In the Penn Frontotemporal Degeneration Center (Penn FTD Center), we spend a lot of time talking to care-partners about how to keep their loved ones active and engaged. While we know that cognitive stimulation and social engagement are two ways we can help slow the progression of neurodegenerative decline, we also know it can be difficult to find practical ways to implement these strategies into your loved one’s daily routine.
One of the ways we can help promote engagement and socialization is by enrolling a loved one with FTD in an adult day center. Below I answer some frequently asked questions about adult day centers and provide some tips for finding and connecting with this type of support.
What is an adult day center?
Adult day centers are supervised social spaces for people experiencing cognitive changes. They differ from senior centers in that staff are specifically trained for the challenges of working with people with dementia and ongoing supervision is ensured. They provide activities, meals, and opportunities for individuals with dementia-level impairment to engage with peers. Day centers usually offer full or half-day care and are a great place for people with cognitive changes to socialize in a safe environment.
How much does this care cost? Will my insurance cover it?
You should always ask about costs before enrolling in care; however, most centers run between $80-150 per day. Some centers work with Medicaid and long-term care insurance plans for payment. Unfortunately, most private insurance plans will not cover this type of care; however, if you are unsure, you can always call your insurance carrier to inquire about coverage.
How do I find a day center?
If you live in Pennsylvania, you can use this tool to search for local locations. If you are outside of the state, I recommend contacting your local Area Agency on Aging for a list of locations. You can always reach out to your neurology or primary care provider’s office if you need assistance!
How do I know if it is the right fit?
I always recommend beginning with outreach calls to two to three local facilities. During these initial calls, you can ask general questions about programming and schedule a tour. If you’re able – take two tours of the facility. On the first tour, I recommend bringing a trusted person to help you review the facility. If it seems like a good fit, take a second tour and bring your loved one with dementia, so they can meet staff and get acquainted with the center. Leaving your loved one at home for the initial tour can help prevent distress if the facility is not a good fit, or fatigue from going on multiple tours.
Will the center offer transportation?
Some adult day centers do offer transportation – you will want to ask about this in your initial call or while on a tour.
How do I convince my loved one to attend activities at a center?
If someone is unsure about attending a day center, you can highlight the enjoyable activities they will do there, the opportunity to have meals and snacks served to them, and time for socialization! If they are naturally inclined to help others, you might present it as an activity akin to volunteering, where they can assist staff in supporting other people at the center.
More questions?
Please do not hesitate to reach out to your neurologist to get connected with social work and discuss further!
~ Kate Lietz, MSW, LSW, Social Worker
Comments