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

Currently viewing: DAY TREATMENT SERVICES (PA-DTX)

VIEW THE STANDARDS

Purpose

Individuals who receive Day Treatment Services improve psychosocial, educational, vocational, and cognitive functioning, and learn to manage their symptoms.
1
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. 
2
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.
3

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.
4
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.