Countryside Adult Day Health offers fun, camaraderie and a bit of independence

Courtesy of Taunton Gazette
Posted Sep 19, 2016 at 8:00 AM

By Lynne Sullivan

RAYNHAM — A visit to the library. A pizza party. A chance to run errands.

For most of us, these are no big deal — we do these things every day.

But for clients of Countryside Adult Day Health, it’s a welcome chance to get out of the house and enjoy some measure of independence.

“They have a lot of fun,” said Trista Kingsley, the activity director for the Raynham program, which is run by the Family Service Association of Fall River. “They really just like to get out.”

The third week of September marks national Adult Day Health Week, which celebrates programs like Countryside.

Kingsley, who has been in her post since February, has 35 clients enrolled in the program right now, ranging in age from about 50 to 97. Two vans pick up clients from the Taunton area, but also from as far away as Wareham and Halifax. The program operates from 8 a.m. to 4 p.m. Monday through Friday, and includes activities like weekly trips to the Dollar Store, Wendy’s and the Raynham Library. As well, Kingsley schedules monthly appointments with a podiatrist, a hairdresser and more.

“It alleviates stress on the families,” she explained. “It’s one less thing they have to do.”

Most participants who attend Adult Day Health programs have insurance coverage to pay for ADH services. Typically, they need assistance with daily living activities like bathing, dressing, toileting, transfers, walking and eating. According to the admission criteria, behavioral health conditions that impact a person’s ability to perform these activities may also qualify them.

Bubbly and effusive, Kingsley said her clients especially love the monthly pizza parties — made possible by donations from Domino’s in Taunton — mostly because they get to have soda, instead of the typical milk and coffee.

“I really love my job,” she said. “I like to spice it up. I try to ask them for ideas [for activities].”

Special outings are planned to see the fall foliage, to go for ice cream and to shop at the Silver City Galleria. Kingsley said her clients love to see the mall decorated for the holidays.

Family Service Association has two similar Adult Day Health programs in Fall River, but Kingsley said Countryside is the one that is contracted with the VA, which explains why she has clients who come from a distance.

A trained CNA who worked for many years at a nursing home, Kingsley said always felt a special connection with the elderly, so she jumped at the chance to work as an activity director.

“This is exactly what I was made to do,” she said. “I’m super organized. And the people here are open to suggestions.”

To celebrate Adult Day Health Week, Kingsley was able to book three days of musical entertainment. Jockey Club, Jersey Mikes, Papa Gino’s, KFC and Wendy’s are all donating food for the celebrations, which have a circus theme this year.

To learn more about Countryside Adult Day Health, which is located at 244 North Main St., call 508-822-6603. To learn more about other programs offered by Family Service Association, visit

Meeting A Critical Need: Program engages patients with memory disorders

Courtesy of

Paul Smith has always liked to stay busy.

After a long career in sales, he found a profession he truly loved: repairing bicycles in a small shop in Haverhill. When the shop closed, Paul was devastated. He was out of work, and finding a new job would be difficult because he was also experiencing more symptoms of early onset Alzheimer’s disease, which he had been diagnosed with several years earlier at age 54.

“Paul had nowhere to go; he was lost,” said his wife, Maryann Smith. “He was in a shell. He rarely talked.”

Through a support group, Maryann learned about Spectrum Adult Day Health, which has locations in Beverly and North Andover. The program uses therapeutic activities to keep individuals with memory disorders active and encourage socialization. While services can’t slow or halt disease progression, they can reduce stress, provide fulfillment and minimize challenging behaviors so that participants and families can enjoy life together.

Staff members work with each patient to design individualized activities. Patients with early onset Alzheimer’s disease – like Paul – have distinct needs so that customized care is extremely important, said North Andover Program Director Brooke Wilson.

“These people are more physically fit than those who experience onset later. In many cases, not long before they come to us, they were working or mowing their lawns,” she said. “For these patients, we need to design rewarding activities that allow them to feel successful but are also safe.”

Paul began attending the North Andover program two days a week, then three, and eventually five. Because of his love for handy work, he keeps busy with small woodworking projects, painting and furniture refinishing at a small workbench that the program bought for him. He has helped to build a decorative fence and even some seasonal crafts.

“He’s so proud of the things he does there,” Maryann said.

Adult Day Health Centers Benefit Older Adults and Their Caregivers

Courtesy of

By: John Engler Friday, November 18, 2016 12:00 AM
While many Baby Boomers have children who are either in college or approaching college age, they may also be facing the additional challenge of caring for their aging parents. With just so many hours in a day to meet professional and financial obligations, more and more Boomer caregivers are seeking options to juggle all their responsibilities while alleviating some of the family caregiving stress. Adult day programs allow caregivers to work or engage in their daily routine, while providing loved ones with opportunities to socialize in a safe environment.
Adult day health centers are designed to accommodate older adults at a variety of care levels by providing tiered programs tailored to participants’ needs while taking into consideration any medical or emotional concerns. There are multiple opportunities to interact with peers within a casually structured, supportive environment. Participants receive cognitive stimulation in group activities and mild physical exercise, which both help to maintain their independence longer. For working caregivers, adult day programs can often mean the difference between keeping a family member at home longer or placement in a long-term care facility.
Care Options

Generally, there are three types of adult day health programs that bring isolated seniors out of their homes and into a welcoming, safe environment: social day, adult day health, and dementia day health.
Social day programs are for those individuals who require less personalized assistance. Usually these programs provide enjoyable activities and exercise throughout the day, along with one main sit-down meal and nutritious snacks in between.
Adults with physical or cognitive limitations may benefit more from adult day health services, which require a physician’s referral. These services are similar to social day programs but emphasize more personalized assistance to promote and maintain maximum function and independence.
Adults with dementia-related disorders, including Alzheimer’s, may require the next level of care. The goal of this model is to delay the need for nursing home placement by offering a safe, supervised environment with specialized staff and appropriate activities. These programs offer added emotional support, and medical-related care.
When considering an adult day health center for your loved one, you may be unsure of where to begin. The first step is to identify your loved one’s needs and your own. For example, does your parent need one or more of the following: a special diet, physical therapy, social interaction, secure surroundings, medical care, and/or assistance with daily activities? Do you also have professional and personal obligations that must be met on a daily basis?
Adult day health centers in your area can be found by researching online, or through referrals from senior centers or your doctor. Once you’ve compiled a list, call and request a brochure, enrollment criteria, menu samples, and a calendar of events. Look for the number of years the facility has been in operation, certifications, days and hours of operation, cost, ratio of staff to participants and their training levels, and physical/cognitive eligibility. [If long term care insurance has been previously purchased by your loved one, adult day programs may be covered depending on the terms of the policy.]
After refining your choices, visit each and take notes. Was the staff friendly, positive and informative? Was the center safe and clean with sturdy furnishings and accessibility? Do participants look happy and do they have a voice in determining future activities? Remember, it pays to be selective when choosing an adult day health center.
Adult day services can be a welcome antidote to caregiver burnout, providing older adults with the care, stimulation, and socialization that corresponds with quality of life. For more information, contact the Elder Care Locator, a service of the National Association of Area Agencies on Aging at, or the National Adult Day Services Association at

Brien Center's Adult Day Health Program Provides Dignity, Respite

Courtesy of iBerkshires
By Stephen Dravis
iBerkshires Staff
Tuesday, July 19, 2016

NORTH ADAMS, Mass. — A year ago, Susan Jusino was not in a good place.
"I had been suffering from depression and suicidal thoughts because I started losing my vision five years ago, and it keeps getting worse and worse and worse," Jusino recalled recently.

"They thought that the the socialization would be good for me because what I was doing was just sitting in my house doing nothing because of the depression.

"This place saved me, I can tell you."

"This place" is the Brien Center's Adult Day Health center.

Click here to read the full article courtesy of

20 Ways to Increase Census

courtesy of Leading Age.

Marketing is a key ingredient for operating a successful Adult Day Services program. Budget and time constraints, the negative stigma of adult day services, and finding ways to market the uniqueness of individual centers are among the biggest obstacles faced by those in charge of marketing adult day programs.

Answering these twenty questions will help you move forward with developing your marketing plan.

Adult Day: Questions to Ask

Who are the people who would benefit from attending the Adult Day Services program?
What is your catchment area?
Who are your potential referrals?
What services are important for each potential referral source?
What services are provided by your competitors? Do you also offer these services?
Are there services identified by referral sources that your Center or your competition do not offer?
What is your average census?
How has your census changed over the last 5 years?
Do you have a marketing plan?
What are your top 5 referral sources?
Which referral sources have increased their referrals to your program? Why?
Which referral sources decreased their referrals to your program? Why?
Where are caregivers and potential participants hearing about your Center?
Do you have an individual in charge of marketing?
How much time is spent each week on marketing?
Do you have a website?
Is your Center active in social media?
How often does your Adult Day Program mentioned in local media?
If your Center is part of a larger organization, such as a hospital, CCRC, Nursing Home, are you receiving referrals from the staff of the other provider types within the parent organization? If not, why?
What percentage of the potential participants that contact you about the program, eventually are enrolled?
Who are the people who would benefit from attending the Adult Day Services program?

The answer to this question will help you formulate the answers to the other 19 questions. Are you serving older adults with skilled care needs, older adults who are physically well, but may have dementia and/or depression?

Are you serving younger individuals with physical or intellectual disabilities? Are you serving individuals from a particular ethnic group?

Are you serving individuals with a particular disease, such as Parkinsons, MS, Alzheimers and Traumatic brain injury?

Each of these types of potential participants may have a different entrance point to learn about your adult day center.

What is your catchment area and who are your potential referral sources?

Where your potential clients reside in relation to the location of your center is important factor concerning transportation reliability and costs.

Your catchment area helps you determine where you may conduct your outreach campaign.

You may present on aging and caregiving topics at senior centers, senior housing properties, town halls, places of worship, social club meetings like Rotary and Lions club, hospital discharge planner meetings, physician practices and clinics, Area Agency on Aging, Aging and Disability Resource Centers, Centers for Independent Living, support group meetings, large businesses, local chapter of the Alzheimer’s Association, departments of Social Services and Adult Protective Services, Congregate Meal programs, United Way and 211 and Eldercare Lawyers.

What services are important for each potential referral source?

It is helpful to have a different brochure, flyer and talking points for different referral sources. Primary care physicians, Psychiatrists, Geriatricians and other health professionals want your help with ensuring that that patients are compliant with medications and overall plan of care, that they have no re-admissions to the hospital or the emergency room and that the caregiver has less stress.

It is important to make it easy for a physician and their staff to refer. Have brochures available in their waiting rooms. Print a Adult Day referral pad that could be available for the physician in the office or exam room.

Caregivers want days and hours of operation and services that will reduce their responsibilities and stress, and enable them to have time for what is important to them. If a caregiver works on the weekend, a center with Saturday hours is a must.

What services are provided by your competitors?

Your competitors may become your referral source, if they are not caring for a certain population, for example individuals with developmental disabilities or a person that only speaks Korean, and you have no staff or participants that speak Korean, or that the other adult day program is too far away from the participant’s home.

You may offer a service that your competitor does not offer.

Your competition may also have services that are more appropriate for a particular potential participant.

What should you monitor throughout the year to have a successful marketing program?

You should be tracking attendance for the month and compare it to the same month last year, number of referrals each month from each referral source.

This information will help you know what months of the year you should increase your time marketing, and prioritize which referral sources you need to contact. You should be giving follow-up calls with referral sources. With the consent of the participant, you should highlight any improvements in the participant’s condition that stem from their involvement in your program.

This follow-up should also occur with the caregiver. They should know that their loved one who is depressed and withdrawn was engaged in a recreational activity, and has developed friendships with other participants. This feedback can result in increases in the number of days the individual attends.

Do you have an individual in charge of marketing and how much time is spent each week on marketing?

The answer to this question depends on your budget, and if you are part of a larger organization. Everyone in your organization should be involved in your marketing plan, but it is important for one individual to be responsible for the overall implementation of the plan.

Marketing should be discussed at each staff meeting. If you cannot afford a part time or full time marketing director, perhaps a retired business professional may be interested in volunteering their time to assist you in implementing the marketing plan.

Your website is the face of your program!

There are so many times that websites for adult day programs don’t include the location of the program, the special services offered in the program and who would benefit from services in the adult day program. Many times the adult day program that is part of a larger organization is difficult to find on the parent organization website and they don’t have their own website.

The new generation of older adult and caregivers use the internet as their main source of information. A poorly designed website will impact the success of your marketing.

A video of your program that is on the website, as well as on YouTube can also help you show the value of your program.

Media as a marketing tool for your program

Paid advertisement many times is not an effective way to market your adult day program. The article in the local paper about your new Memory Enhancement Program for individuals with dementia may result in more referrals, and it is FREE!

Perhaps you can recruit college journalism students to write articles to submit to the local newspaper.

Also, holding support group meetings and health fairs in the adult day center are effective ways of having potential participants and their caregivers see your center.

One LeadingAge Adult Day member has a radio show on caregiving. Social media today is an important driver for marketing services.

Marketing firm GlynnDevins has a useful article on 15 Tips for Social Media that will help you develop an effective social media plan.

Also, it is important to have a Facebook page. A volunteer could be recruited to help you increase your Centers online activity.

If a caregiver “Googles” adult day centers in a particular area, you should be on the top of the search list. Have a monthly or quarterly Adult Day Center newsletter that could be a source for newspaper articles, and could be given out at community events.

LeadingAge adult day members should join the marketing listserv and participate in the adult day listserv to obtain additional information from other adult day members on improving their marketing efforts.