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Adult Day Care  

Namkee G. Choi

Adult day care centers provide important health, social, and support services for functionally and cognitively impaired adults and their caregivers. The adult day care services are underutilized, however, because of the shortage of centers, caregivers' lack of awareness of and resistance to using services, and the mismatch between the needs of potential consumers and their informal caregivers and the services provided by the centers. To foster and support the expansion of adult day care centers, lessons learned from national demonstration programs need to be disseminated, and social workers need to be trained to provide essential services at the centers.

Article

Child Care Services  

Laura Lein

Child care services, enabling parents to commit themselves to paid employment while providing a supervised environment for their children, have a long and complex history in the United States. Child care services can provide children with educational and other advantages, as well as custodial care. In fact, the United States has multiple kinds of services providing child care and early childhood education. Publicly funded services have concentrated on care for impoverished children and those facing other risks or disadvantages, but many of these children and their families remain unserved because of gaps in programs and lack of support for subsidies, while other families purchase the services they need.