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We try to anticipate questions you might have about our Medical Adult Day Care program and our Psychiatric Rehabilitation Program and provide the answers here. If you need additional information send e-mail here.


How do I refer a participant to your Psychiatric Rehabilitation Program?

In order to participant in Foundations Psychiatric Rehabilitation Program, a participant must have a qualifying diagnosis. If the participant has a qualifying diagnosis, a referral must be made by a licensed mental health professional which includes: 

  • Psychiatrists, CRNP-PMH, Licensed Psychologists, LCSW-C, LCPC, APRN-PMH, LCMFT, LCADC, LCPAT, LGMFT, LGADC, and LGPAT (LGPC, LGMFT, LGADC, LGPAT staff may only make referrals if they are currently in a formal clinical supervision arrangement with a supervisor approved by the Maryland Board of Counselors and Therapists.
  • A LMSW may only make referrals if currently in a formal clinical supervision arrangement with a supervisor approved by the Maryland Board of Social Work Examiners.
  • Referrals from non-mental health professionals who do not have a mental health specialty are not
  • PA, RN-C, CAC-AD and CSC-AD are not eligible to make referrals.

You can download and complete Foundations Psychiatric Rehabilitation Program's referral form and e-mail it or fax it to 410.690.7479.


How do I refer a family member for Medical Adult Day Care?

To Qualify for Medical Adult Day Care, a participant or caregiver must contact their local Health Department and request an Adult Evaluation and Review Services (AERS) assessment:

  • Anne Arundel County: (410) 222-4361
  • Baltimore City: (410) 396-6006
  • Baltimore County: (410) 887-2740 OR (410) 887-2754
  • Howard County: (410) 313-6437
  • Carroll County: (410) 876-4949
  • Prince George's County: (301) 856-4730


How do I know if I, or my loved one qualifies for Medical Adult Day Care?

A person may be eligible for Medical Adult Care if they:

  1. Require hands-on assistance to adequately and safely perform two or more Activities of Daily Living (ADLs) as result of a current medical condition or disability; or
  2. Require supervision while performing two ADL’s for an individual with cognitive deficits, as indicated by a score of 10 or below in the BIMs, and is in need of assistance with at least three Instrumental Activities of Daily Living (IADLs); or
  3. Require supervision of two or more ADL’s combined with the need for supervision/redirection for an individual exhibiting at least two of the following behaviors:
    • Wandering several times a day;
    • Hallucinations/delusions at least weekly;
    • Aggressive/abusive behavior several times a week;
    • Disruptive/socially inappropriate behavior several times a week; and/or
    • Self-injurious behavior several times a week.


What are Activities of Daily Living (ADLs)?

Examples of ADLs include the following:

  • Bathing and showering (washing the body)
  • Bowel and bladder management (recognizing the need to relieve oneself)
  • Dressing
  • Eating (including chewing and swallowing)
  • Feeding (setting up food and bringing it to the mouth)
  • Functional mobility (moving from one place to another while performing activities)
  • Personal device care (walkers, canes, wheelchairs, etc.)
  • Personal hygiene and grooming (including washing hair)
  • Toilet hygiene


What are Instrumental Activities of Daily Living (IADLs)?

Examples of IADLs include the following:

  • Housework
  • Taking medications as prescribed
  • Managing money
  • Shopping for groceries or clothing
  • Use of telephone or other forms of communication
  • Using technology (as applicable)
  • Transportation within the community
  • Care of pets
  • Health management and maintenance
  • Meal preparation and cleanup
  • Safety procedures and emergency responses
  • Shopping