Implications of the COVID-19 Pandemic on Adult Day Services and the Families They Serve

Lauren J. Parker, Katherine Marx, Joseph E. Gaugler, Laura N. Gitlin

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


The COVID-19 pandemic forced adult day services (ADS) to close and abruptly end in-person services to clients. To understand the effect of the pandemic on ADS, a 20-item survey was used to examine services provided, staffing, finances, and plans to reopen. Data came from 22 sites participating in the Adult Day Service Plus a national randomized controlled trial. Of the 22 ADS sites responding to the survey, most (86.4%, n = 19) closed due to COVID-19 with nearly half closing due to a state mandate (52.6%, n = 10). Most sites reported the need to furlough or terminate staff (63.6%, n = 14). Services that sites continued to provide included telephone support (n = 22, 100%), delivery of food (n = 8, 36.4%), medical check-ins (n = 9, 40.1%), and activity via Zoom or YouTube (n = 14, 63.6%). Most of these services were provided without reimbursement. Adult day services have considerable potential as a platform for service innovation in community-based services.

Original languageEnglish (US)
JournalAmerican Journal of Alzheimer's Disease and Other Dementias
StatePublished - 2021

Bibliographical note

Publisher Copyright:
© The Author(s) 2021.


  • Alzheimer’s disease and related dementias
  • COVID-19
  • home- and community-based services
  • interventions
  • supports


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