Providers’ Perspective on Barriers and Solutions to Adult Day Services Provision in Ohio
Kingsley C. Udeh, Molly Noble, Heather Menne, Sara. J McLaughlinBackground
Adult day services (ADS) are essential home- and community-based supports, yet providers continue to face significant post-COVID operational and engagement challenges. Limited state-level evidence constrains efforts to strengthen ADS capacity.
Objective
To identify barriers experienced by ADS providers in Ohio and provider-driven solutions to sustain and strengthen services in the post-COVID environment.
Methods
A sequential mixed-methods design integrated pre-survey focus groups (
Results
Two themes emerged: (1) Participants, Family, and Community Engagement, characterized by limited public awareness, caregiver hesitation, and unstable referral pathways; and (2) Operational Challenges and Limited Resources, including financial strain, staffing shortages, transportation barriers, administrative burden, and facility limitations. Providers identified solutions such as statewide education, workforce development, shared transportation models, and regulatory streamlining.