On Monday, Governor Jerry Brown vetoed a Bill that would have provided $85 million of adult day services in the Medi-Cal budget to preserve adult day health in California. The new funding was designed as a partial replacement to the $169 million Adult Day Health Care program that was cut from the state budget this year. An estimated 35,000 senior citizens use the services. Adult day centers began closing in June as a result of the proposed cuts, and more are expected to follow. The Governor proposes that Medi-Cal participants will receive services in other home and community-based services and through managed care plans. Federal approval has been granted for the Medi-Cal adult day health funding for the centers to continue until December 1. Learn more here…
Monthly Archives: July 2011
A participant who attends Daybreak Adult Day Services in Frederick, MD, benefitted from the training and responsiveness of his bus driver on the way to the adult day center recently. The ride proved to be more than a trip to a service that increases his quality of life. The transportation gaining him access to the essential service saved his life. Learn how his bus driver helped save his life. Read more…
The Lifetime Arts Roster is an online directory of professional Teaching Artists from all disciplines, who are qualified to design and delivery sequential, instructional arts programs for older adults. Learn more at www.lifetimearts.org.
University Park, Pa. — Adult day care services significantly reduce the stress levels of family caregivers of older adults with dementia, according to a team of Penn State and Virginia Tech researchers.
“Family members who care for dementia patients are susceptible to experiencing high levels of stress,” said Steven Zarit, professor and head, department of human development and family studies, Penn State. “One way of alleviating that stress is through the use of an adult day care center, which allows them a predictable break from caregiving responsibilities.”
Not only do caregivers benefit from using such services, but dementia patients also gain from the break. Zarit and his colleagues showed that dementia patients who attend adult day care centers have fewer behavior problems and sleep better at night.
“The changes we have seen are as large as you’d get with medication, but with no side effects,” he said.
Zarit and his team evaluated the stress levels of 150 caregivers by using a 24-hour daily diary to obtain baseline information prior to the use of an adult day care service. After the caregivers began the use of an adult daycare, the researchers gathered data at various times over a two-month period. The caregivers recorded entries in their diaries, both on days when their relatives went to an adult day care service and on days when their relatives stayed home. The researchers reported their results online in the Journals of Gerontology Series B: Psychological and Social Sciences.
“In the diaries, we asked the caregivers to discuss their moods and the moods of their relatives, how agitated or restless their relatives were, and how many sleep disturbances their relatives had, among other topics,” said Zarit.
The team’s results revealed that caregivers generally reported greater levels of stress exposure prior to the use of an adult day care service and on days when their relatives did not attend adult day care programs. The team also found that behavior problems and poor sleep were more likely to occur on days when dementia patients remained at home.
Zarit and his colleagues are now studying the possible physiological effects these services can have on family caregivers. They are using stress markers, such as the stress hormone cortisol, to examine the body’s response to high-stress days when relatives with dementia stay home versus low-stress ones when relatives with dementia attend adult day care centers.
Other Penn State researchers involved in the study include Kyungmin Kim, graduate student, human development and family studies; Elia Femia, research associate, human development and family studies; DavidAlmeida, professor of human development and family studies, and Peter Molenaar, professor of human development and psychology.
Also part of the study was Jyoti Savla, assistant professor of human development and gerontology, Virginia Tech.
National Institute of Mental Health supported this work.
Editors: Steven Zarit can be reached at email@example.com.
Contacts: Sara LaJeunesse, 814-863-4325
Long-term care costs continue to rise according to the 2011 MetLife Market Survey of Nursing Home, Assisted Living, Adult Day Services and Home Care Costs. National average rates for a private nursing home room increased 4.4% to $239 daily or $87,235 annually, in 2011. Assisted living base rates rose by 5.6% to $3,477 monthly or $41,724 annually. Adult day services went up by 4.5% to $70 per day after remaining unchanged in last year’s study. Home health aides and homemaker/companion service rates were unchanged at $21 and $19 per hour, respectively. Read more.