Adult Social Day Services: A Promising, Yet Underutilized Community-Based Support for Individuals With Alzheimer's Disease and Related Dementias.

As Alzheimer's disease and related dementias (ADRD) become more common, there is a growing need for programs that improve the quality of life for individuals living with these conditions. Understanding existing community-based models of engagement is essential for identifying effective, scalable solutions. Adult Social Day Services (ASDS) offer opportunities for socialization and cognitive engagement for individuals who require minimal assistance with activities of daily living. Although promising, ASDS programs are used unevenly, and their overall effectiveness remains unclear. To address this gap, we conducted a parallel convergent mixed-methods study using data from a fee-based ASDS program located at a senior center in a northeastern U.S. town. Using a population-level survey, stakeholder focus groups, and in-depth interviews with current and former participants and their families, we examined the program from multiple perspectives. Findings suggest the ASDS model has strong potential for scaling, replication, and adaptation as a community-based dementia intervention, with benefits for participant well-being and caregiver support.