Daily Living

Daily Living Resources

Introduction

Traumatic brain injuries (TBI) vary from individual to individual and so does the healing process. Additionally, needs may vary over time. There are a variety of government and community-based programs that can help individuals with TBI.

Living and care needs may change because of the physical, emotional and/or cognitive problems caused by TBI. For instance, individuals with TBI may not be able to remember things, may get confused or be unable to focus or make decisions. As a result it may be necessary to oversee their safety while cooking, using electrical appliances and answering the door or telephone.

There are several questions to ask when planning the living and care arrangements for an individual with TBI:

• Does the individual want to live and function independently?
• Could the individual live independently with support services?
• What type and how much help is needed to meet physical and safety needs?
• Should limitations be placed on the individual's access to car keys, weapons or alcohol?
• What type of living situation would meet social, intellectual and cognitive needs?
• How much assistance can family and friends provide?

This section offers daily living resources organized by:

1. Washington State Government Programs
2. Information and Referral Services
3. Adult Day and Respite Services Western Washington

1. Washington State Government Programs

Washington State Government programs, primarily the responsibility of the Department of Social and Health Services, provide services to children, adults and seniors with chronic illness, developmental disabilities, cognitive impairment, and related functional disabilities.

This section contains contact information and links to many programs and resources available in your community. If you don't have access to a computer in your home, you can use one at any public library.

2. Information and Referral Services

Information and Referral Services are integrated systems designed to link people to needed services, both public and private. Functions can include providing information about community resources and service referral for assistance and caregiver services and screening for possible case management or further assessments. Information annd Referral Services maintain extensive databases of resources that serve the needs of individuals in their community.

Examples of these resources that may benefit individuals with TBI and their family include home and health care options, medical and dental referrals, caregiving resources, information on housing, respite, support groups, adult day centers, transportation options, nutrition programs, and assistance with obtaining prescription medications. Information and literature on a wide variety of topics can also be sent by mail.

You may contact Information and Referral Services by phone or choose to access the listed links to community resource and service guides that are available on the Internet.

3. Adult Day and Respite Care Services

Adult Day Services and Adult Day Health Services provide structured programs for adults with physical, mental or social support needs associated with TBI and other conditions. Programs are based on individualized plans and provide a variety of activities specially designed to meet the person's needs. Activities might include arts and crafts, discussion groups, light exercise and such services as case management, individual counseling, and health monitoring services. Adult Day Centers may also provide respite to family caregivers.

Respite Care provides relief and a break from caregiving to unpaid families or other caregivers. These individuals have the primary, daily responsibility for the care and/or supervision of an adult with a functional disability. Respite care focuses on the needs of caregivers to encourage them to take care of themselves, to prevent burnout, and to allow them time to pursue other activities that are helpful for maintaining a healthy life.

Respite services are provided in home or out of home (in an adult day services center, boarding home or nursing home) on an emergency or planned basis.

The respite provider staff can provide the level of care that the caregiver ordinarily does, such as: companionship, supervision, personal care and nursing services.

When you check out a program, here are some of the things to consider:

General
• What are the eligibility requirements?
• Does the program have a special focus, or target audience (age, ethnic or religious)?
• Does the program provide evening or weekend services?
• What circumstances might force a participant to leave the program?

Staff
• Does program staff have special training and/or experience in brain injury? Is staff trained in ways to help frail and disabled people stand, walk, and sit?
• Does the staff assist with needed toileting, such as reminders, changing protective pads, wiping body, and changing clothing?
• Does the program staff have regular contact with family members or care providers?
• Are there enough staff and volunteers to assist the participants?
• How often are each participant's needs reassessed, by whom, and by what criteria?

Cost
• What does the program cost?
• What types or payment or reimbursement do they accept?
• Are free or sliding scale fee services available?
• Is a deposit required? Is it refundable?
• Is the program affordable?Safety
• What is the level of safety in the facility? Is there proper lighting? How extensive is the fire system?
• Are exits clearly marked and easily accessed?
• Are there hand rails, emergency pull-cords, and door alarms?
• Is the facility secure? What are their specific security practices and/or provisions?
• Are the kitchens, restrooms, and activity areas clean?

Programs and Services
• What services are included in the costs?
• What services have to be paid for separately?
• What social and recreational programs are provided? Are these appealing to the person who will be attending the program?
• Does the facility provide social services such as counseling and assistance with housing, finances, and other needs?
• What health care services are available?
• Will your schedule work with the program's days and hours of operation, and the program's transportation schedule/services?
• Can transportation be arranged if the program cannot provide this service?
• Can the program provide for any special dietary needs?

Sources: Washington State Department of Social and Health Services; Senior Services of Seattle/King County http://www.seniorservices.org; Michigan Resource Guide for Persons with Traumatic Brain Injury and Their Families

For more information on traumatic brain injury, please contact your doctor or refer to the TBI Toolkit, produced by the Washington State Department of Social and Health Services, http://www.aasa.dshs.wa.gov/Library/tbitoolkit.pdf

WASHINGTON STATE GOVERNMENT PROGRAMS

Aging and Disability Services Administration (ADSA)
Home and Community Services - Department of Social and Health Services (DSHS) Phone: 1-877-980-9220 (toll-free) Call for a location near you
Web site: http://www.aasa.dshs.wa.gov/resources/  and http://www.aasa.dshs.wa.gov/resources/clickmap.htm
Description: Web site links to clickable map of day, adult day services, in home care services, and residential community resources for all counties in Washington. ADSA serves children, adults and seniors with chronic illness, developmental disabilities, cognitive impairment, and related functional disabilities. ADSA helps individuals to secure health services, long-term care and supportive services that are high quality and responsive to individual needs.
Area Served: Statewide
Eligibility requirements: 18-65 years old, disabled, and meet income guidelines depending on program

Community Services Offices (CSO) - DSHS
Phone: 1-877-980-9220 (toll-free)
Call or visit web site for a location near you
Web site: https://wws2.wa.gov/dshs/onlinecso/cover.asp
Description: Local Community Services Offices (CSO) provides many DSHS services. Your local CSO can provide you with details about these services and how to apply for them. Services Offered:

• Temporary Assistance for Needy Families (TANF) - Cash help for families with Children https://wws2.wa.gov/dshs/onlinecso/tanf_support_services.asp

• General Assistance Unemployable - Cash help for individuals who are not able to work https://wws2.wa.gov/dshs/onlinecso/gau.asp

• Working Connections Child Care - Help for working families to pay for child care https://wws2.wa.gov/dshs/onlinecso/wccc.asp

• Medical Assistance Programs - Help with health care and medical expenses https://wws2.wa.gov/dshs/onlinecso/medical.asp

• Division of Child Support - Help in getting child support https://wws2.wa.gov/dshs/onlinecso/dcs.asp

• DSHS Emergency Programs - Programs that help in emergency situations https://wws2.wa.gov/dshs/onlinecso/emergency_situations.asp

• Washington Basic Food Program - Help with putting food on the table https://wws2.wa.gov/dshs/onlinecso/food_assistance_program.asp

• Refugee Cash Assistance (RCA) - Cash and medical help for refugees https://wws2.wa.gov/dshs/onlinecso/rca.asp

• First Steps Program - Pregnancy Support Services
https://wws2.wa.gov/dshs/onlinecso/first_steps.asp

• Family Planning Program - Information on ways to avoid unintended pregnancies https://wws2.wa.gov/dshs/onlinecso/family_planning.asp

• ADATSA Program - Help in getting drug or alcohol treatment https://wws2.wa.gov/dshs/onlinecso/adatsa.asp

• No Wrong Door - A directory of resources for DSHS clients, case managers and providers http://www.dshs.wa.gov/basicneeds/

Areas Served: Statewide
Eligibility: Needy individuals and families How to apply: Call for services
Fees: N.A.

Division of Vocational Rehabilitation (DVR) - Independent Living Program
Phone: Toll-free 1-800-754-5960 Voice/TTY
Web site: http://www1.dshs.wa.gov/dvr/aboutdvr/supported-employment.htm
Description: The Independent Living (IL) Program helps people with severe disabilities become more involved in family and community life. The Independent Living Program is designed for people with disabilities who want to increase their independence. The program may assist with attendant care management, counseling and advocacy, living arrangements, skill training, and services to the customer's family.
Areas Served: Western Washington
Eligibility: Washington state residents
How to apply: Call for services
Fees: Free information and referrals

Washington State Department of Health
1112 SE Quince Street, P.O. Box 47890 - Olympia, Washington, 98504-7890
Phone: (800) 525-0127 Consumer Hotline
Email: information@doh.wa.gov
Web site: http://www.doh.wa.gov/ 
Description: Provides public health services that promote health and prevent disease. Administered by local health departments/districts that serve the entire state. Public Health provides a wide range of services targeted to populations largely under-served by the private health care system. Areas Served: Washington has 34 local health departments/districts which are entities of local government
Eligibility: Public
How to apply: Call or go online for a location near you
Fees: Most services are covered by Medicare, Medicaid private insurance or sliding scale

Washington State Department of Health - Community Health Services
1112 SE Quince Street, P.O. Box 47890 - Olympia, Washington, 98504-7890
Phone: (800) 525-0127 Consumer Hotline
Email: information@doh.wa.gov
Web site: http://www.chs.hca.wa.gov/  
Description: Community Health Services (CHS) is not an insurance program. Its mission is to promote access to quality and affordable health care for the uninsured, underinsured, and tribes. Web site links to clickable map to locate health services in each county.
Areas Served: Statewide
Eligibility: Uninsured, underinsured, and tribes state residents
How to apply: Call or go online for a location near you
Fees: Most services are covered by Medicare, Medicaid or sliding-fee schedule

Adult Day Care Services (ADSA)
Phone: 1-800-422-3263 (voice) - 1-800-737-7931 (TDD)
Web site: http://www.aasa.dshs.wa.gov/default.htm
Description: Website provides links to supervised daytime programs where frail and disabled adults can participate in social, educational, and recreational activities. Offers respite to caregivers by providing a safe alternative to home care.
Areas Served: Statewide
Eligibility: Persons age 18 and over who are eligible for COPES (See "In-home services-COPES"). It is appropriate for clients who have chronic medical conditions that do not require the services of a skilled health professional on a routine basis.
How to apply: Contact HCS or AAA case manager to find a local office. Persons seeking to pay privately may contact the program directly.
Fees: Most services are covered by Medicare, Medicaid or private insurance

INFORMATION & REFERRAL SERVICES

Community Resources Online (CRO) - King County
Phone: Community Services Information Line Monday - Friday 8:00 am - 6:00 pm: 206-461-3200 or 800-621-4636 Crisis Intervention & Suicide Hotline: 206-461-3222, 866-4CRISIS (866-427-4747)
Served by Crisis Clinic.
Web Site: http://www.crisisclinic.org/
Description: King County Community Resources Online (CRO) is collaboration between Crisis Clinic, City of Seattle's Public Access Network (PAN), City of Seattle's Human Services Department and Seattle Safe Futures. Thorough listing of wide variety of community resources located throughout King County. CRO was originally launched in 1997, with feature and functional updates in June 1999.
Areas Served: King County
Eligibility: Call for updated information
How to apply: Call for services
Fees: Free public service

Senior Information & Assistance Resource Lists
8221 44th Ave. W, Ste. E - Mukilteo WA 98275-2847
Phone: 425-513-1900 or 1-800-422-2024 - TDD 425-347-7997
Web site: http://www.sssc.org/lists/index.htm
Description: Comprehensive information and referrals.
Areas Served: Washington state Eligibility: Family caregivers How to apply: Call for services
Fees: Most services are covered by Medicare, Medicaid or private insurance

United Way of Grays Harbor
101 East Market Street, #544 - Aberdeen, WA 98520
Phone: (360)532-6260 - Fax (360)532-1442
Web site: http://www.unitedway-wa.org/grays/
Description: Health and human services information and referral network Areas Served: Grays Harbor County
Eligibility: Public
How to apply: Call for services Monday - Friday, 8:00 am - 6:00 pm Fees: Information and referral services are free of charge

United Way of Pierce County Helpline
P.O. Box 2215 – Tacoma, WA 98402
Phone: 211 or 253-272-4263 in Pierce County    
Website: http://www.uwpc.org  
Description: Monday - Friday, 8 AM - 6 PM Helpline
Areas Served: Pierce County
Eligibility: Public
How to apply: Call for services
Fees: Free public service

United Way of Whatcom County
1511 Cornwall Avenue - Bellingham, WA 98225-4521
Phone: (360) 733-8670
Web site: http://www.unitedwaywhatcom.org/
Description: Health and human services information and referral network. Areas Served: Whatcom County
Eligibility: Public
How to apply: Call for services Monday - Friday, 8:00 am - 6:00 pm Fees: Information and referral services are free of charge

Washington Adult Day Services Association
85 S Washington #314 -- Seattle, WA 98104
Phones: (206) 461-3899 Office -- Toll Free: (888) 60-WADSA
Web site: http://www.adultday.org
Description: Offers free referrals to adult day care centers, advice to caregivers, and technical assistance to providers, training programs for staff and volunteers, and public education and information.
How to apply: Call for services
Fees: Free referrals

Information & Referral for Clark & Champaign Counties
Phone: 211; 937-323-1400 (Clark) or 937-653-4636 (Champaign)
Web site: http://www.uwccmc.org/information-n-referral.html
Description: One stop access for information on community services in Clark County, Washington.
Areas Served: Clark and Champaign Counties    
Eligibility: Clark and Champaign County residents
How to apply: Call for updated information

Jefferson County Crisis & Mental Health services
884 W. Park Ave Port Townsend, WA 98368
Phone: (360) 385-0321; Toll-free: (800) 659-0321 
Website: http://www.jeffersonmhs.org    
Email: general@jeffersonmhs.org  
Description: Private, non-profit 24 - hour telephone crisis services.
Areas Served: Jefferson County Eligibility: Public
How to apply: Call for services Fees: Free public service

Kitsap Mental Health Services
Phone: (360) 405-4010; Emergency Service: (360) 373-3425; Crisis Clinic of the Peninsulas: (360) 479-3033 or (800) 843-4793
Web site: http://www.kitsapmentalhealth.org/
Description: 24 - hour information and referral line on health and human services. Crisis calls would include suicide or other mental health issues. Services are provided through Kitsap Mental Health/Crisis Clinic of the Peninsulas.
Areas Served: Kitsap County
Eligibility: Public
How to apply: Call for services
Fees: Free public service

Thurston, Lewis & Mason Counties Crisis & Information Line
Web site: www.crisis-clinic.org  Click on link to “Information and Referral”
Phone: (360) 586-2800
Description: 24 hours, seven day a week service through Crisis Clinic Resource Network in Olympia. Online database of resources.
Areas Served: Thurston, Mason, Lewis Eligibility: Public
How to apply: Call for services
Fees: Free public service

Washington Information Network 211
Phone: 2-1-1
Website: http://www.211.org
Description: Washington Information Network 2-1-1 (WIN 211) is creating a linked, comprehensive Information and Referral service for Washington State. WIN 211 will provide Washington state residents with a single, easy-to-use phone number by which they can obtain information on health and human services. It will provide accurate and specific information on local resources contributed by community agencies that also have access to state and national information and residents and professionals with access to a standardized health and human services database via the Internet.

Adult Day and Respite Services -
Western Washington
CHILDREN & YOUTH

Ashley House
40903 236th Ave SE -- Enumclaw, WA 98022 - Call for other locations
Phones: (360) 825-6525 -- FAX: (360) 825-0908 -- Toll Free: (800) 853-8120
Website: http://www.ashleyhousekids.com   
Description: Offers respite care at the facility for short extended stays. Also provides training for families on how to care for children with special health care needs.
Eligibility: Children, birth to 18, with head trauma, pulmonary impairment, or similar disability, who require ongoing care but do not require hospitalization
Area Served: King and Pierce Counties
Days and Hours: 9:00 - 5:00, Monday through Friday
How to Apply: Call or apply in person Languages other than English: None
Fees: Private pay, insurance, Medicare, and Medicaid

Adult Day and Respite Services -
Western Washington
ADULTS WITH DISABILITIES & FRAIL SENIORS

Auburn Senior Activity Center
808 9th St SE -- Auburn, WA 98002
Phones: (253) 875-9163 -- FAX: (253) 288-7444
Web site: http://www.multicare.org/
Description: Provides adult day care for seniors and respite for caregivers. Activities include social interaction, word games, reminiscing, intellectual activities, music, exercise sessions, hot lunch, and a morning snack.
Areas Served: South King County
Eligibility: Primarily serves older adults, 55 years and older with some activities for adults of all ages Languages other than English: none
How to apply: Call for services
Fees: $23 per day, negotiable

Black Diamond Senior Center
31605 3rd Ave, Hwy 169 -- Black Diamond, WA 98010
Phones: (360) 886-1011 Admin; FAX: (360) 886-8947; TDD: (800) 833-6388
Website: http://www.blackdiamondcc.org/seniors/seniors.html
Description: Provides adult day for seniors and respite for caregivers. Services include lunch and an exercise program of chair-based aerobics.
Areas Served: Black Diamond-area including Ravensdale, Maple Valley, Enumclaw, Kent (zip code 98042), Auburn (zip code 98092), and Covington
Eligibility: Senior residents, ages 55 and older
Languages other than English: None
How to apply: Call for pre-screening and registration
Fees: None

Chinese Information and Service Center
611 S Lane St. – Seattle, WA 98104
Phones: (206) 624-5633 Office -- FAX: (206) 624-5634
Email: info@cisc-seattle.org
Web site: http://www.cisc-seattle.org
Description: Multi-service center focuses on meeting the needs of clients with limited English speaking skills, especially Chinese immigrants. Coordinates parenting class, English as a Second Language (ESL) classes, job training and job search assistance, translation services, and a Chinese library. Additionally, offers family and elder case management, domestic violence services, and information and assistance.
Eligibility: Focuses on meeting the needs of limited-English-speaking clients, especially Chinese immigrants and older adults, via a variety of services
Areas Served: Seattle
Languages other than English: Eight major Chinese dialects: Cantonese, Chiu Chow, Fujianese, Hakka, Mandarin, Shanghainese, Toishanese, and Taiwanese, as well as Malay and Cambodian How to Apply: Call for information or walk in
Fees: Call for information

City of Kent Senior Activity Center
600 E Smith St -- Kent, WA 98030-4600
Phones: (253) 856-5150 Office -- FAX: (253) 856-6150
Email: senioractivitycenter@ci.kent.wa.us
Web site: http://www.ci.kent.wa.us/senioractivitycenter
Description: Multi-service center for older adult residents of the Kent area.
Eligibility: Serves older adult residents of the Kent area
Areas Served: Kent
Languages other than English: None
How to Apply: Call for a pre-screening and to register
Fees: $22.00

Elder and Adult Day Services
12831 NE 21st PL -- Bellevue, WA 98005-1936
Phones: (425) 867-1799 Main FAX: (425) 881-8578
Description: Provides adult day care for seniors and respite for caregivers. Activities include social interaction, word games, reminiscing, intellectual activities, music, exercise sessions, hot lunch, and a morning snack.
Eligibility: Primarily serves older adults, 55 years and older with some activities for adults of all ages Languages other than English: Cantonese, Spanish, and Tagalog
How to Apply: Call to reserve space.
Fees: $23 per day, negotiable, Medical coupons, VA, COPES respite and DD contracts are accepted. Scholarships are available.

Elder and Adult Day Services (Issaquah)
3707 Providence Pt Dr SE, Suite A -- Issaquah, WA 98029
Phones: (425) 227-9095 - (206) 528-5315 Intake - FAX: (425) 224-3779; FAX: (425) 837-3816 Email: eadsiss@serv.net
Description: Offers therapeutic activities, health monitoring, and information and assistance for frail elderly, disabled adults, and their family caregivers.
Eligibility: Serves frail elders and disabled adults, 18 years and older. Clients must be able to integrate into a group setting with minimal 1:1 assistance. Clients must not display violent or abusive behaviors.
Areas Served: East King County
Languages other than English: Spanish and German
How to Apply: Contact the office; and arrange for a free trial visit. Tours of the facility are arranged in advance to ensure staff availability.
Fees: Sliding Scale $35-65 for the first 5 hours; hours 6-10 are $12 per hour. Medical coupons, VA, COPES respite and DD contracts are accepted. Scholarships are available.

Elderhealth Northwest - Connection Program
3921 Talbot Rd S -- Renton, WA 98055
Phones: (425) 227-9095 Administration; (206) 528-5315 Intake; FAX: (425) 224-3779. Web site: http://www.elderhealth.org
Description: Adult day health and respite services for seniors and adults with disabilities. Services include: nursing, rehabilitation, mental health, and support groups. Other services include: case management, ambulation /walking and toileting assistance information and referral both within the agency and to community resources, general social work assistance, and on-site foot care. Breakfast and lunch are served (special diets are accommodated). Tube feeding is available upon request. Extended service hours are available.
Eligibility: Serves adults, 18 years of age and older, with physical, cognitive, social, psychiatric, or emotional impairments who require assistance to restore and maintain independence Areas Served: King County
Languages other than English: Translation services are available
How to Apply: Call intake worker
Fees: Medical Coupons, Veteran's Administration, Respite, COPES, and private insurance for those eligible. Sliding scale available up to $59 per day (5 hour program).

Elderhealth Northwest - Jefferson Terrace Adult Day Center
800 Jefferson St -- Seattle, WA 98104
Phones: (206) 528-5315 Intake; (206) 467-7033 Front Desk; (206) 224-3779
FAX: (206) 224-3771
Web site: http://www.elderhealth.org
Description: Specialized memory loss program, computer tutoring shuffleboard, and live entertainment. Other services include: case management, ambulation /walking and toileting assistance information and referral both within the agency and to community resources, general social work assistance, and on-site foot care. Breakfast and lunch are served (special diets are accommodated). Tube feeding is available upon request. Extended service hours are available, Eligibility: Younger adults program (for adults 18 to 60 years old with acquired brain injury) Areas Served: Offers multiple locations and see web site or call for details
How to apply: Call for services
Fees: Most services are covered by DSHS, Veterans Administration, private insurance, sliding scale, and private pay

Elderhealth Northwest - North Branch Adult Day Center
9720 4th Ave NE -- Seattle, WA 98115
Phones: (206) 528-5315 Intake; (206) 528-5300 Office; FAX: (206) 224-3779
Web site: http://www.elderhealth.org
Description: Offers adult day health programs for frail and disabled adults designed to maintain or improve their physical, social and cognitive functioning. Nursing and rehabilitative services combined with social programs help participants stay living at home. Extended hours are available at all sites, including weekends.
Eligibility: Call for eligibility information
Languages other than English: Translation services are available
How to Apply: Call for intake
Fees: Accepts medical coupons, Veteran's Administration, Respite, COPES, and private insurance for those eligible. Sliding scale is available up to $59 per day (5 hour program).

Elderhealth Northwest - South Branch Adult Day Center
4712 35th Ave S, -- Seattle, WA 98118
Phones: ((206) 528-5315 Intake; (206) 721-3634 Front Desk; FAX: (206) 224-3771 Web site: http://www.elderhealth.org
Description: Adult day center serving seniors and disabled adults; provides meals, personal care assistance, nursing services, program for persons with limited memory loss.
Eligibility: Serves adults, 18 years of age and older, with physical, cognitive, social, psychiatric, or emotional impairments who require assistance to restore and maintain independence Languages other than English: Translation services are available
How to Apply: Call for intake
Fees: Accepts medical coupons, Veteran's Administration, Respite, COPES, and private insurance for those eligible. Sliding scale is available up to $59 per day (5 hour program).

Federal Way Senior Center
4016 S 352nd St, -- Auburn, WA 98001-9043
Phones: (253) 838-3604 From King County; 253 927-9031 From Pierce County;
FAX: (253) 838-4552 
Website: http://www.federalwayseniorcenter.org
Email: fedway_sr.center@comcast.net
Description: Provides respite care for caregivers and adult day care for adults with all types of disabilities; includes lunch.
Eligibility: Serves South King and North Pierce County residents with disabilities, ages 18 and older
Languages other than English: German
How to Apply: Call or walk in
Fees: Sliding scale fees are available

Filipino Community of Seattle
5740 Martin Luther King, Jr. Way S, -- Seattle, WA 98118
Phones: (206) 722-9372 Main; (206) 723-9884 TAHANAN; FAX: (206) 725-4723
Email: filcomseattle@comcast.net
Web site: http://www.filcomseattle.org
Description: Provides computer classes, recreational activities, physical fitness awareness, adult day care, movies, and ballroom dance classes.
Eligibility: Filipino and Filipino-American older adults
Languages other than English: Filipino languages and Spanish
How to Apply: Call or walk in
Fees: Fees vary with activities

Kokoro Kai - Adult Day Care
700 6th Ave S - Seattle, WA 98104
Phone: (206) 726-6474        
Email: naokou@nikkeiconcerns.org
Web site: http://www.nikkeiconcerns.org
Description: Provides adult day care focusing on Japanese older adults. Includes intergenerational program with preschool children, social and recreational activities, Japanese writing instruction, lectures on health and safety, exercise classes, monthly blood pressure checks, monthly foot care clinic, crafts, music, field trips, lunch, and special activities for persons with dementia, limited social outlet, or severe memory loss.
Eligibility: Serving primarily Japanese and Asian elders
Area Served: King County
Languages other than English: Japanese
How to Apply: Call or apply in person
Fees: $20 - 24 per day Medicare, Medicaid and long term care insurance are accepted

Mercer View Adult Day Center
8236 SE 24th St. -- Mercer Island, WA 98040-3732
Phones: (206) 236-3619 Adult Day Care -- FAX: (206) 236-3631
Description: Provides respite for caregivers and an opportunity for people with brain injury, and frail, isolated seniors, some with memory loss, to socialize. They provide a safe, caring, and stimulating environment.
Eligibility: Serves adults 55 and older with minimal medical needs
Areas Served: East King County
Languages other than English: None
How to Apply: Call for information
Fees: $35 per day. Senior bus service fee is included

Mount Si Senior Center
411 Main Ave S, North Bend, 98045
Phones: (425) 888-3434 Office -- FAX: (425) 888-3837  
Website: http://www.mountsiseniorcenter.org
Email: janet@mountsiseniorcenter.org
Description: Offers adult day health services, foot care, and private appointments with an RN. Eligibility: Adults, 55 and older
Areas Served: East King County
Languages other than English: None
How to Apply: Call for information
Fees: Health Services: Sliding scale $20-40; accepts medical coupons. Foot Care: $12. Health enhancement services: Vary.

Multicare Adult Day Health Services
202 Cross St SE -- Auburn, WA 98002
Phones: (253) 876-8195 Facility -- FAX: (253) 876-8139
Web site: http://www.multicare.org
Description: Provides medically based skilled nursing care, occupational therapy, therapeutic activities, and/or caregiver respite. Lunch is served daily.
Eligibility: Serves adults 18 and older needing skilled nursing, rehabilitation therapy, therapeutic activities, and caregiver respite
Areas Served: South King and Pierce Counties Languages other than English: None.
How to Apply: Referrals are taken over the phone or by appointment. Doctor's orders are obtained for each person attending the facility.
Fees: Daily and hourly fees available, DSHS/CNP, COPES, Respite, Veterans' Administration and limited private pay

Northshore Adult Day Care
10201 E Riverside Dr. – Bothell, WA 98011                                                 Phones: (425) 487-2441 Main Desk
Email: judip@seniorservices.org
Web site: http://www.northshoreseniorcenter.org  
Description: Offers individualized care, case management, and recreation activities, including social events, crafts, music, water therapy, and horticulture programs. Physical, occupational, and speech therapy are available. Foot care, including podiatry, is also available. Lunch is provided. Eligibility: Seniors, ages 55 and older
Area Served: Serves Northshore School District area: Bothell, Kenmore seniors welcome Woodinville, Juanita and South Snohomish County out of area
Languages other than English: Volunteer translators are available on a limited basis How to Apply: Call for information.
Fees: Sliding Scale: $25 - $55 per day and medical coupons accepted

Polack Adult Day Center
7500 Seward Park Ave S -- Seattle, WA 98118
Phones: (206) 725-8800 Main -- FAX: (206) 722-5210
Website: http://www.klinegalland.org/daycenter.html     
Email: joannea@klinegalland.org 
Description: Offers emotional support services and recreational, educational, and social activities. Discussion groups are available in German and Ladino. Provides meals, Russian language group, health screening and monitoring.
Eligibility: Serves elderly (65 and older) Jewish residents of Seattle-King County. Respite care: Serves Jewish older adults and their families. Hot meals: Provides meals for Seattle-King County residents 60 years of age and older.
Areas Served: Seattle
Languages other than English: German, Hebrew, Ladino, Russian, Spanish, and Yiddish. How to Apply: Call for information
Fees: $34 per person, per day. Sliding scale is available for those unable to pay the regular fee.

Providence Elderplace (PACE)
4515 Martin Luther King Jr. Way S, Suite 100 – Seattle, WA 98108
Phones: (206) 320-5325 Main -- FAX: (206) 320-5326
Web site: http://www.providence.org/Long_Term_Care/elderplace/default.htm
Email: jenny.kentla@providence.org  
Description: Recreational therapy program and lunch.
Eligibility: Clients must be 55 years of age or older; reside in Seattle, Shoreline, SeaTac, Renton, Tukwila, or Burien; and be certified as eligible for nursing home care by an appropriate state agency. Areas Served: Seattle
Languages other than English: Bilingual staff and interpreter available
How to Apply: Call or apply in person
Fees: Fees vary. Accepts Medicare, medical coupons, and private insurance

Providence Mount St. Vincent
4831 35th Ave SW -- Seattle, WA 98126
Phones: (206) 937-3700 Main Office -- FAX: (206) 938-8599
Web site: http://www.providence.org/Long_Term_Care/Mount_St_Vincent
Email: Arlene.carter@providence.org   
Area Served: King County.
Description: Physical, occupational, recreational therapy and counseling services. Participants set goals with staff and work toward self-sufficiency in a group setting. Provides respite support (daytime) and resource information for families and care providers.
Eligibility: Serves persons 18 and older living with effects of TBI, or older adults with daily care needs
How to Apply: Call or apply in person
Languages other than English: Interpreter available
Fees: $57 per day. Medical coupons are accepted.

Senior Enrichment Program / Outreach
1820 E Pine St, Suite 201, -- Seattle, WA 98122
Phones: (206) 325-0471 Main; (206) 329-8295 Business Office
Email: info@elderwise.org
Web site: http://www.elderwise.org
Description: Holistic approach to senior services; adult day care with art, exercise, lunch, and discussion groups.
Eligibility: Serves any Seattle-area senior who is isolated, in transition, or under-stimulated. Clients must be able to participate in meaningful conversation. Clients may have physical deficits; must be able to toilet independently.
Languages other than English: None
How to Apply: Call for an initial telephone screening and to set up an appointment to visit the program for the day. First visit is free.
Fees: $50 per day; 25% of slots are subsidized

Shoreline Adult Day Health Program
Ronald United Methodist Church, 17839 Aurora Ave N. -- Shoreline, WA 98133 Phones: (206) 542-0420 Adult Day Health -- FAX: (206) 364-8930
Email: shorelinesc@seniorservices.org
Web site: http://seniorservices.org
Description: Day health care for the elderly. Services include individualized care, recreational activities, social events, crafts, lunch, occupational and physical therapies, nursing services, and respite for caregivers.
Area Served: Northshore School District area: Bothell, Kenmore, Woodinville, Juanita and South Snohomish County. Out of area seniors welcome.
Eligibility: Serves seniors with disabilities and/or in frail health needing therapeutic activity Languages other than English: None
How to Apply: Call for information
Fees: Adult Day Center: Respite, COPES, private insurance, and Medicaid are accepted

Senior Services of Seattle/King County
2208 2nd Avenue, Seattle WA, 98121
Phone: (206) 448-5757; TDD: (206) 448-5025; Fax: (206) 448-5766
Email: webmaster@seniorservices.org
Web site: http://www.seniorservices.org
Description: Health and human services information and referral service for seniors and adults with disabilities.
Areas Served: King County
Eligibility: Public
How to apply: Call for services
Fees: Web access and information and referral services are free of charge

Southeast Adult Day Health Program
1443 S. 99th Street -- Seattle, WA 98108
Phones: (206) 763-1185 -- FAX: (206) 722-2768
Area Served: No geographic restrictions
Description: Offers day care for adults with disabilities and seniors of frail health. Eligibility: Adults with disabilities and seniors of frail health
How to Apply: Call or apply in person
Languages other than English: None
Fees: Sliding scale fee: $24 - $55 per day. No one turned away for inability to pay. Accepts Medicare, medical coupons, and private insurance.

Vashon Community Care Center
15333 Vashon Hwy SW -- Vashon, WA 98070
Web site: http://www.providence.org/Long_Term_Care/vason/default.htm  
Phones: (206) 567-4421 Main -- FAX: (206) 567-5052 TTY Relay: 800-833-6388 Description: Program is designed for older adults and those with disabilities who live at home. Program offers three meals a day, recreation, socialization, and protective supervision. Nursing services are available.
Area Served: Serving the needs of Vashon Island residents by providing day care, meals, and recreation for older adults, and respite for their families
Eligibility: Adults with disabilities and seniors of frail health
How to Apply: Call or apply in person
Languages other than English: None
Fees: $55 per day

GRAYS HARBOR COUNTY

United Way of Grays Harbor
101 East Market Street, #544 - Aberdeen, WA 98520
Phone: (360)532-6260 - Fax (360)532-1442
Web site: http://www.unitedway-wa.org/grays/
Description: Health and human services information and referral network. Areas Served: Grays Harbor County
Eligibility: Public
How to apply: Call for services Monday - Friday, 8 a.m. - 6 p.m. Fees: Information and referral services are free of charge

PIERCE COUNTY

Federal Way Senior Center
4016 S 352nd St, -- Auburn, WA 98001-9043
Phones: (253) 838-3604 From King County; 253 927-9031 From Pierce County FAX: (253) 838-4552  
Website: http://www.federalwayseniorcenter.org
Email: fedway_sr.center@comcast.net
Area Served: South King and North Pierce County
Description: Provides respite care for caregivers and adult day care for adults with all types of disabilities; includes lunch.
Eligibility: Serves residents, ages 18 and older with disabilities
Days and Hours: 9 am -3 pm, Monday through Friday
Languages other than English: German
How to Apply: Call or walk in
Fees: Sliding scale fees are available

ADULTS 18 AND OLDER:

Tacoma Adult Day Health Center
6442 S. Yakima, Tacoma, WA 98408
Phones: 253-459-7222; Fax: 253-473-3117 
Web site: http://www.multicare.org/
Area Served: Pierce County, Tacoma, Graham, Lakewood, Parkland, and Olympia Description: Provides a medically based program supplying skilled nursing care, occupational therapy, therapeutic activities, and/or caregiver respite. Lunch is served daily.
Eligibility: Eligibility for services is dependent on funding source. Serves adults 18 and older, needing skilled nursing, rehabilitation therapy, therapeutic activities, and caregiver respite.
How to Apply: Referrals are taken over the phone or by appointment. Doctor's orders are obtained for each person attending the facility.
Fees: $55 per day or $8.25 per hour, DSHS/CNP, COPES, Respite, Veterans' Administration and limited private pay
Languages other than English: None.

PLANNED AND EMERGENCY CARE:

Pierce County Human Services - Aging And Long Term Care
8811 S. Tacoma Way -- Tacoma, WA 98499
Phone: 253-798-7236 or 800-642-5769
Web site: http://www.piercecountywa.org/
Area Served: Pierce County
Description: Temporary/on-call care, socialization and meals provided. Pre-registration is required at most locations. Planned and emergency care. In-home or out-of-home care. Hourly and daily fees. Care is provided free of charge to eligible residents. Services are provided by agencies contracted with Pierce County Aging & Long Term Care.
Eligibility: Serves people with unpaid caregivers only. Pre-registration required.
Fees: Sliding fee scale based on client's (not caregiver's) income. Many people have no charge for service.
How to Apply: Call or apply in person, pre-registration required

OVERNIGHT CARE:

Good Samaritan Neighborhood Emergency Respite
1317 E. Main -- Puyallup, WA 98371
Phones: 253-848-5571 -- Fax: 253-539-0885
Email: info@goodsamhealth.org
Web site: http://www.goodsamhealth.org
Area Served: Pierce County
Description: Temporary/on-call care, socialization and meals provided. Pre-registration is required at most locations. Planned and emergency care overnight only. In-home or out-of-home care. Hourly and daily care.
Eligibility: This program serves people with unpaid caregivers. The day program is dementia specific. Overnight is open to all. Pre-registration required.
How to Apply: Call for information
Fees: ACCESS, COPES, Private Pay, Respite, Senior Citizen Service Act (SCSA), Veterans' Administration, TXIX
Languages other than English: Spanish

United Way of Pierce County Helpline:
Phone: 800-572-HELP or 253-572-4357
Web site: http://www.uwpc.org/
Description: Health and human services information and referral network Areas Served: Pierce County
Eligibility: Public
How to apply: Call for services Monday - Friday, 8 AM - 6 PM Fees: Information and referral services are free of charge

SNOHOMISH COUNTY

ElderHealth Northwest / Day Break Respite Program
621 164th St. S.E. -- Mill Creek, WA 98012
Phones: 425-355-1313 - Fax: 425-348-3012
Web site: http://www.elderhealth.org
Description: Adults experiencing physical, mental or social problems associated with disabilities, and other conditions. Features specially designed activities for persons with memory impairment. Health monitoring and social activities. Meals and snacks served.
Area Served: Mill Creek, Lynnwood, Bothell, Edmonds, Brier, Mountlake Terrace and Snohomish Eligibility: Seniors, ages 55 and older
Languages other than English: None
How to Apply: Call for information
Fees: $34.50 per day COPES, Respite, Visa/MC

Greater Mill Creek Senior Program
600 128th Street SE, Everett, WA 98208 (Ronald United Methodist Church)
Phone: (425) 357-6002 Fax (425) 338-3994  
Email: MillCreek@seniorservices.org
Web site: http://snohomish.wsu.edu/seniors/  
Description: Seniors (age 55 and older) stay active and connected through a variety of activities
and services through a quarterly newsletter. Co-sponsored by Northshore Senior Center,
Washington State University/Snohomish County Cooperative Extension, and the city of Mill Creek. Areas Served: Primarily Mill Creek and all of South Snohomish County
Eligibility: Seniors (Age 55 and older) How to apply: Call for services
Fees: Call for information

Senior Services of Snohomish County
8225 44th Ave. W., Suite O, Mukilteo, WA 98275
Phone: 425-355-1112; Fax: 425-353-1212
Web site: http://www.sssc.org/  
Email: info@sssc.org
Description: Non-profit organization that provides social and health services to elderly and disabled people in Snohomish County. The mission is to "advocate for senior and disabled persons and to provide and operate programs and services that assist them in living productively and independently."
Areas Served: Snohomish
Eligibility: Public
How to apply: Call for services
Fees: Web access and information and referral services are free of charge

Woodinville Adult Day Center
18350 NE Woodinville/Duval Pl. -- Woodinville, WA 98011-3708
Phones: (425) 788-5223 Main Desk -- FAX: (425) 788-5223
Description: Offers individualized care, case management, and recreation activities, including social events, crafts, music, water therapy, and horticulture programs. Physical, occupational, and speech therapy are available. Foot care is also available. Lunch is provided. A monthly health check is available.
Area Served: Northshore School District area: Bothell, Kenmore, Woodinville, Juanita and South Snohomish County. Out of area seniors welcome.
Eligibility: Seniors, ages 55 and older
Languages other than English: Volunteer translators are available on a limited basis How to Apply: Call for information
Fees: Vary according to income and ability to pay

SNOQUALMIE

Snoqualmie Valley Adult Day Health Program
4610 Stephens Ave. -- Carnation, WA 98014
Email: lisay@seniorservices.org
Web site: http://www.seniorservices.org/adultday/svadc.asp  
Phones: (425) 333-4152 Office -- FAX: (425) 333-4465 -- Toll Free TDD: (206) 448-5025 Description: Day health care with lunch, programs, and individual attention for seniors in frail health or adults with disabilities.
Area Served: Snoqualmie Valley
Eligibility: Serves seniors with disabilities and/or in frail health needing therapeutic activity Languages other than English: None
How to Apply: Call for information
Fees: $42.50 per day, sliding. Accepts medical coupons

SKAGIT COUNTY

Skagit County, Snohomish County - Information and Referral Phone:
(800) 223-8145 - TTY (800) 846-8517 - In Everett (425) 258-4227 Web site: http://www.voaww.org
Description: Served by Volunteers of America of Western Washington Areas Served: Snohomish and Skagit Counties
Eligibility: Public
How to apply: Call for services
Fees: Web access and information and referral services are free of charge

WHATCOM COUNTY

St. Joseph Hospital South Campus
809 E. Chestnut St,, Bellingham, WA 98225
Phone: (360) 715-6410
Email: SThompson@peacehealth.org
Web site: http://www.peacehealth.org/whatcom/adultdayservices/
Description: Community-based day program designed to meet the needs of adults with chronic illness and/or disability. The primary focus of our program is to restore or maintain participants' level of independence to enable them to remain in the community for as long as it is in their and their family's best interests.
Areas Served: Whatcom area
Eligibility: Call for details
How to apply: Call for services
Fees: There are a variety of payment plans and options. Call for details.

United Way of Whatcom County
1511 Cornwall Avenue - Bellingham, WA 98225-4521
Phone: (360) 733-8670; Fax: 360-733-8674
Web site: http://www.unitedwaywhatcom.org/
Description: Health and human services information and referral network. Areas Served: Whatcom County
Eligibility: Public
How to apply: Call for services Monday - Friday, 8 AM - 6 PM Fees: Information and referral services are free of charge

STATEWIDE

WASHINGTON ADULT DAY SERVICES ASSOCIATION
85 S Washington #314 -- Seattle, WA 98104
Phones: (206) 461-3899 Office -- FAX: (206) 461-3218 -- Toll Free: (888) 60-WADSA Web site: http://www.adultday.org
Description: Non-profit 501(c)(3) county funded agency offers free referrals to adult day care centers, advice to caregivers, technical assistance to providers, training programs for staff and volunteers, and public education and information.
Areas Served: King County and Washington state
Eligibility: Public
How to apply: Call for services
Fees: Free referrals to adult day care