Mobile adult day program
The Mobile Adult Day Care Program is Georgia’s concept of providing adult day care, by bringing staff to locations where people need services but there is little to no access to adult day care services. The program allows professional, informal and family caregivers in rural counties a period of respite. Mobile day care (MDC) enables rural communities to have their own day care program while “sharing” staff who travel between locations. The staff along with materials and supplies needed for the day is mobile. They leave from a central location to a rural site which may be located in a church or senior center. Depending on the needs of the community, the site may be open for five to eight hours per day, one to three days each week.
A typical staff may include:
- An activity director or recreational therapist,
- The activity director’s aide,
- An RN supervisor who periodically visits the MDC sites, and may supervise other programs as well,
- A case management coordinator- a social worker that assesses clients for Day Care attendance, assists families with seeking other available community resources, and conducts reassessments,
- A community development coordinator- responsibilities include public relations, trouble shooting for day center operations, and making local arrangements for educational programs. They are also responsible for developing a coalition of community professionals and caregivers that will assist in promoting the mobile daycare program, and
- An executive director and/ or administrative assistant who handles the budget, payroll, and other tasks at the central office.
The Mobile Day Care Program has encountered a number of challenges in providing this service to rural Georgia. Foremost among these challenges has been gaining the community’s trust. To meet this challenge, the program fosters community involvement through the establishment of local advisory boards, hiring local individuals to work in the program, enlisting local volunteers, and selecting well-known locations in the community (such as a senior center or church) to serve as the service site. Lack of resources is a key concern for rural areas with limited funding to establish their own “bricks and mortar” respite services. By sharing staff between sites, utilizing existing facilities in the communities, and capitalizing on available resources, rural areas are able to overcome many resource barriers to provide social day care for clients with Alzheimer’s and/ or other chronic diseases and respite care for their families.
Rural caregivers of individuals with dementia and Alzheimer’s and other older adults
Georgia through 12 area agencies on aging via funding from the Older Americans Act, National Family Caregiver Support Program. The program was also replicated in Louisiana.
Allow caregivers in rural counties a period of respite from their 24 hour-a-day caregiving responsibilities for persons with dementia.
Evidence of Outcomes
New Idea/Novel Approach
No formal research has been conducted on outcomes. The program was featured in the Supporting Rural Family Caregivers satellite broadcast on March 2008, sponsored by the Department of Health and Human Services. In 2005, it received Honorable Mention from the Archstone Foundation and the Gerontological Health Section of the American Public Health Association for Excellence in Program Innovation.