Adult day health care for participants with Alzheimer's disease.

The purpose of this study was to explore existing practices and services provided by adult day health care (ADHC) in Massachusetts and to document how providers are addressing the specific needs of participants with Alzheimer's disease and related disorders. Specific focus related to the early, late, and end stages of the disease process, and to early-onset dementia. Both quantitative and qualitative methods were used. A total of 93 (60%) providers responded to an electronic survey in 2008. In-person interviews were conducted with eight sites purposively chosen for their delivery of Alzheimer's specific services. Results demonstrate that ADHC providers are adapting to the cognitive and physical abilities of their participants; however, there is need for enhancing stage-specific services, especially for participants at later stages and for early-onset dementia. This analysis provides preliminary insights into understanding the criteria that define ''dementia-capable'' programs and services.