By Assemblymember Mariko Yamada –
Almost forty years ago, California pioneered a system to keep frail elders and persons with disabilities in supportive community day settings. In response to the highly publicized, disturbing stories of nursing home abuse in the ’70’s, the Adult Day Health Care Center (ADHC) model emerged as a more humane and less costly alternative.
Today, there are 37,000 low-income nursing home-eligible seniors and disabled adults enrolled in over 300 ADHC’s throughout the state. These clients are served by over 7,000 care providers-physical therapists, nurses, social workers, nutritionists and more-who provide a constellation of health and social service interventions to keep adults free from institutions. This daytime care model is as important to a frail elder as childcare is to a toddler. In neither case is it moral, ethical, or legal to leave a dependent individual home alone, unsupervised and without care. Also, in each case, a working adult family member has some peace-of-mind-if he or she is still lucky enough to have a job in today’s economy.