scholarly journals Advancing Adult Day Services Research: The 2016 and 2018 National Study of Long-Term Care Providers

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 618-618
Author(s):  
Jessica Lendon ◽  
Vincent Rome ◽  
Christine Caffrey ◽  
Priyanka Singh ◽  
Manisha Sengupta
Keyword(s):  
Medical Model ◽  
Social Model ◽  
National Study ◽  
Care Providers ◽  
Services Research ◽  
Patient Centered ◽  
Term Care ◽  
Adult Day Services ◽  
Day Services ◽  
First Time

Abstract This presentation demonstrates how researchers can leverage data from the 2018 redesign and new content from the forthcoming NSLTCP survey of adult day services centers (ADSC) conducted by National Center for Health Statistics. For the first time, NSLTCP data will allow analyses at the services-user level. New policy-relevant topics about centers and ADSC participants include reasons for hospitalization, medication use, patient-centered and end-of-life care, staffing turnover, and unmet needs. Additionally, the presentation highlights latest findings from the 2016 survey. About 53% of centers were primarily medical model. Almost 79% of participants in medical model centers used Medicaid, compared to 51% in social model centers. About 4% of participants had at least one 90-day hospitalization. 40% of participants had difficulty bathing. The most prevalent chronic conditions were hypertension (50%), arthritis (38%), and diabetes (31%). Nearly 40% of participants had an advance directive. Findings are contextualized within the broader understanding of ADSCs.

scholarly journals Dementia Specialization Among Adult Day Services Centers: National Study of Long-Term Care Providers

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 84-84
Author(s):  
Jessica Lendon ◽  
Manisha Sengupta ◽  
Amanuel Melekin
Keyword(s):  
Long Term Care ◽  
Social Model ◽  
National Study ◽  
Care Providers ◽  
Care Needs ◽  
Term Care ◽  
Transportation Services ◽  
Adult Day Services ◽  
Day Services

Abstract Adult day services centers (ADSC) are a source of community-based care for persons with Alzheimer’s disease/other dementias. This study compares dementia specialized ADSCs (DSADSC) and their participants to other ADSCs that do not specialize in dementia care using the 2016-2018 National Study of Long-term Care Providers. DSADSCs account for 10% of all ADSCs and serve 15% of all ADSC participants with dementia. About half of DSADSC participants have dementia, compared to 30% in other ADSCs. A higher percentage of DSADSCs, compared to other ADSCs, were in the Midwest, were nonprofit, had a social model, and employed nursing aides. Fewer DSADSCs, compared to other ADSCs, provided nursing, mental health, and transportation services. More DSADSC participants were 75 years of age or older and needed assistance with eating and toileting. Findings may help identify how ADSCs, particularly, DSADSCs, meet the unique care needs of older adults with dementia.

scholarly journals Advance Directives State Requirements, Center Practices, and Participant Prevalence in Adult Day Services Centers: Findings From the 2016 National Study of Long-Term Care Providers

2020 ◽  
Author(s):  
Jessica Penn Lendon ◽  
Christine Caffrey ◽  
Denys T Lau
Keyword(s):  
Advance Directives ◽  
Long Term Care ◽  
National Study ◽  
Care Providers ◽  
Term Care ◽  
Adult Day Services ◽  
Advance Care ◽  
Day Services ◽  
State Requirement

Abstract Objectives Adult day services centers (ADSCs) may serve as an entrée to advance care planning. This study examined state requirements for ADSCs to provide advance directives (ADs) information to ADSC participants, ADSCs’ awareness of requirements, ADSCs’ practice of providing AD information, and their associations with the percentage of participants with ADs. Methods Using the 2016 National Study of Long-Term Care Providers, analyses included 3,305 ADSCs that documented ADs in participants’ files. Bivariate and linear regression analyses were conducted. Results Nine states had a requirement to provide AD information. About 80.8% of ADSCs provided AD information and 41.3% of participants had documented ADs. There were significant associations between state requirements, awareness, and providing information with AD prevalence. State requirement was mediated by awareness. Discussion This study found many ADSCs provided AD information, and ADSCs that thought their state had a requirement and provided information was associated with AD prevalence, regardless of state requirements.

scholarly journals EVALUATING ENHANCEMENTS TO ADDRESS SAMPLE DIVERSITY, RESPONDENT BURDEN, AND DIFFICULTY REACHING RESPONDENTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S583-S583
Author(s):  
Melissa Hobbs ◽  
Melissa Hobbs ◽  
Angela Greene ◽  
Christine Caffrey ◽  
Manisha Sengupta ◽  
...  
Keyword(s):  
Hard Copy ◽  
National Study ◽  
Computer Assisted ◽  
Care Providers ◽  
Term Care ◽  
Small Communities ◽  
Adult Day Services ◽  
Size Type ◽  
Day Services ◽  
Time Required

Abstract Every two years since 2012, the National Study of Long-Term Care Providers includes provider surveys with residential care communities (RCCs) and adult day services centers (ADSCs), via a multi-mode approach using Web, hard-copy questionnaires, and computer-assisted telephone interviewing. In each wave, we struggled to achieve target response rates. First, diversity among providers surveyed—e.g. RCC size, type of ADSC—presents unique challenges. For RCCs, small communities have lower response compared to larger ones. For ADSCs, how they define themselves (medically vs socially oriented) influenced their decision to participate. Second, respondents’ perceived burden, particularly the time required to complete the survey, is a recurring concern especially for directors of multiple RCCs and ADSCs. Finally, reaching target respondents—directors, administrators or operators—is problematic. These challenges affect data quality. In this presentation, we share results of our efforts to enhance contacting and interviewing protocols intended to address low participation associated with these challenges.

scholarly journals ADVANCE DIRECTIVES: STATE REQUIREMENTS, PRACTICES, AND PREVALENCE IN ADULT DAY SERVICES CENTERS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S158-S158
Author(s):  
Jessica P Lendon ◽  
Christine Caffrey ◽  
Denys Lau
Keyword(s):  
Advance Directives ◽  
National Study ◽  
Care Providers ◽  
Term Care ◽  
Health Records ◽  
Adult Day Services ◽  
Advance Care ◽  
Day Services ◽  
State Requirement

Abstract Advance directives (ADs) are documents that express a person’s healthcare preferences if he/she is unable to make decisions. Adult day service centers (ADSC) may serve as an entrée to advance care planning for many people. This study examined the relationships among: 1-state requirements on ADSCs to provide information on ADs; 2-ADSC’s awareness of their state requirement; 3-ADSC’s practice in providing AD information; and 4-the percentage of ADSC participants with an AD. From the 2016 National Study of Long-Term Care Providers, 3,300 ADSCs reported that they maintained documentation of ADs in participants’ files. Nine states required ADSCs to provide information on ADs; 22% of ADSCs were located in these states. About 24% of ADSCs did not know if their states had requirements; among the 76% of ADSCs that reported knowing, 62% were correct and 37% were incorrect. About 80% of ADSCs provided AD information to their participants, while 41% of ADSC participants had an AD on file. Regression models controlled for size, chain and profit statuses, Medicaid-licensing, medical or social care model, electronic health records use, and Census region. Having state requirements was not independently associated with ADSCs’ practice of providing AD information or with the percentage of participants with an AD. Instead, ADSCs that thought their state had a requirement had greater odds of providing information on ADs, regardless of state requirements. Similarly, ADSCs that thought their state had a requirement and that provided AD information had a higher percentage of participants with an AD, independent of state requirements.

Promoting Collaboration Between Hospice and Palliative Care Providers and Adult Day Services for Individuals With Intellectual and Developmental Disabilities

2015 ◽  
Vol 70 (4) ◽  
pp. 380-403 ◽  
Author(s):  
Corina R. Ronneberg ◽  
Lisa Peters-Beumer ◽  
Beth Marks ◽  
Alan Factor
Keyword(s):  
Developmental Disabilities ◽  
General Population ◽  
End Of Life ◽  
End Of Life Care ◽  
Intellectual And Developmental Disabilities ◽  
Life Care ◽  
Care Providers ◽  
Term Care ◽  
Adult Day Services ◽  
Day Services

While end-of-life issues are increasingly gaining more attention, people with intellectual and developmental disabilities (IDD) continue to receive significantly less consideration in research, education, and clinical practice compared with the general population. This is a growing concern especially since the sheer number of persons aging with IDD is expected to double in the next 17 years. Furthermore, policies are shifting to reflect a preference for home and community-based services as an alternative to institutionalization, and it becomes evident that adult day services (ADS) may be ideal settings for receipt of end-of-life care, especially among individuals with IDD. However, end-of-life care and advance planning most commonly occur in long-term care settings for the general population and have historically been less of a priority in ADS and residential services for people with IDD. This article discusses the attitudes of, and collaboration between, ADS and end-of-life providers for aging adults including persons with IDD and explores how ADS may be a great pathway for delivering end-of-life care to the IDD population. Implications and recommendations will also be examined.

scholarly journals Adult Day Services as an Essential Service and Support

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 111-112
Author(s):  
Joseph Gaugler ◽  
Katherine Marx ◽  
Holly Dabelko-Schoeny ◽  
Lauren Parker ◽  
Keith Anderson ◽  
...  
Keyword(s):  
Older Persons ◽  
Care Providers ◽  
Community Based ◽  
Term Care ◽  
Adult Day Services ◽  
Community Based Programs ◽  
Day Services ◽  
Essential Service

Abstract Throughout the COVID-19 pandemic, the significant challenges and gaps related to the care of older people in the U.S. were made distressingly apparent. This summary presentation will consider the effects of COVID-19 and associated shutdowns on older persons who use ADS programs, their family caregivers, and programs/staff themselves. Among recommendations to consider are the classification of adult day services and similar community-based long-term care providers as essential (and clarifying their difference from senior centers). In addition, considering new financing approaches and utilizing ADS or similar community-based programs as incubators of evidence-based innovation are options to consider to better align ADS with optimal dementia care.

scholarly journals Variations Between Adult Day Services Centers in the United States by the Racial and Ethnic Case-Mix of Center Participants

2020 ◽  
pp. 073346482093499
Author(s):  
Jessica Penn Lendon ◽  
Vincent Rome ◽  
Manisha Sengupta
Keyword(s):  
Long Term Care ◽  
The United States ◽  
Case Mix ◽  
Care Providers ◽  
Term Care ◽  
Adult Day Services ◽  
Day Services ◽  
Racial Ethnic ◽  
Hispanic White

This is the first nationally representative study to identify differences between adult day services centers, a unique home- and community-based service, by racial/ethnic case-mix: Centers were classified as having a majority of participants who were Hispanic, non-Hispanic Black, or non-Hispanic other race/ethnicities and non-Hispanic White. The associations between racial/ethnic case-mix and geographic and operational characteristics of centers and health and functioning needs of participants were assessed using multivariate regression analyses, using the 2014 National Study of Long-term Care Providers’ survey of 2,432 centers. Half of all adult day centers predominantly served racial/ethnic minorities, which were more likely to be for-profit, had lower percentages of self-pay revenue, more commonly provided transportation services, and had higher percentages of participants with diabetes, compared with predominantly non-Hispanic White centers. Findings show differences by racial/ethnic case-mix, which are important when considering the long-term care needs of a diverse population of older adults.

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