Since 1977, Morningside House, located in the Bronx, New York, has been providing a program of services specifically designed to serve the “ambulatory confused resident” — now usually identified as the individual with Alzheimer’s disease. Morningside House and its affiliate, Aging in America, also serve as the EISEP agency for Community Districts 11 and 12 in the Bronx. In 1986 this program was expanded to include a community-based day care program for clients with dementia. This program is discussed here. However, to understand the significance of the rapidly-developing number of day care centers across this country and this state, it is important to view the day care center as part of a larger continuum of care.