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Adult Day Health Centers & Respite Programs - Introduction

From The Ashes:
A Brain Injury Survivor's Guide

Adult Day Health Centers provide adults experiencing physical, mental or social problems associated with Traumatic Brain Injury with the opportunity to meet new people, and participate in challenging activities. Staff members and volunteers oversee a variety of activities specially designed to meet the needs of adults  who may be physically challenged or coping with

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some sort of dementia or memory loss. Activities might include arts and crafts, discussion groups, light exercise and can include such services as case management, Individual counseling, and health screening. Adult Day Health Centers provide caregivers with a break (RESPITE) from the demanding job of caring for a frail or disAbled person. 
  • What are the eligibility requirements of the program? 

  • Does the program have a special focus, or target audience (age, ethnic or religious)?

  • Does the program provide evening or weekend services? 

  • Does program staff have special training and/or experience in brain injury? 

  • How often is each participant's needs reassessed, by whom, and what criteria? 

  • What are the costs of the program? 

  • What types or payment or reimbursement do you accept?

  • Are free or sliding scale fee services available? 

  • Is a deposit required? Is it refundable? 

  • What services are included in the costs?  What other services are available? 

  • What services have to be paid for separately? 

  • Can you afford the total monthly fees? 

  • What circumstances might force a participant to leave the program? 

  • Will your schedule work with the programís days and hours of operation, and the programís transportation schedule/services? 

  • Can transportation be arranged if the program cannot provide this service? 

  • Can the program provide for any special dietary needs? 

  • Are there enough staff and volunteers to assist the participants? 

  • What training does the staff and volunteers receive? 

  • Who provides training in prevention of accidents such as falls or burns, first aid, medical emergencies, fire safety, and other safety and emergency needs? 

  • Is an emergency response system in place? 

  • Is staff trained in ways to help frail and disabled people to stand, walk, and sit? 

  • Are the kitchens, restrooms, and activity areas clean? 

  • Are there hand rails, emergency pull-cords, and door alarms? 

  • Is the facility secure? What are the programís specific security practices and/or provisions? 

  • What is the level of safety in the facility? Is there proper lighting? How extensive is the fire system? 

  • Are exits clearly marked and easily accessed? 

  • What social and recreational programs are provided? 

  • Are these appealing to the person who will be attending the program? 

  • What social services are provided that you might need, such as counseling and assistance with housing, finances, and other needs? 

  • What health care and rehab services are provided that you might need? 

  • What staff is present to provide counseling to people who are feeling low, or need to talk about personal problems? 

  • Does the program staff have regular contact with family members or care providers? How do they do this? 

  • Do the current participants seem to be actively enjoying the program? 

  • Does the staff assist with needed toileting, such as changing protective pads, wiping body, changing clothing, reminders to assist the person with toileting tasks?



    Adult Day Health & Respite Programs

  • Eastern Washington
  • Westerm Washington 
  • Overnight care  

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Copyright © 1998 Head Injury Hotline