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AUG 15 | CAADS WEBINAR: The Advocacy Imperative
AUG 15, 2019 | 2:30 PM - 4:00 PM (Pacific) | REGISTER
FREE to Members and Non-Members!

NOV 12-14 | CAADS FALL CONFERENCE | Torrance Marriott Redondo Beach
SAVE-THE-DATES and watch for more details to come.

WEBINAR RECORDING & HANDOUTS -- Your Participants Oral Health is More Important than You May Realize: Why Oral Care Matters for a Healthier Body
CAADS Member: No Fee | Non-member: $39 Order Form: Fill-InWrite-On

THE CAADS HISTORY & PHYSICAL FORM — A CDA-Approved Standardized Tool
Frequently Asked Questions | Order Form Fill-in : Write-on

What's New . . . August 16, 2019

California Health and Human Services Secretary Dr. Mark Ghaly makes appointments to Master Plan for Aging Stakeholder Advisory Committee


CAADS is thrilled to announce that President & CEO Debbie Toth of Choice in Aging (CiA) has been appointed to California’s Master Plan for Aging Stakeholder Advisory Committee! Governor Gavin Newsom announced in January his intention to create a Master Plan for Aging, in June he signed an Executive Order calling for the Secretary of the Health and Human Services Agency to convene a cabinet level workgroup to advise in the development of the Master Plan on Aging by October 1, 2020. This diverse group of stakeholders with varying expertise and experiences will help to develop components of the Master Plan,including best practices and data metrics, to guide the work of state government, local communities, private organizations and philanthropy to build environments that promote an age friendly California.

CAADS sends a heartfelt congratulations to all of the Secretary’s newly appointed committee members! You can see the full list of committee members here.

Dr. Ghaly also announced the launch of a public engagement campaign, Together We ENGAGE. Dr. Ghaly is calling on all Californians to share their ideas and suggestions on how we can collectively build an age-friendly California.

“Engaging Californians in a conversation about how we build an age-friendly California is critically important to the development of the Master Plan,” said Dr. Ghaly. “I urge Californians to submit a pledge to engage with us and share their ideas.”

Complete the Pledge for Action, here.


Governor's Task Force on Alzheimer's (Disease) Prevention and Preparedness

AUG 9, 2019 | Ca. Health & Human Services (CHHS) | ANNOUNCEMENT

We are living in a time of historic demographic change, and California has the largest aging population in the nation. As Governor Newsom stated in his first State of the State Address, “The Golden State is getting greyer. We need to get ready for the major demographic challenge headed our way.”

By 2030, the U.S. Census Bureau has estimated that approximately one in five Californians will be 65 or older. The population aged 60 years and over in California is expected to grow more than three times as fast as the total population in the state. As the population grows, it will also grow diverse, with different populations having different needs.

These statistics remind us how important it is to tackle the policy, economic, and health challenges for those with age-related brain diseases such as Alzheimer’s and for those who love and care for them.

The purpose of this task force is to present recommendations to the Governor on how local communities, private organizations, businesses, government, and families can prevent and prepare for the rise in the number of cases of Alzheimer’s Disease and all its consequences – and to navigate a path forward to combat this disease in a time of historic demographic change.

To find out more about the task force and the members you can find the complete announcement HERE.



A.L.E. Logo
ALE is excited to share with you two just published research articles that examine the outcomes from ALE’s Community Based Health Home (CBHH) Project

AUG 2, 2019 | Alliance for Leadership and Education | Annoucement

This project began in 2012 with a generous grant from the SCAN Health Plan Community Giving Foundation and furthered advanced with funding from the Thomas J. Long Foundation. As California progressed toward early adoption of the Affordable Care Act health home option, ALE proactively created the first in the nation CBHH model built upon the interdisciplinary adult day health care (ADHC) program

  1. Racial Disparities in Nutritional Risk among Community-Dwelling Older Adults in Adult Day Health Care - Tina R. Sadarangani, Lydia Missaelides, Gary Yu, Chau Trinh-Shevrin & Abraham Brody, Journal of Nutrition in Gerontology and Geriatrics.

  2. A Mixed-Methods Evaluation of a Nurse-Led Community-Based Health Home for Ethnically Diverse Older Adults With Multimorbidity in the Adult Day Health Setting - Policy, Politics, & Nursing Practice by Sadarangani, T., Missaelides, L., Eilertsen, E., Jaganathan, H., & Wu, B. (2019)
Congratulations to Tina and Lydia, excellent work!


Cal Duals Coordinated Care Initiative
Monthly Update: July 2019

JUL 31, 2019 | Cal Duals

The Cal Duals Coordinated Care Initiative Monthly Update: July 2019 is now available.


Association Between Caregiver Depression and Emergency Department Use Among Patients With Dementia

Published JUL 8, 2019 | JAMA Neurology | ABSTRACT

Key Points:

Is caregiver depression associated with emergency department use among patients with dementia?

This cohort study of patients with dementia and their caregivers included 663 caregiver-patient dyads. A total of 84 caregivers had depression at baseline and the presence of caregiver depression was associated with a 73% increase in the rates of emergency department use among patients with dementia

Caregiver depression appears to be an important risk factor associated with increased health care use among community-dwelling individuals with dementia.

Complete abstract available HERE. (Additional login required for full text of the study.)


House Advances Medicare Improvements

JUN 28, 2019 | Justice in Aging | SUPPORT LETTER

On Wednesday, the House Committee on Ways & Means unanimously advanced numerous bipartisan bills to improve the Medicare program for beneficiaries. The bills include the BENES Act, which would simplify Part B enrollment, a provision to make the Part D Limited Income Newly Eligible Transition (LI NET) program for low-income beneficiaries permanent, additional funding for SHIP counselors to do low-income outreach and enrollment, and a statutory exclusion of complex wheelchairs from the competitive bidding process. The committee also voted largely along party lines to advance a bill eliminating cost-sharing for the Medicare Chronic Care Management programs.

Read more about these bills in Justice in Aging’s letter of support.


Increasing West Nile Virus Activity in California: Californians Urged to Protect Against Mosquito Bites

JUN 26, 2019 | CA Dept. of Public Health | Number: 19-020

SACRAMENTO – The California Department of Public Health (CDPH) urges all Californians to protect themselves from mosquito bites during West Nile virus(WNV) season, which extends from now through early fall.

West Nile virus is influenced by many factors, including climate, the number and types of birds and mosquitoes in an area, and the level of WNV immunity in birds. For most people, the risk of developing serious illness is low. However, some individuals – less than one percent – can develop serious neurologic illnesses such as encephalitis or meningitis. People 50 years of age and older, and individuals with diabetes or hypertension, have a higher chance of getting sick and are more likely to develop complications from WNV infection.

CDPH recommends that people protect against mosquito bites and WNV by practicing the "Three Ds":

  • DEET - Apply U.S. Environmental Protection Agency (EPA)-registered insect repellent containing DEET, picaridin, oil of lemon eucalyptus, or IR3535 according to label instructions.
  • DAWN AND DUSK - Mosquitoes that transmit WNV usually bite in the early morning and evening, so it is important to wear proper clothing and repellent if outside during these times
  • DRAIN - Mosquitoes lay their eggs on standing water. Eliminate all sources of standing water on your property by emptying flower pots, old car tires, buckets, and other containers.


Adult Day Service Use Decreases Likelihood of a Missed Physician's Appointment Among Dementia Caregivers

JUN 20, 2019 | Journal of the American Geriatrics Society | ABSTRACT

Adult day services (ADSs) that provide community-based supervised support for persons with dementia (PWD) may also function as a respite for familial caregivers to attend to self-care needs. Guided by a revised version of the Andersen Healthcare Utilization Model, the objective of this study was to identify the association between use of ADSs and a missed physician's appointment among family caregivers for community-dwelling familial PWD. A secondary objective was to identify other predisposing, enabling, and need factors associated with a missed physician's appointment.

ADSs’ provision of respite enables caregivers the time to address self-care needs by decreasing the likelihood that caregivers miss a physician's appointment. Findings suggest that ADSs may promote positive health behaviors for caregivers and should be expanded as part of comprehensive dementia care for families. Factors associated with missed physician appointments need further examination and intervention to support black caregivers.


Your Donations Help!

Three (3) great opportunities to further support Adult Day Services:

  • CAADS | State Advocacy Fund
  • CAADS | New Improved Website Fund
  • ALE | Nina M. Nolcox Scholarship Fund

Learn more and DONATE today -- thank you!


California Association for Adult Day Services, a 501 (c) 6 non-profit grassroots-driven organization, advocates for the growth and development of adult day services in California and nationally. Centers in membership with CAADS provide innovative day programs that support individuals with physical or mental disabilities and older adults with Alzheimer's disease and their families.
Learn more about CAADS


ALE logoThe Alliance for Leadership and Education (A.L.E.) is a non-profit 501(c)(3) public benefit arm of CAADS. Its mission is to advance innovation and quality in Adult Day Service through research and analysis, education and training, and leadership for the benefit of consumers and their caregivers.

Lydia Missaelides

Lydia Missaelides, MHA
Executive Director of the Alliance for Leadership and Education



CAADS is a proud member of the National Adult Day Services Association.

California representatives currently serving on the NADSA Board of Directors:

Corinne Jan, RN, PHN (NADSA Chair)
CEO, Family Bridges / Hong Fook Centers

Lydia Missaelides, MHA (NADSA Treasurer)
Executive Director of the Alliance for Leadership and Education

Amanda Sillars, MSW, LCSW
CEO, Total ADHC Solutions, Inc.
Thousand Oaks


For help, call the VA Caregiver Support Line (toll-free):


Mon - Fri 8 AM - 11 PM (EST) || Sat 10:30 AM - 6 PM (EST)


Call DHCS Medi-Cal Fraud Hotline:


The call is free and you can remain anonymous.


Use the California Department of Public Health's Cal Health Find website
call, write, fax the Center for Health Care Quality,
Licensing and Certification District Office nearest you.


The California Senior Medicare Patrol offers free fraud prevention education throughout the state.
To schedule a presentation, call 855-613-7080

See the SMP/Medicare fraud section at, for more information on ways to protect yourself from healthcare fraud and how to detect it.

If you come across any suspicious activity,




California Association for Adult Day Services
1107 9th Street, Suite 701 || Sacramento, CA 95814–3610
T: (916) 552-7400 || F: (866) 725-3123

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New California Alzheimer’s task force led by Maria Shriver has a high-profile lineup
The Sacramento Bee
By Cathie Anderson
AUG 9, 2019

State Lawmakers Eye Federal Dollars To Boost Mental Health Counseling By Peers
Kaiser Health News
By Rob Waters
JUL 1, 2019

A silver wave? California braces for elderly boom that could overburden state
The Sacramento Bee
Mila Jasper and Phillip Reese
JUN 14, 2019

For Help With Long-Term Care Costs, Look To The States
Chris Farrell, Contributor | Next Avenue Contributor Group
MAY 10, 2019

Understanding Loneliness In Older Adults — And Tailoring A Solution
Kaiser Health News
Judith Graham
MAR 14, 2019

A Growing American Crisis: Who Will Care for the Baby Boomers?
Jay Newton-Small
FEB 15, 2019

Gavin Newsom Calls For ‘Master Plan On Aging’ In California
Capital Public Radio
Chris Nichols
FEB 15, 2019



How can We help the Elderly in Our Community: Elderly’s Role In Society
AUG 12, 2019
The Mighty
By Veer
generational interdependency | social bonding | opportunities for the elderly

Acknowledging the Emotions of Parenting a Child With Disabilities
AUG 10, 2019
The Mighty
By Sue Rutan Donald
lifelong caregivers | cues in demeanor | adult day care

How Exercise Lowers the Risk of Alzheimer’s by Changing Your Brain
AUG 9, 2019
By Alice Park
aging brain | exercise counters cognitive decline | biological processes | Alzheimer's-related brain changes

Accelerating research on Alzheimer's disease and related dementias: NIH's FY 2021 bypass budget and progress report
AUG 7, 2019
National Institute on Aging
By Richard Hodes, Director, Office of the Director

Financial Relief Available For Dementia Victims, Families Say Experts
AUG 6, 2019
By Ted Knutson
financial relief | dementia victims | women's institute for a secure retirement | WISER | long-term services and support | medicare advantage special needs plan

Critics overlook Sacramento County’s health care innovations. Here’s what’s changing
JUL 31, 2019
Sac Bee
By Peter Beilenson
Sacramento County Primary Care Center | medi-cal | UC Davis Health | preventive services | social determinants | innovative collaboration

What’s on the Horizon for Medicaid Innovation? A Conversation with CHCS Leadership
JUL 30, 2019
Center for Health Care Strategies, Inc. (CHCS)
By Lorie Martin
delivery system innovations | social determinants of health | SDOH | community-based organizations | CBOs | Medicaid

Medi-Cal commission OKs budget in fight against $43 million deficit
JUL 23, 2019
Ventura County Star
Tom Kirsken
Ventura County | Gold Coast Health Plan | publicly funded Medi-Cal

Life after driving: How California seniors are rethinking getting around
JUL 24, 2019
Mercury News
Meghan McCarty Carino of KPCC
increasing isolation | public paratransit | subsidized rides | microtransit

Supporting Family Caregivers: Early Lessons from State Innovators
JUL 16, 2019
Center for Health Care Strategies, Inc.
Courtney Roman, MA
family caregivers | caregiver respite | support the aging network | cross-sector integration

Dignity In Old Age Is An Illusion So Long As Care Providers Are Undervalued
JUL 11, 2019
Christian Weller
meaningful pay | supporting older adults | adult day care centers | paid care services

MORE Media Coverage



Senior community explores the world with virtual reality

Seniors explore virtual  reality
Click on the picture to watch the video

More younger people forced to step into caregiver role amid earlier Alzheimer's diagnoses

Millnial Caregivers
Click on the picture to watch the video

Why are women more likely to age in poverty?

Click to view the video
Click on the picture to watch the Justice in Aging video above to hear from women who are struggling with poverty and learn what we can do about it.

Human Kindness--it just flows around here
[Download Real Player]

Click to view the clip from CAADS 25th anniversary video
Honoring Adult Day Services pioneers and those they serve.

Could adult daycare centers be one solution to providing lower cost care for Alzheimer's patients?
DEC 14, 2018
Danielle Prieur
Listen To The Story

Seniors and Children Find Inspiration Together at a Day Care With a Heartwarming New Approach
FEB 2, 2018
Time Magazine
Megan McCluskey
Featuring ONEgeneration

MORE Videos / Podcasts


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Please Direct Questions and Comments to


Christin Hemann

Christin Hemann
Executive Director

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Danielle Hanlon
Membership & Communications Director

Pam Amundsen

Pam Amundsen
Education & Events Manager

Photo of Coni Segretto-Ricci

Coni Segretto-Ricci
Office Assistant

(not pictured)

Phyliss Regino
Office Assistant

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