NC General Assembly Publishes Final Report on Overnight Respite Services

Session Law 2011-104 authorized the Department of Health and Human Services to pilot an overnight respite program in four facilities that provide adult day care and directed the Program Evaluation Division to evaluate its success. Stakeholders perceive the pilot as successful, but only one of the facilities consistently provided overnight respite. PED found the legislative mandate for the pilot and its implementation by DHHS only met two of ten recommended components of a well-designed pilot program. In addition, the legislative prohibition against using state or Medicaid funding for the pilot hindered its effectiveness. Furthermore, no organization affiliated with respite care maintains data on the need for the service. The General Assembly should allow the pilot program authorizing overnight respite at adult day care facilities to expire on June 1, 2015, and require state agencies and institutions initiating pilot projects to adhere to standards established by UNC's School of Government.  Access the report:

NC Hosts 2014 National Adult Day Services Conference
October 9-11, 2014

Presented by National Adult Day Services Association and North Carolina Adult Day Services Association

Featuring Key Note Speeches by Senator Roy Afflerbach, Ret. and Jeffery B. Klein and Lisa Johnson, RN, BSN, CHPN

The National Adult Day Services Association, in partnership with the North Carolina Adult Day Services Association is hosting the National Conference in Charlotte, North Carolina, on October 9-11, 2014 at The Westin.  The conference includes optional pre-conference intensives, site visits, and a State/International Leaders Luncheon on Thursday October 9th.

Visit for complete conference details.

Senior Adults and People with Disabilities Matter!

NCADSA members, adult day services participants and their family care providers convened at the NC General Assembly on Tuesday, June 2 to speak out against the Senate Budget that proposes funding and services for vulnerable people who may be forced into more expensive care alternatives outside their homes.  NCADSA is one of about 30 members of the NC Coalition on Aging.  Over 100 advocates showed solidarity and spoke up at the event.  People who could not attend in person were asked to call and email their legislators. 

Adult Life Programs Executive Director Mark Bumgarner talks with Representative Hollo about maintaining funding and services for senior adults and persons with disabilities.
Representative Hollo, Co-Chair of Health and Human Services Appropriations, talks with Adult Life Programs Executive Diretor Mark Bumgarner about maintaining funding and services for seniors and people with disabilities.

AARP Volunteer Tom Murdock advocates for funding and services for seniors in Mecklenburg County with Representative Beverly Earle. 

AARP Volunteer Tom Murdock talks with Representative Beverly Earle about the critical role she plays in helping maintain funding and services for seniors and people with disabilities. 

Primary messages included maintaining Home and Community Care Block Grant funding and maintaining optional Medicaid services for the aged, blind and disabled.  This proposed elimination of optional services for the approximately 375,000 aged blind, and disabled adults on Medicaid will have major consequences for the health of these individuals.  Paying for these services on the front end prevents more expensive expenditures on the back end such as emergency room and nursing home care. 

Related stories... 
News and Observer 
NC Health News
Charlotte, NC Fox Station

North Carolina Constituents Participate in National Adult Day Services Event on Capitol Hill

Chip Cromartie, Teresa Johnson and Garman Troup joined about 45 other supporters of adult day services from 22 states to speak up for adult day services at our nation's Capitol on April 8, 2014.  The NC Adult Day Services Association is a partner supporting the efforts of the National Adult Day Services Association to advance the development, accessibility and utilization of adult day services.

NCADSA Selected for Wake Forest University Business Solutions Partnership

The visibility of adult day services in North Carolina will receive a tremendous boost, thanks to the Wake Forest University School of Business.  The North Carolina Adult Day Services Association (NCADSA) has been selected to work with Divya Parameshwaran and Jason Webster, second-year MBA students, who will serve as consultants to NCADSA on the creation of a statewide marketing plan for adult day services. Teresa Johnson, NCADSA Executive Director, attended the kick-off dinner at the beautiful new Wake Forest University School of Business in Farrell Hall on Monday, October 21, 2013. "We are excited about the impact this project can have on North Carolina.  The statewide plan has the potential for replication nationwide."

    Wake Forest Business Solutions is a student consulting program which is overseen by members of the School of Business faculty. Wake Forest Business Solutions (formerly Management Consulting Practicum), an integral part of the curriculum of the School of Business since 1971, has won enthusiastic support from several hundred organizations for whom projects have been completed—both in the United States and abroad.  NCADSA will receive hundreds of hours of free consulting time, worth thousands of dollars, for the project. The students will present their project work in March 2014.  Posted October 21, 2013.

Expansion of Project C.A.R.E. should not come at the expense of Vital Home and Community Care Block Grant (HCCBG) Services

The Senate’s proposed $2.9M cut to the HCCBG represents 11% of the state dollars in the HCCBG.  Sequester cuts to the HCCBG came to $2M. An estimated 1,500 older adults are expected to lose service in State Fiscal Year 2014.  There is anticipated to be a 7.5% ($989,000) reduction in Social Services Block Grant funding. That will reduce support to Adult Protective Services, the State Adult Day Care Fund and result in an estimated $137,000 cut to the HCCBG.  Cuts at the local level are prevalent, about 60% of HCCBG service providers have experienced county, municipal and/or United Way cuts.  More than 15,000, vulnerable older adults are currently waiting for HCCBG services. The HCCBG has the infrastructure to provide valuable supports to individuals with Alzheimer’s Disease and other dementias. Currently 6,000 HCCBG service recipients have memory disorders. HCCBG offers more flexibility with regard to the services that can be provided than does Project C.A.R.E.  
    Individuals with Alzheimer’s Disease and their families need supports.  Project C.A.R.E. has been on the Legislative Agenda’s of many aging interest entities, but the proposed Senate budget could pit friend against friend.  If Project C.A.R.E. is to be expanded, it should be with new money.  If Project Care is expanded it should be done in conjunction within the existing infrastructure of the AAA’s Family Caregiver Support Program and include adequate funding for implementation (AAA, local service providers), not just for direct respite care services.  Contact your legislators today to keep adult day services as an option for North Carolina's seniors.

CarePartners in Asheville, NC, Recognizes Veterans
Watch the brief footage by WLOS television
November 15, 2012



Campaign for Better Care NC:  Produced by NC Justice Center

In December, Nicole Dozier sat down with Margaret Toman and her mother, Lou Longest, to discuss how adult day care has improved both of their lives.  Watch the video here:

Amanda Hartness Receives National Media Award from National Adult Day Services Association
Congratulations to Amanda Hartness who was awarded the 2011 National Adult Day Services Media Award for her video project in a Masters Degree in Gerontology.  Amanda wanted to appeal to the hearts of the funders and the legislators by telling a poignant story that everyone could relate to.  She knew she also had to appeal to the minds of the funders and the legislators by convincing them of the tremendous value of adult day services.  Click here to view the video.

Adult Day Services Director Recognized by Congresswoman Renee Elmers

Congresswoman Renee Elmers (R-NC) "gets it"!  A visit with Olu Adebiyi at Family Circle Elder Care in Garner, NC, provided faces and testimonials for the incredible work that happens daily in adult day centers nationwide.  Olu is recognized for her entrepreneurial, sacrifical spirit in the Congresswoman's newsletter.
NCADSA Executive Director Teresa Johnson emphasized the value and benefits of adult day services to Senator Kay Hagan in her recent tour of North Carolina.  Senator Hagan held a series of roundtables about Federal budget and deficit issues.  Ms. Johnson stressed the savings to mounting health care costs when resources are invested to support home and community-based health services such as adult day services.

Local Media Matters as Governor's Budget threatens to sever an adult lifeline

North Carolina newspapers are featuring the stories of adult day services.  Read the articles here:

Winston-Salem Journal, Winston-Salem, NC (April 25, 2011)

News & Observer, Raleigh, NC (April 24, 2011)

Charlotte Observer, Charlotte, NC (April 24, 2011)


News & Observer, Raleigh, NC (March 30, 2011)


MetLife Mature Market Institute Releases National Study of Adult Day Services

 Clients Served in Adult Day Services Nearly Doubles as Medical and Social Services Increase Among Centers

The number of individuals with disabilities and family caregivers using Adult Day Service centers to address their care needs has nearly doubled in the last eight years-and 35 percent more ADS centers exist today, according to a recent study by the MetLife Mature Market Institute.
The study, produced in collaboration with the National Adult Day Services Association (NADSA) and The Ohio State University College of Social Work, reports ADS centers serve over a quarter of a million people-an increase of more than 100,000 since 2002. The MetLife Study of Adult Day Services: Providing Support to Individuals and Their Family Caregivers updates the picture of adult day services and offers a framework of the future roles they might play in response to new challenges and opportunities.  Adult Day Services are a growing source of long term care with over 4,600 centers nationwide, which at any given time, serve over 260,000 persons with physical or cognitive impairments or disabilities.  Read the study to learn more...


 Representative Kissell visits Coltrane LIFE Center in Concord



Represenative Kissell visited Coltrane LIFE Center in June.  Susan Caudle expressed NCADSA's appreciation to Rep. Kissell for being the first North Carolina Congressman to co-sponsor H.R. 3043 Medicare Adult Day Services Act.  Although the Bill did not pass, we are hopeful that a revision of the Bill will be reintroduced.


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