Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-27T21:18:46.309Z Has data issue: false hasContentIssue false

Comparison of Adult Day Services in Atlantic Canada, Maine, and Vermont*

Published online by Cambridge University Press:  31 March 2010

Lori E. Weeks*
Affiliation:
Department of Family & Nutritional Sciences
Karen A. Roberto
Affiliation:
Virginia Polytechnic Institute State University
*
Requests, etc., Lori E. Weeks, Ph.D., Assistant Professor, Department of Family & Nutritional Sciences, University of Prince Edward Island, Charlottetown, PE C1A 4P3. Lweeks@upei.ca

Abstract

In both Canada and the United States, adult day services (ADS) are an integral component in the array of long-term care services available. We compared characteristics of programs and participant characteristics in Atlantic Canada, Maine, and Vermont. Directors of 47 ADS programs responded to a mailed survey. Individual ADS programs in each province and state exhibited unique program and participant characteristics. ADS programs in the two countries differed with respect to: affiliation, location, levels of government support, participant fees, organizational sponsorship, hours of operation, months of attendance, and hours attended per day. Participant characteristics that varied between the two countries were educational level, physical needs, and cognitive status. The results of this study provide new comparative information that can be used in guiding future research and program development of ADS.

Résumé

Au Canada comme aux États-Unis, les services de jour pour adultes (SJA) font partie intégrante de la gamme des soins de longue durée. Nous avons comparé les caractéristiques des programmes et des participants du Canada atlantique, du Maine et du Vermont. Les directeurs de 47 programmes de SJA ont répondu à notre sondage postal. Les différents programmes offraient des caractéristiques propres, tant sur le plan des attributs que des participants. Les programmes des deux pays diffèrent en ce qui concerne l'affiliation, l'emplacement, la provenance de l'appui gouvernemental, les frais d'adhésion, l'organisation du parrainage, les heures d'ouverture, les mois de fréquentation et les heures de fréquentation quotidiennes. Sur le plan des participants, les caractéristiques variaient entre les deux pays sur le plan du niveau d'instruction, des besoins physiques et de l'état cognitif. Les résultats de l'étude fournissent de nouvelles données de comparaison qui pourront servir à orienter la recherche sur les programmes de SJA et leur développement.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 2002

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

**We wish to express our appreciation to Rosemary Blieszner, James Bohland, Michael Sporakowski, and Pamela Teaster for their contributions to this project.
*

An earlier version of this article was presented at the 27th Annual Scientific and Educational Meeting of the Canadian Association on Gerontology held in Halifax in October, 1998.

References

Bradsher, J.E., Estes, C.L., & Stuart, M.H. (1995). Adult day care: A fragmented system of policy and funding streams. Journal of Aging and Social Policy, 7(1), 1738.Google Scholar
Chappell, N.L., Strain, L.A., & Blandford, A.A. (1986). Aging and health care, a societal perspective. Toronto: Holt, Reinhart and Winston.Google Scholar
Clark, P.G. (1995). The moral economy of health and aging in Canada and the United States. Canadian-American Public Policy, 23, 147.Google Scholar
Conrad, K.J., Hanrahan, P., & Hughes, S.L. (1990). Survey of adult day care in the United States: National and regional findings. Research on Aging, 12, 3656.Google Scholar
Conrad, K.J., Hanrahan, P., Wang, S., & Hughes, S.L. (1993). A Medicare adult day care model: Proposed criteria and available supply. Journal of Aging and Social Policy, 5(4), 5175.Google Scholar
Conrad, K.J., Hughes, S.L., Hanrahan, P., & Wang, S. (1993). Classification of adult day care: A cluster analysis of services and activities. Journal of Gerontology: Social Sciences, 48, S112S122.Google Scholar
Estes, C.L. (1991). The new political economy of aging: Introduction and critique. In Minkler, M. & Estes, C.L., (Eds.), Critical perspectives on aging: The political and moral economy of growing old (pp. 1936). Amityville, NY: Baywood.Google Scholar
Gutman, G.M., Milstein, S., Killam, J., & Lewis, D. (1991). Adult day care centres in British Columbia: Their operating characteristics, activities and services, clients, and interface with the long-term care program. Vancouver, BC: Gerontology Research Centre.Google Scholar
Gutman, G.M., Milstein, S., Killam, J., Lewis, D., & Hollander, M.J. (1993). Adult day care centres in British Columbia: Models, characteristics and services. Health Reports, 5(2), 189207.Google Scholar
Hall, B. (1989). Adult day care: A viable community option. Community Alternatives, 1(2), 6577.Google Scholar
Hantrais, L., & Mangen, S. (1996). Method and management of cross-national social research. In Hantrais, L. & Mangen, S. (Eds.), Cross-national research methods in the social sciences (pp. 112). London, England: Pinter.Google Scholar
Jarrott, S.E., Leitsch, S.A., Zarit, S.H., Berg, S., & Johansson, L. (1996, November) International comparison of day cares: Programs in Sweden and the USA. Poster presented at the annual meeting of the Gerontological Society of America, Washington, DC.Google Scholar
Kaye, L.W., & Kirwin, P.M. (1990). Adult day care services for the elderly and their families: Lessons from the Pennsylvania Experience. Journal of Gerontological Social Work, 15(1/2), 167183.Google Scholar
Kerr, J.R., Warren, S., & Godkin, D. (1995). Adult day programs: Maintaining the health status and quality of life of Alberta's elderly people in the community. Edmonton, AB: Alberta Health.Google Scholar
Mace, N.L., & Rabins, P.V. (1984). A survey of day care for the demented adult in the United States. Washington, DC: National Council on the Aging, Inc.Google Scholar
Murphy, M.B. (1997). Standards and Guidelines for Adult Day Services. Washington, DC: National Council on the Aging.Google Scholar
Patashnick, M. (1982). Adult day care: A mutual support community. In Moffatt, P. (Ed.), Proceedings of social work clinic day: June 10 and 11, 1982 (pp. 2236). Toronto, ON: Baycrest Centre for Geriatric Care.Google Scholar
Reifler, B.V., Henry, R.S., Sherrill, K.A., Ashbury, C.H., & Bodford, J.S. (1992). A national demonstration program on dementia day centres and respite services: An interim report. Behavior, Health, and Aging, 2(3), 199206.Google Scholar
Roemer, M.I. (1993). Primary health care and hospitalization: California and Cuba. American Journal of Public Health, 83, 317318.Google Scholar
Sherrill, K.A., Reifler, B.V., Henry, R.S., & Myers, A.K. (1992). Characteristics of dementia-specific day programs. Pride Institute Journal of Long Term Home Health Care, 11(3), 1419.Google Scholar
Strain, L.A., Payne, B.J., Dunn, N.J., Kampen, K.A.B. & Blandford, A.A. (1997). An evaluation of adult day care in Manitoba: Final report. Winnipeg, MB: Centre on Aging, University of Manitoba.Google Scholar
Von Behren, R. (1986). Adult day care in America: Summary of a National Survey. Washington, DC: The National Council on the Aging Inc., National Institute on Adult Daycare.Google Scholar
Von Behren, R. (1988). Adult day care: A program of services for the functionally impaired. Washington, DC: The National Council on the Aging Inc., National Institute on Adult Daycare.Google Scholar
Weissert, W.G., Elston, J.M., Bolda, E.J., Zelman, W.N., Mutran, E., & Mangum, A.B. (1990). Adult day care: Findings from a national survey. Baltimore, MD: The Johns Hopkins University Press.Google Scholar