COVID-19 and the Need for Adult Day Services

Joseph E. Gaugler, Katherine Marx, Holly Dabelko-Schoeny, Lauren Parker, Keith A. Anderson, Elizabeth Albers, Laura N. Gitlin

Research output: Contribution to journalArticlepeer-review


COVID-19 has shone a harsh light on the inequities of health care in the United States, particularly in how we care for older people. We summarize some of the effects of lockdown orders on clients, family caregivers, and staff of adult day service programs throughout the United States, which may serve as a counterpoint to scientific evidence suggesting a lack of efficacy of these programs. Given the ramifications of state lockdown orders for users and staff of the long-term services and support system, we provide recommendations to better support community-based programs and those they serve. Specifically, (1) adult day programs should be classified as essential, (2) a focus on the value of adult day and similar programs is needed, and (3) an exploration of new ways to finance home and community-based services is warranted. Such advances in policy and science would help to integrate adult day services more effectively into the broader health care landscape.

Original languageEnglish (US)
Pages (from-to)1333-1337
Number of pages5
JournalJournal of the American Medical Directors Association
Issue number7
StatePublished - Jul 2021


  • Long-term services and supports
  • caregiving
  • older adults
  • policy
  • respite

ASJC Scopus subject areas

  • Nursing(all)
  • Health Policy
  • Geriatrics and Gerontology


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