There are several models.
Day care offers several hours a day for several days a week medical, rehabilitative and cognitive assistance. All day care centers provide certain core services: transport, food and programs for leisure and social activities. In the US there are compared with> 16,000 nursing homes only 2,900 day care programs. Most day care centers are small and have an average of 20 clients. There are several models. Day Clinic: This model focuses on rehabilitation or qualified intensive care. It is for patients after acute Erkrankrung (eg., Stroke, amputation, fracture) designed. The programs are usually limited in time (6 weeks to 6 months) and expensive because the ratio of employees is beneficial to patients. Grade: This model combines limited skilled care (screening and monitoring of chronic diseases) with physical exercise. The objective is to prevent deterioration, to obtain the functional level of the patient as long as possible or to improve to improve the self-image to eliminate the monotony of everyday life, to prevent exacerbation of chronic diseases and avoid loneliness, isolation and withdrawal. Conservation programs provide long-term care and are less expensive than day hospital programs. Social: This model provides psychological counseling, therapy groups and cognitive training. It may resemble a typical senior center that provides care for the elderly with different psychosocial needs, or offering a Mental Health Center, the care for older people with dementia or mental disorders. The programs wheelchair-bound and incontinent patients increasingly are accepted, but the patient may cause no social unrest. The care may be limited in the long term or time. In addition to providing necessary medical care these facilities also offer short-term care. In this way, they can help to delay placement in a nursing home or avoid. Medicare reimbursement will not reimburse day care. Funds come i. Gen. the Older Americans Act, from Medicaid waiver programs, long-term care insurance and private funds. Some centers use donated funds to subsidize the transport, and a tiered fee structure to bring the support and the financial needs of the patient in line.