Evaluating Community-Based Programs for Dementia Caregivers: The Cost Implications of Adult Day Services

• Published in: Journal of applied gerontology 2003-03, Vol.22 (1), p.118-133
• Main Authors: Gaugler, Joseph E., Zarit, Steven H., Townsend, Aloen, Parris Stephens, Mary-Ann, Greene, Rick
• Format: Article
• Language: English
• Subjects: Adult Care Services; Adult day care; Alzheimer's Disease; Biological and medical sciences; Caregiver Burden; Caregivers; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases; Dementia; Depression (Psychology); Health Care Costs; Health Care Utilization; Medical sciences; Neurology; New Jersey; Prevention and actions; Public health. Hygiene; Public health. Hygiene-occupational medicine; Respite Care; Specific populations (family, woman, child, elderly...)
• ISSN: 0733-4648; 1552-4523
• DOI: 10.1177/0733464802250049

This study analyzes the short- (3 months) and long-term (1 year) cost implications of adult day care, a community-based program that has gained attention for its positive impact on dementia caregivers. A variety of costs (e.g., adult day services, formal service use, informal sources of care, employment changes) were estimated for caregivers (n = 367 at 3 months; n = 201 at 1 year). Results found that the daily costs to reduce caregivers' role overload and depression decreased with adult day service utilization over a 1-year period. The findings emphasize that adult day programs are most effective for dementia caregivers who use these services consistently and for longer periods of time. Moreover, practitioners must develop methods to encourage early utilization of adult day services during the caregiving career to increase the range of benefits.