142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Elimination of Adult Day Health Care (ADHC) in California: The Impact on Consumers and Their Families

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Anne Soon Choi, PhD, MPH, MSW , Department of Interdisciplinary Studies, California State University Dominguez Hills, Carson, CA
In March 2012, the state of California eliminated Adult Day Health Care (AHDC), one of the most significant programs that allowed frail low-income older adults to live in the community by providing comprehensive care including medication monitoring, feeding, physical therapy, skilled nursing and individual supervision at a designated facility. Before its elimination, 37,000 older adults and their families in California depended on ADHC and over two-thirds (28,000) of these individuals currently live in Los Angeles County. With the elimination of ADHC, the state established two new programs for former ADHC beneficiaries---Community Based Adult Services (CBAS) and Targeted Case Management Services (TCMS). For older adults who have high levels of cognitive decline including Alzheimer’s disease, the transition to CBAS provided ADHC look-alike and there was no interruption of services. The remaining older adults were transitioned into TCMS where older adults and their families were connected to community based services such as In Home Supportive Services (IHSS) so they could continue to live independently. This study investigates how the state transitioned older adults from ADHC to TCMS and how this transition impacted frail low-income older adults and their families. Additionally, in-depth interviews with consumers and their families provides an opportunity to  better understand how older adults and their families construct and reinvent a matrix of care to maintain their independence in the wake of cutbacks to publically funded programs such as ADHC.

Learning Areas:

Public health or related public policy
Social and behavioral sciences

Learning Objectives:
Describe how the elimination of Adult Day Health Care (ADHC) has impacted older adults and their families Assess the caregiving arrangements of older adults in the wake of the elimination of ADHC Discuss the impact of the elimination of ADHC on other community-based long term support services

Keyword(s): Aging, Long-Term Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have researched and published on aging and long-term care for over five years and currently the principle investigator of this study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.