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These two very similar programs, Adult Day Services and Alzheimer's Day Treatment, are both provided by the Division of Services for Aging and Adults with Physical Disabilities through Delaware Health and Social Services. Both programs, which are provided statewide, provide supervision and non-medical care during daytime hours in structured, group environments. In Alzheimer's Day Treatment, medical care is also available.
The main distinction between these adult day care programs is specialized treatment for persons with Alzheimer's or related dementia vs. assistance for frail, aging individuals without the condition.
Adult Day Service Eligibility
Applicants for Adult Day Services must be legal residents of the state of Delaware and at least 18 years of age. The program does not have a waiting period for new state residents. In other words, new residents of the state receive the same priority as long term residents. Applicants also must be living at home or in the home of a friend or family member, they cannot reside in a nursing home or assisted living residence. Functionally, individuals must require near constant supervision and cannot be left unattended for extended periods of time. Little information is published about the financial eligibility criteria. However, it is presumed that persons with annual income of less than $24,000 will be eligible.
Alzheimer’s Day Treatment Eligibility
Applicants must be legal residents of Delaware. Length of residency does not impact eligibility, therefore newcomers to the state can participate in the program. Nor, does the program have an age requirement, though most participants are elderly. Medically, a diagnosis of Alzheimer’s or related dementia is required. Related dementias include vascular, frontotemporal and lewy body dementias as well as dementia resulting from Parkinson’s Disease. There are no financial eligibility criteria. However, those persons with lower income will receive priority as well as those persons with higher levels of need.
Adult Day Services centers provide supervision, light personal care, meals, and most importantly, social and recreational activities, such as arts and crafts. Some centers also offer transportation to and from their location or have partnered with other organizations to do so.
Alzheimer's Day Treatment offers higher levels of care that include all those offered in Adult Day Care, but also medication oversight, more intensive personal care assistance, skilled nursing, and some medical care.
Services are provided via a sliding scale.
For Alzheimer's Day Treatment, Delaware state residents should contact Christiana Care Evergreen Center directly for enrollment. Contact information is available here. Some limited additional information about this program can be found here.