Help for carers under threat from Olympia

The pending decision by the legislature to axe the state’s Adult Day Health (ADH) program is going to cause tremendous harm to thousands of seriously ill seniors and disabled people across Washington.

And it will all but end this innovative approach to efficient, community-based care for a very vulnerable population, costing more than 500 jobs in the process.

I should know — I founded, developed and currently work for an organization that delivers Washington’s only nationally accredited adult day health services.

We have four locations reaching four counties and 72 cities in the central Puget Sound — serving more than 500 seniors and disabled people a year.

Our operation is going to be drastically reduced if these cuts go through.

Most of the 32 other ADH centers around the state may be faced with closing.

Overall, some 5,000 ADH participants and their families statewide are facing disaster.

ADH is a lifeline not only for this vulnerable population, but also for the thousands of family caregivers who voluntarily, and without pay, take on the burden of caring for their frail family members at home.

These are your neighbors who directly bear the burden of 24 hour and seven day a week efforts required to maintain their loved one suffering from Alzheimer’s, traumatic brain injuries, and other very serious medical conditions.

Without the support adult day health provides, these caregivers cannot and will not be able to continue.

Their loved ones will in most cases have to be placed in nursing homes.

The cost of ADH to the state is small — about $19 million over the next two years. That is only about two percent of the money the state is planning to hold in reserve in the current budget.

Most maddening of all, the taxpayer is not going to benefit by ending adult day health.

For one thing, by not spending a small amount now, the state is needlessly giving up $26 million in federal dollars over the next two years that would help subsidize this important program.

Even worse, nursing home care costs the state more than seven times as much per patient than adult day health — and the state is going to be on the hook for all of those increased costs.

Although there are many supporters in Olympia and in communities around the state concerned for the reality of losing these vital services — including health care and legal professionals, caregivers and religious leaders — their voices are not being heard.

In spite of a wealth of data about the benefits and cost effectiveness of these services in keeping people healthy and out of more costly health care, the decision to eliminate funding for adult day health continues to be based on mistaken assumptions on the part of some influential legislators.

To be blunt, some people are going to die needlessly if this program is eliminated. Our legislators need to look beyond the short-term and do what is right before access to adult day health disappears in Washington State. If they don’t, they should not be surprised that when the time comes that they need this help for themselves, or for one of their loved ones, it won’t be there for them.

Jan Nestler

Founder and Executive Director of Elder and Adult Day Services.

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