SERVICE

One or more organization-operated programs or activities that have a common general objective and deploy the organization's material and human resources in a planned and systematic manner. An organization that publicly promotes or identifies itself in writing as offering a service, is licensed to deliver a service, assigns personnel and/or space to a service, or allocates financial resources to a service is considered to offer that service.
 
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  COMMUNITY

A specific group of people living in the same locality and who may share a common culture, values, and norms. Communities can also be defined by race, religion, ethnicity, age, occupation, political status, tribal affiliation, interest in particular problems or outcomes, or other common bonds. The term "community" encompasses worksites, schools, tribes, residential neighborhoods, business districts, recreational areas, and health and human service sites.
 
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  PROGRAM

A system of services offered by an organization. For example, an organization providing a mental health service may offer several mental health programs to different populations, e.g., a mental health program for adolescent teens. The word "program" can be used interchangeably with the word "service" or to describe specific programs.
 
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  SERVICE POPULATION

A group or target population that the organization's services are designed to serve in accord with its mission, and which includes the organization's service recipients. An organization's service population may be defined by geographic location, specific problems or needs, religion, ethnicity, culture, or other factors.
 
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  POLICY

A written statement of principles, values, or intent that provides a basis for consistent decision making and guides the actions of staff, management, and board of trustees. A policy is intentionally broad in its language and application. The following is an example of an anti-discrimination policy:

"[Organization Name] shall not discriminate on the basis of race, color, religion (creed), gender, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, hiring and firing of staff, selection of volunteers, selection of vendors, and provision of services."

In contrast, a procedure is a detailed, step-by-step description of a process. It tells the reader how to do something. Generally, policies are implemented through procedures. For example, the above anti-discrimination policy would require a detailed grievance procedure in order to operationalize it within an organization.

The governing body has the fiduciary responsibility for setting organizational policy. Therefore, policies must be approved and periodically reviewed by the organization's governing body. However, the governing body typically delegates (via policy) the responsibility for policy development to management. In owner-operated for-profit companies, the owner can act as the company's governing body, depending on the company's corporate structure.

In a public agency the responsibility for setting and reviewing policies may belong to the agency's management team, elected officials, another governmental agency, or as is often the case, a combination of the above.

 
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  PUNITIVE WORK ASSIGNMENT

Work assigned exclusively for punishment rather than as a shared responsibility for maintenance or duties; for example, stacking and restacking a wood pile repetitively as a punishment for breaking a rule.
 
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Adult Day Services
 
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AD 8: Service Environment

 
Program activities take place in a safe, supportive setting that fosters personal growth and healthy development.
Interpretation: If the organization offers program activities in a variety of different settings, it should ensure that all settings are safe, supportive, and appropriate to the service population.

AD 8.01

 
Program space and materials are welcoming, engaging, culturally responsive, and designed to encourage participation.

AD 8.02

 
The program setting provides adequate space and materials to accommodate a range of functionally appropriate activities.
Interpretation: Spaces can accommodate a variety of indoor and outdoor activities, including small group activities, large group activities, and socialization with peers.

AD 8.03

 
Program rules, behavioral expectations, and participant rights and responsibilities are developed with input from individuals enrolled in the program and are enforced in a fair and consistent manner.

AD 8.04

 

Organization policy prohibits:

  1. corporal punishment;
  2. the use of aversive stimuli;
  3. interventions that involve withholding nutrition or hydration, or that inflict physical or psychological pain;
  4. the use of demeaning, shaming or degrading language or activities;
  5. unnecessarily punitive restrictions including cancellation of visits as a disciplinary action;
  6. forced physical exercise to eliminate behaviors;
  7. punitive work assignments;
  8. punishment by peers; and
  9. group punishment or discipline for individual behavior.
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PURPOSE: 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.
 
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