Standards for public agencies

2020 Edition

Day Treatment Services (PA-DTX) 9: Care and Supervision

The agency provides sufficient care and supervision to ensure participant safety and service quality.
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
  • Coverage schedules for the most recent month indicating client/personnel ratios
  • Coverage schedules for the previous six months indicating client/personnel ratios
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Observe program


PA-DTX 9.01

Personnel-to-participant ratios are appropriate to the developmental and clinical needs of participants and:
  1. increase during emergencies, with after-hours and holiday coverage available for crisis situations; and
  2. increase to meet the special needs of individuals during busier or more stressful periods.

Fundamental Practice

PA-DTX 9.02

In agencies providing educational services to school-age children or youth, special education teachers and teaching or therapeutic aides provide a classroom ratio of one adult for every four participants.
NA The agency does not serve children or youth.

NA The agency does not directly provide education services to school-age children or youth.