Standards for public agencies

2020 Edition

Adult Day Services (PA-AD) 6: Support Services for Caregivers

Caregivers receive coordinated services and support to help resolve issues related to caretaking.
2020 Edition

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Individuals who participate regularly in Adult Day Services achieve and maintain an optimal level of well-being, functioning and health, and remain in their preferred community residence.
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Procedures for referring individuals to services
  • Community resource and referral list
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records


PA-AD 6.01

Providers work with service recipients and their caregivers to:
  1. coordinate services; and
  2. resolve obstacles to accessing or receiving services, including transportation or fees.


PA-AD 6.02

Caregivers receive support to address issues related to caretaking and caregiver stress, and are provided with referrals for needed services including:
  1. support groups and counselling services;
  2. health, mental health, and substance use services;
  3. domestic violence services;
  4. shelter and housing services;
  5. respite care;
  6. social, recreational, and day programs; and
  7. mentor services.


PA-AD 6.03

The agency maintains a comprehensive, up-to-date list of community resources.
Note: Adult Day Services can be considered a form of respite care for caregivers. See also COA’s Home Care and Support Services (PA-HCS), and Respite Care (PA-RC) standards.