The advantage of in-home respite is that the patient remains in the familiar environment of his or her own home and the caregiver does not need to transport the patient to another location. Another disadvantage is the lack of socialization and formal activities. Facility based respite care is usually provided by adult day care centers. These centers may follow either a social or therapeutic model. Adult day care programs may be dementia specific or they may serve a varied population.
Programs usually operate weekdays from early morning to late afternoon or early evening.
Fees include meals and snacks. If transportation is provided an additional fee is usually charged. Reimbursement and financial assistance may be available through several funding sources. As the dementia continues to progress, the next step along the continuum of care could possibly be an assisted living facility or extended care center. Assisted living facilities are a form of congregate living enhancing independence and autonomy, while providing assistance with the activities of daily living.