Too often, Adult Day Services (ADS) are misunderstood as being just for older people. While the people who attend some centers are adults, services and disability are not limited to older adults. Adult Day Services support the health, nutritional, social, and daily living needs of adults of all ages and a wide range of cognitive and physical disabilities in professionally-staffed group settings. Adult Day Services also benefit family caregivers by enabling them to remain in the workforce as well as providing them with direct services.

About Adult Day Services

Adult day centers offer a wide array of services to address the range of conditions and needs presented by participants and their caregivers. With more than 7,500 Adult Day Services centers across the United States, Adult Day Services and adult day health care are a growing source of long-term care. Adult day programs serve as an emerging provider of transitional care and short-term rehabilitation following hospital discharge. Adult day programs are designed to help adults receive the services they need without having to reside in a long-term care facility. Along with easier access to necessary support, adult day programs offer the opportunity to establish relationships and connections between those who attend adult day centers, their families and those who work in adult day centers. Connections and relationships are essential ingredients to overcoming loneliness and feelings of isolation, which can intensify the impact of disease and disability. The physical environment and the program design of Adult Day Services provide safety and structure for participants. The center staff builds relationships and creates a culture that supports, involves, and validates the participant, which forms the framework in which therapeutic activities, health monitoring, and all the services offered by the center occur. All therapeutic components of Adult Day Services (meals, activities, interactions with staff and other participants, personal care, nursing and therapies) are reinforced by the warm, caring affective tone of the center.

The National Adult Day Services Association (NADSA) has responded to growing demands among public and private funders that Adult Day Services be able to document effectiveness and value in the services they deliver. This documentation takes many forms in many different areas and NADSA has worked diligently to develop a uniform set of standard outcomes measures in the last several years. In 2015, NADSA completed a document of suggested outcomes providing reliable and valid markers of the effect of ADS on participants and their caregivers, which was presented at the annual NADSA conference in Phoenix.

Review the Outcomes Project Results

These projects were ongoing and much of this work was published by Keith Anderson and others from NADSA in the Journal of Applied Gerontology in 2018. Building on this momentum, NADSA proceeded to update it’s Research Positioning Statement in late 2018 and completed this process in August 2019. The following pages provide the full Positioning Statement and 5-year plan, as well as the domain map to help visualize NADSA’s Research Position.

Learn from the Latest National Research


April 2021

August 2020

April 2020

February 2020

November 2019

August 2019

May 2019

February 2019

October 2018

May 2018

National Study of Long Term Care Providers

Genworth Cost of Care Survey 

Leutz Evaluation of the Medical Adult Day Services (CMS) Demonstration

MetLife National Study

 National Adult Day Services Association

NADSA continues to be a key supporter in the development and promotion of the National Study of Long Term Care Providers (NSLTCP). This collaboration has been valuable in ensuring that NSLTCP captures the unique characteristics of Adult Day Services centers and the important work they do in meeting the diverse needs of the nearly one-quarter million elderly and young disabled participants they serve each day (Long-Term Care Services in the United States: 2013 Overview, National Center for Health Statistics). NSLTCP is designed to collect information about the characteristics of Adult Day Services centers, including the services they offer, participant fee revenue sources, staffing, and demographics and health status of the participants they serve.  The information collected through NSLTCP is used to inform the CDC overview report on the major types of long-term care providers that include Adult Day Services centers, assisted living and other residential care communities, home health agencies, nursing homes, and hospices.

Learn more about Long Term Services and Supports in the 2015 White House Conference on Aging Policy Brief.



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By opening this Directory, you hereby accept and agree to be bound by the following terms and conditions: This Directory shall be used for individual and confidential reference purposes only, and may be used only pursuant to the terms of this agreement. This directory is property of NADSA. Its contents may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; used as part of or in connection with the preparation, revision or confirmation of a mailing, telephone, fax, email, or other marketing list; or otherwise utilized, in any form or manner or by any means reference. Contained herein are the names, addresses, telephone numbers, fax numbers, email addresses, and contact persons of ADS Centers. Their presence in this Directory represents only that these companies, organizations, institutions, or individuals are ADS Centers. It does not represent their consent to receive any related communications. NADSA does not endorse these Centers and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the products or services provided by those Centers/individuals contained in this directory. NADSA expressly disclaims all liability for damages of any kind arising out of the use or performance of the products or services provided by these Centers/individuals.