  We present a modification to the Berger and Oliger adaptive mesh refinement
algorithm designed to solve systems of coupled, non-linear, hyperbolic and
elliptic partial differential equations. Such systems typically arise during
constrained evolution of the field equations of general relativity. The novel
aspect of this algorithm is a technique of "extrapolation and delayed solution"
used to deal with the non-local nature of the solution of the elliptic
equations, driven by dynamical sources, within the usual Berger and Oliger
time-stepping framework. We show empirical results demonstrating the
effectiveness of this technique in axisymmetric gravitational collapse
simulations. We also describe several other details of the code, including
truncation error estimation using a self-shadow hierarchy, and the
refinement-boundary interpolation operators that are used to help suppress
spurious high-frequency solution components ("noise").
