	Day Treatment Services: Social Adjustment Services; Intensive Outpatient Treatment; Partial Hospitalization

Introduction

Administration and Management

Service Delivery Administration Standards

Service Standards

DTX 6: Interdisciplinary Program

Participants regularly attend an interdisciplinary program of treatment, education, and activity that fosters active participation and incorporates available social supports.

Interpretation: The availability of social supports to individuals varies, and incorporation of supports should be to the greatest extent possible.

DTX 6.01

The day treatment program:

aids in the transition from in-patient to out-patient care;
addresses needs not met by less intensive programming;
offers an alternative to more restrictive care; and
works with individuals and other providers to ensure continuity of care.

DTX 6.02

Participants are engaged in therapeutic activities designed to develop and maintain a normalizing routine, enhance personal and interpersonal skills and behaviors, and address identified problem areas.

DTX 6.03

Services are appropriate to the age and behavioral and emotional readiness of the individual, and the program includes:

individual and group treatment;
family therapy;
educational programming;
psychoeducational groups;
medication evaluation and monitoring;
expressive therapies;
recreational activities;
pre-vocational training;
independent living skills training; and
other planned, structured activities.

DTX 6.04

Participants are helped to develop and expand their informal support networks, including connections with friends, extended family, and community members.

Research Note: Early research indicates that the availability of social support has a positive association with clinical outcomes.

DTX 6.05

Therapeutic programming provides scheduled sessions for a minimum of:

nine hours per week in intensive outpatient programs; or
sixteen to twenty hours per week in partial hospitalization programs.

Interpretation: Outpatient day treatment programs may operate for fewer than nine hours per week when the frequency and intensity of services is appropriate to individual needs and a rationale is provided in individual service plans.

DTX 6.06

The organization helps individuals establish and strengthen links to needed support services, including:

supported housing;
supported employment;
medical care;
substance use treatment;
public benefits;
child care;
educational services;
respite care; and
peer support.

DTX 6.07

When planning day treatment activities the organization takes into account group characteristics and the individual’s:

age and developmental level;
emotional stability;
personality;
skills; and
gender.

DTX 6.08

A program that serves a mix of individuals who live in residential care and in the community ensures that:

residents and non-residents receive a comprehensive program that is tailored to individual needs;
mechanisms for communication between day and residential programs are in place; and
responsibilities of residential and day programs are clearly delineated.

NA The organization does not serve a mixed population of residents and non-residents.

DTX 6.09

Individuals and involved family members participate in the development of a crisis plan and an advanced mental health directive consistent with applicable law or regulation, when appropriate.

Interpretation: Advanced mental health directives, also known as advanced psychiatric directives, enable a person with a mental illness to make decisions about the mental health care they want to receive when they may be incapacitated. Advanced mental health directives go into effect if the person is unable to make decisions for him/herself and are revocable. Advanced directives frequently address such issues as: preferences for hospitals, medications, and specific interventions; and designating a person to make decisions about their care on their behalf.

DTX 6.10

The organization evaluates children and youth for their ability to participate in recreational or athletic activities and obtains written, signed permission slips from participants’ parents or legal guardians.

Interpretation: If children and youth participate in strenuous athletic activities, or if their parents or legal guardians are not reachable, it may also be appropriate to obtain a medical records release or a signed document from a qualified medical professional stating that the participant is physically capable of participating.

NA The organization does not provide recreational or athletic activities or serve children or youth.

QUICK JUMP TO


	PURPOSE: Individuals with cognitive, psychiatric, behavioral, and/or substance use conditions and serious emotional disturbances who receive Day Treatment Services improve psychosocial, educational, vocational, and cognitive functioning, and learn to manage their symptoms.

RELATED FILES


	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.


	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.


	FAMILY Two or more people who consider themselves family and who assume obligations, functions, and responsibilities generally essential to healthy family life. Child care and child socialization, income support, long-term care, and other caregiving are among the functions of family life. The definition of "family" will rest with an individual's indication of who plays a family member role, including current or former foster family, adoptive family, extended family members, fictive kin, or significant others. Organizations that believe family is the central constellation in a child's life, and that family attachments are of primary importance for human development, will strive to work with professional staff to develop a common understanding of "family."


	MEDICATION A prescribed or over-the-counter drug that is injected, taken orally, applied topically, or otherwise administered.


	EVALUATION The review and assessment of organizational operations, programs and services.


	MONITORING An evaluation involving a periodic review of consumer services, organizational activities, or conduct. Specifically, monitoring is an activity of case coordination, whereas more broadly, monitoring is an evaluation technique used in overall quality assurance.


	TRAINING Instruction so as to make fit, qualified, or proficient in a skill or body of knowledge.


	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.


	RESEARCH For purposes of COA accreditation, all forms of internal or external research involving persons served except internal program evaluation and outcomes research, or educational projects performed by students and interns that are part of their professional training.


	CLINICAL The study, assessment, and diagnosis of the client situation followed by direct treatment to help the client achieve prescribed goals.


	SERVICE PLAN A written plan of action based on the assessment of consumer needs and strengths that identifies problems, sets goals, and describes a strategy for achieving those goals and engaging in joint problem solving with the consumer. Also known as a "treatment plan".


	PLANNING The process of specifying objectives, evaluating the means for their achievement, and exercising deliberate decision making about appropriate courses of action.


	PARENTS Parents can include: birth, foster, kinship, and adoptive parents. Please see service standards for more specific information about use of this term.


	LEGAL GUARDIAN A person who has legal responsibility for the care and management of a person incapable of administering his/her own affairs. In the case of a minor child, the guardian is charged with the legal responsibility for the care and management of the child and of the minor child's estate.