From marginalisation to belonging: The transformative value of adult daycare centres for adults with disabilities

Introduction: This opinion piece reflects on the perspectives of adults with severe-profound disabilities attending Adult Daycare Centres (ADCs) in the Western Cape, South Africa, a country where such services are crucial for promoting dignity and well-being in a society that can be marginalising. This article portrays the voices of adults with disabilities from four ADCs and identifies eight core values of such centres. Discussion: The core values, namely activity participation, a safe environment, social participation, improved mental health, spirituality, health promotion, purpose, and community living, reflect the essence of ADCs. The findings challenge occupational therapy's dominant focus on productivity and independence, emphasising dignified being and belonging as therapeutic outcomes for wellbeing. Conclusion: ADCs play a crucial role in promoting human rights and quality of life for adults with disabilities by fostering occupational participation, social interaction and personal growth. These insights advocate for a shift in the definition of ADCs from mere physical care and "doing", to fostering a sense of being and belonging. Implications for Practice: The findings call for increased funding, training and support for ADCs. Occupational therapists are vital in community-based practice as clinicians, facilitators, educators and advocates, to ensure access to essential services for persons with disabilities.