A Caregiver's Guide to Adult Day Services


What they do

Adult day services -- sometimes called adult day health services or adult daycare -- provide care and supervision outside the home for older adults with physical or mental limitations. Many provide limited health services, mind and body exercise, social activities, meals, transportation, and other support services. Most offer a safe, supervised environment, even for those with dementia or those who are so frail they'd otherwise have to be cared for in a skilled nursing facility. More and more adult day services operate as stand-alone centers; others are a part of senior centers, churches, hospitals, or residential care facilities.

How they help

Adult day services are a godsend to families who can't afford full-time, in-home care and need some way to keep their loved ones busy and engaged in a safe, supportive, supervised place. And because many offer door-to-door transportation, at least one hot meal, and a range of health services and activities, many family caregivers find that this option allows them to keep working -- or to take a periodic much-needed break from caregiving.

What they cost

Expect to spend $25 to $150 per day, depending on location and services provided, but many offer sliding-scale fees and accept Medicaid and other types of insurance coverage.

How to get started

It's best to contact and tour possible adult day services providers to find the best fit for your loved one. Two good places to find leads:

  • Use Caring.com's Senior Living Directory to search for adult day services by city or zip code -- and to see ratings and reviews.

  • Contact the staff at your local Area Agency on Aging and ask for a referral.

Barbara Kate Repa

Barbara Kate Repa, a lawyer and journalist, has devoted her career to editing and writing about legal issues for consumers. See full bio

over 1 year ago, said...

would an adult day care accept my 34 year old husband. his only ailments is incontinence. which he wears diapers for . I can't always take him with me and be able to change him at all places. I don't want to leave him home alone in a dirty diaper . he cannot wear pull ups. and can't correctly diaper himself. so basically I need somewhere I can take him that will change him when needed. I've discussed this with him and he agrees adult day care is a better option than my friends watching him and changing his diapers