Bruce W. McCollum

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Avoiding the Babysitting Mentality

Macon, GA: As adult day care providers and advocates, we are entrusted with the responsibility of not only caring for but enhancing the lives of those we serve. This includes people who are elderly, those with disabilities, and individuals

suffering from various medical conditions, including dementia. Unfortunately, many adult day care providers have fallen into the trap of the “babysitting mentality,” a mindset that undermines the credibility of these programs in the eyes of medically-oriented referral sources such as hospitals, physicians, and health insurance providers.

The babysitting mentality is characterized by a focus on mere supervision and containment of individuals with little attention to their therapeutic or rehabilitative needs. While it is true that supervision is an essential component for individuals with cognitive or physical impairments, especially those prone to wandering or self-neglect, this is only the bare minimum of what adult day care services should provide. If providers continue to focus solely on keeping clients safe and occupied, without addressing their medical, emotional, and rehabilitative needs, they risk becoming perceived as nothing more than a holding area for vulnerable adults.

The Need for a Holistic Approach:

To break free from the babysitting trap, adult day care programs must transform into centers that offer a comprehensive, multi-dimensional approach to care. This involves more than just monitoring clients to prevent harm.

It requires engaging participants in meaningful activities that promote cognitive function, physical well-being, and social interaction. For individuals with dementia, this might mean providing tailored cognitive exercises that challenge memory and problem-solving skills, or for those recovering from strokes or surgeries, incorporating physical therapy exercises designed to improve mobility and strength.

Furthermore, engaging in such activities not only benefits

the individuals served but also enhances the program’s reputation with referral sources who seek evidence of meaningful, therapeutic outcomes.

Physicians, discharge planners, and case managers are looking for adult day care providers who demonstrate an understanding of the unique needs of their patients and offer structured, goal-oriented care plans that reflect the individual’s overall health goals.

Building Medical Credibility:

To build credibility with medically-oriented referral sources, adult day care providers must establish themselves as true partners in health care, rather than as just a safety net for vulnerable adults.

This includes collaborating with healthcare providers to create customized care plans that address medical conditions and rehabilitation needs. Providers should also be well-versed in the latest research on aging, dementia care, and chronic disease management to offer evidence-based interventions that support individuals’ long-term health and well-being.

Training staff members in therapeutic techniques, dementia care, and person-centered care is another crucial step in shifting away from the babysitting mentality. Ensuring that staff members understand the significance of these techniques in the lives of clients can make a huge difference in the quality of care and, by extension, the perception of the program by medical professionals.

My Summary…

In conclusion, adult day care providers must step out of the babysitting mentality and embrace their role as healthcare partners dedicated to improving the lives of those they serve. By offering more than just basic supervision, adult day care programs can increase their value to medically-oriented referral sources and establish themselves as credible, therapeutic environments. When adult day care providers invest in meaningful care, they not only enhance the quality of life for clients but also earn the trust and respect of the healthcare community, creating a win-win scenario for all involved.



Another Blog Post by Direct Care Training & Resource Center, Inc. Photos used are designed to complement the written content. They do not imply a relationship with or endorsement by any individual nor entity and may belong to their respective copyright holders.


 

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