Standards for public agencies

2020 Edition

Day Treatment Services (PA-DTX) 6: Services for Families

The individual, family, and agency work together to achieve an optimal level of family participation.
2020 Edition




Individuals who receive Day Treatment Services improve psychosocial, educational, vocational, and cognitive functioning, and learn to manage their symptoms.
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 involving the family of the primary person served
No On-Site Evidence
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records

PA-DTX 6.01

The agency engages the family and encourages active participation in the treatment process, including participation in family counseling, unless such involvement is contraindicated.
Examples: Examples of ways to engage family members may include demonstrating: 
  1. sensitivity to the willingness of the family to be engaged;
  2. a non-threatening manner;
  3. respect for the person’s autonomy and confidentiality;
  4. flexibility; and
  5. persistence.

PA-DTX 6.02

When involvement of family members or significant others is desired by the individual but proves difficult to achieve, the agency:
  1. attempts to reestablish contacts and positive interactions between family members through activity and educational programs;
  2. provides individual and group counseling to family members or significant others who accept services; and
  3. aids individuals in identifying ways to build and enhance a social support system.

PA-DTX 6.03

The families or significant others of participants are offered services including:
  1. family psycho-education;
  2. emotional support and therapy;
  3. community and support services;
  4. care coordination, as needed; and
  5. self-help referrals.