy
  • Speech Therapy
  • Occupational Therapy
  • Massage Therapy

Community Resources

Adult day services also provide opportunities for community members and groups to provide valuable volunteer services. Many schools see adult day services as excellent resources for students who may be interested in acquiring experience with physical therapy, social work, psychology, music therapy, the aging process or occupational therapy.

If you know someone who might benefit from adult day services, help is only a phone call away. To locate a center in North Carolina contact the North Carolina Adult Day Services Association online at www.ncadsa.org or contact the North Carolina Division of Aging and Adult Services at (919) 733-3818.

The North Carolina Adult Day Services Association is a non-profit organization that promotes the availability, accessibility, quality and cost-effectiveness of adult day services in North Carolina.

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