Challenges in Implementing the Collaborative Reablement Service Model in Adult Day Services: Insights From Service Providers

AUTHOR 

Tzu-Ying Chiu, Ya-Mei Chen, Yen-Po Yeh, Hsiao-Wei Yu

JOURNAL    HEALTH & SOCIAL CARE IN THE COMMUNITY, 12 January 2026

Abstract

Introduction

Integrating collaborative reablement into adult day services (ADS) presents new challenges. Exploring the perspectives of service providers is essential for gaining deeper insights into this innovative approach.

Materials and Methods

A qualitative study was conducted through focus group interviews with service providers in central Taiwan. The Canadian Interprofessional Health Collaborative (CIHC) Framework guided the analysis, focusing on role clarity, collaborative leadership, team functioning, communication, person-centered care, and conflict resolution.

Results and Discussion

Care workers initially struggled with reablement but improved through training and collaboration with therapists, who benefited from the workers’ observations. Standardized assessments, reviews, and open communication strengthened teamwork. Nonverbal strategies fostered peer-driven participation, and patient-centered care was enhanced through home visits and family involvement. This study highlights challenges in implementing the collaborative reablement–ADS model, emphasizing the importance of training, teamwork, and interprofessional collaboration to enhance care quality and outcomes.

Conclusions

In conclusion, this study provides valuable insights that targeted interventions, including ongoing training, enhanced interprofessional communication, and a focus on patient-centered care, are crucial for effectively addressing the initial challenges inherent in the collaborative reablement–ADS model.