ADHC is a community-based health and long term care service aimed at elders or adults who are disabled enough to be in a nursing home or at risk of nursing home placement. When coordinated with other health center services, particularly primary care clinic services, ADHC can be critical in allowing elders to avoid nursing home placement and helping informal caregivers to continue providing care over an extended period. Participants live at home and are brought into the center from 3 to 5 days a week. Services may vary from state to state but typically include an assessment and care plan with.