Day Treatment Services (CA-DTX) 5: Interdisciplinary Program
Participants regularly attend an interdisciplinary program of treatment, education, and activity that fosters active participation and incorporates available social supports to the greatest extent possible given availability of appropriate resources.
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All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice Standards.
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice Standards; e.g.,
Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
Procedures need strengthening; or
With few exceptions, procedures are understood by staff and are being used; or
For the most part, established timeframes are met; or
Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
Active client participation occurs to a considerable extent.
Practice requires significant improvement, as noted in the ratings for the Practice Standards. Service quality or program functioning may be compromised; e.g.,
Procedures and/or case record documentation need significant strengthening; or
Procedures are not well-understood or used appropriately; or
Timeframes are often missed; or
Several client records are missing important information; or
Client participation is inconsistent.
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice Standards; e.g.,
No written procedures, or procedures are clearly inadequate or not being used; or
Documentation is routinely incomplete and/or missing.
Program curriculum or sample daily program schedule
Procedures for communication/collaboration between day and residential programs
Procedures for obtaining clearance for persons served to participate in athletic activities
Proof of accreditation, licensure, or certification for outside providers operating adventure-based activities, if applicable
Interviews may include:
Review case records
The day treatment program:
aids in the transition from in-patient to out-patient care;
addresses needs not met by less intensive programming;
offers an alternative to more restrictive care; and
works with individuals and other providers to ensure continuity of care.
Participants are engaged in therapeutic activities designed to:
develop and maintain a normalizing routine;
enhance personal and interpersonal skills and behaviours; and
address identified problem areas.
The program offers the following services and adapts the structure and content of these services based on the program model and the needs of the service population:
individual and group treatment;
medication evaluation and monitoring;
independent living skills training; and
other planned, structured activities.
When planning day treatment activities, the organization takes into account group characteristics and the individual’s:
age and developmental level;
Participants are helped to develop and expand their informal support networks including connections with friends, extended family, and community members.
Therapeutic programming provides scheduled sessions for a minimum of:
nine hours per week in intensive outpatient programs; or
sixteen to twenty hours per week in partial hospitalization programs.
Outpatient day treatment programs may operate for fewer than nine hours per week when the frequency and intensity of services is appropriate to individual needs and a rationale is provided in individual service plans.
The organization helps individuals establish and strengthen links to needed support services including:
substance use treatment;
respite care; and
A program that serves a mix of individuals who live in residential care and in the community ensures that:
residents and non-residents receive a comprehensive program that is tailored to individual needs;
mechanisms for communication between day and residential programs are in place; and
responsibilities of residential and day programs are clearly delineated.
NAThe organization does not serve a mixed population of residents and non-residents.
The organization evaluates service recipients for their ability to participate in athletic activities and obtains, as necessary:
written, signed permission slips from service recipients’ legal guardians;
a medical records release;
a signed document from a qualified medical professional stating that the service recipient is physically capable of participating; or
an adult waiver and release of liability.
NAThe organization does not offer athletic activities to service recipients.
Organizations that purchase services from providers that operate adventure-based activities with a significant degree of risk request proof of accreditation, licensure, or certification with a nationally recognized authority for the activity being conducted.
NAThe organization does not purchase services from providers that operate adventure-based activities.