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Informational Facts
DATA From Wake Forest School of Medicine

The National Study of Adult Day Services shows the need for capacity building at the state level. Based on current service gaps (i.e. availability gaps and utilization gaps), and based on an increase in demand that will occur (due to a projected increase in the disabled elderly population and because centers are now serving a younger population with chronic conditions), capacity building needs to occur at the state level in three areas:

1 — increased public awareness in underutilized areas;
2 — increased availability in areas where the service is not currently an opinion, and,
3 — increased knowledge at the provider level regarding predictors of success (from a marketing and financial management perspective), in order to increase utilization at existing centers and even expand existing centers (when appropriate) to be able to serve more people with chronic care needs.

The study confirmed 3,407 adult day centers in the United States, of which 53% are well established, having been open for 11-20 or more years.

Individuals being served range in age from 18 to 109, with an average age of 72.

The two most prevalent conditions are dementia (52%) and 41% frail elderly (age6o+ in need of supervision and/or at-risk of social isolation.

Twenty-four percent (24%) are diagnosed with mental retardation/developmental disabilities, 23% are physically disabled but cognitively intact, and 14% have a chronic mental illness.

Forty-three percent (43%) of individuals enrolled in an adult day center need assistance with toileting, 37% with walking, and 24% with eating.

Twenty-one percent (21%) of adult day centers are based on the medical model of care, 37% are based on the social model of care (with no medical component), and 42% are a combination of the two.

Johnson & Johnson Adult day center provide a vast array of services such as: therapeutic activities, health monitoring, social services, personal care services, meals, transportation, nursing services, medication management, caregiver support services, rehabilitation therapy, medical services, overnight care and emergency respite.

Most people attending an adult day center live with an adult child or a spouse.

The average length of stay at the center is two years, with the number one reason for discharge from the center being placement in a residential setting (such as a long-term care facility). The number two reason for discharge is death.

Adult Day Care saves the state money — for the state Medicaid to place someone in a Nursing Home it will cost $30,000.00 a year, compared to the $6000.00 a year it cost for Adult Day Care. With an average of 8 years at an Adult Day Care.

8 year cost Nursing Home $240,000.00 8 year cost Adult Day Care 48,000.00 Savings $192,000.00

Adult Day Services State of Texas Level Summary


Number of Counties – 254 Under Served Counties:
Utilized – 10
Under Utilized – 16
Number of Centers – 102

Counties in Equilibrium:
Utilized – 7
Under utilized – 5
Number of Centers -98

Counties With Excess Capacity:
Utilized – 14
Under Utilized – 2


Confirmed Centers – 297
Total Centers Needed – 569
New Centers Needed - 330

Harris County Adult Day Care Centers

Confirmed Centers – 33
New Centers Needed - 30