COMMUNITY-BASED DAY PROGRAMS
Community-based day programs aim to strengthen and support families and individuals within the context of their communities.
Community-based day programs vary in nature, duration and intensity. The person(s) served may be one of the following:
A. An adult (a community kitchen, a drop-in support group for mothers or young father, etc.);
B. A parent and child an early intervention program, a mother’s day out program, etc.);
C. A youth program (a life skills program, employment program, or a drug treatment program); or
D. A child (a summer program or after-school program).
The program provides services by providing community-based support services that are designed to achieve the following:
A. Enhance community, family and individual support networks and promote optimal development of these social units;
B. Create and maintain collaborative relationships; and
C. Prevent, reduce or eliminate factors that may place a community, family or individual at risk.
9.0 Staff
?9.1.1
Every community worker will have a degree or diploma or 2 years of relevant experience in a human service field.
Indicator:
? Staff list identifying position and qualifications will be submitted as part of self-study
? Staff file review
?9.1.2
Supervisors have a degree or diploma in a human service field or 3 years of experience in the human services field and competence in community work.
Indicator:
? Staff list identifying position and qualifications will be submitted as part of the self-study
? Staff file review
10.0 Staff Training
?10.1.1
First aid training is required of all community workers within 3 months of beginning their employment.
First aid certification must be current and equivalent to the St. John’s Standard First Aid Certification Program.
Indicator:
? Staff file review
?10.2.1 (Number changed from 10.1.2 January 2005)
All community workers will complete Suicide Intervention Training (by a qualified trainer) within 6 months of beginning their employment.
The program will ensure that Suicide Intervention Training is updated at least every 3 years and that this training is completed within the 3-year limit.
Indicator:
? Staff file review
? On-site review
11.0 Intake Process
?11.1.1
The program has a written policy that identifies the eligibility criteria of persons served. This policy will include a description of the issues addressed and services provided.
The policy will outline the length of the program
Indicator:
? Policy submitted as part of the self-study
? Staff interviews
?11.2.1 (Number changed from 11.1.2 January 2005)
An admissions procedure is established in policy that provides for the following:
1) An introduction of the person served to the program;
2) The gathering of pertinent information; and
3) Ensuring that the person served and/or family understands:
i. The program’s policies, procedures, and expectations; and
ii. His/her rights including:
• Grievance procedures;
• Access to the Children’s advocate, if appropriate;
• The right to be involved in the planning of their future; and
• The right to discontinue service.
Note:
How this information is presented may vary based upon the age and/or the cognitive ability of the person served.
Indicator:
? Policy submitted as part of the self-study
? Staff and persons served interviews
12.0 Rights Of The Persons Served
?12.1.1
Staff demonstrate respect and support the self-esteem, independence, beliefs, and cultural practices of the person served.
Indicator:
? Staff and person served interviews
?12.1.2
Persons served are re-informed of their rights as part of the review of the service plan/case plan.
Programs that do not maintain individual files will establish a mechanism to ensure that persons served are regularly informed of their rights.
Indicator:
? Person served file review
? Staff and person served interviews
? On-site observation
13.0 Service Planning/Case Planning
?13.1.1
Based upon the nature of the service provided, program policy stipulates that either an individual service plan or a program service plan will be developed.
Programs that have person served attending on a daily basis for more than 7 weeks duration will develop individual service plans.
Indicator:
? Policy submitted as part of the self-study
For Programs That Develop Individual Service Plans:
?13.1.2
Program policy stipulates that the persons served are given the opportunity to be fully involved in the development and regular review of the service/case plan.
Indicator:
? Policy submitted as part of the self-study
? Person served file review
? Staff and person served interviews
?13.1.3
The individual service plan/program service plan will be developed within 45 calendar days of admission to the program and is reviewed at least every 3 months.
Indicator:
? Person served file review
?13.1.4
Individual service plan/case plan will include the following components:
1) A statement that identifies the basis of need for the program’s services, and
2) Identification of the services to be provided, including the following specifics:
i. The goals to be achieved;
ii. The tasks/activities/strategies required to provide the services and meet the identified goals;
iii. The indicators/measures used to determine whether those goals are being met, and
iv. Timelines for review.
Indicator:
? Person served file review
?13.1.5 (Number changed from 13.5.1 January 2005)
The program policy stipulates that the service plan/case plan will identify specific goals and strategies used to address some or all of the following areas:
• An approach to the family and/or individual that focuses on strengths and assets;
• Skill development;
• Problem-solving, communication and/or relationship skills;
• Assistance with and support for the resolution of personal issues;
• Awareness and utilization of community resources and social supports; and
• Specialized services as defined by the program (e.g. addiction counselling, etc.).
Indicator: (Narrative deleted January 2005)
? Policy submitted as part of the self-study
? Staff and person served interviews
? Person served file review
14.0 Behaviour Management
?14.1.1 (Number changed from 14.1 January 2005)
The agency ensures its staff members are trained in the use of appropriate and positive forms of behaviour management and discipline.
Indicator:
? Staff and person served interviews
?14.2.1
The agency has written policies prohibiting the use or teaching of any behaviour management * technique that is intentionally harmful or abusive to the persons served.
* See definition
Indicator:
? Policy submitted as part of the self-study
? Person served interviews
15.0 Restrictive Procedures – For Programs That Use Restrictive Procedures
?15.4.1
The program has a written policy that addresses the use of restraints. Physical restraints may only be used in situations in which the person served is in danger of hurting him/herself, or others.
Indicator:
? Policy submitted as part of the self-study
? Staff and person served interviews
?15.4.2
If the program allows restraint, there is a written policy and procedure that outline the following details.
1) Which types of physical restraint can be utilized.
Note:
Face-down restraints, any technique used by staff that applies pressure that impedes the ability to breathe of the person served, or any technique that uses pain as a means of control are strictly prohibited in Alberta.
2) Staff who use restraints must be trained in de-escalation, non-abusive physical intervention and debriefing techniques.
3) Following a restraint, debriefing must be completed with the person served and an incident report completed and sent to the appropriate people.
Indicator: (Person served file review deleted January 2005)
? Policy submitted as part of the self-study
? Staff and person served interviews
? Staff file reviews
? On-site review of critical incident reports
16.0 Searches – For Programs That Allow Searches
?16.1.1
The program will have a written policy on the conducting of searches. The policy will stipulate the following details and conditions:
1) Searches may be conducted only when necessary to control contraband, to recover missing or stolen property or to ensure the safety of persons served and others involved;
2) Documentation must be provided that demonstrates the client’s consent to the search. The documentation must address the following:
i. The awareness of the person served of the program’s policy and procedures;
ii. The right of the person served to refuse the search and leave the site; and
iii. The right of the person served to grieve the search.
3) During the search every effort shall be made to avoid undue or unnecessary force or embarrassment;
4) Frisking and body cavity searches are prohibited; and
5) An incident report must be completed and forwarded to the appropriate people.
Indicator: (Person served file review deleted January 2005)
? Policy submitted as part of the self-study
? Staff and person served interviews
? On-site review of incident reports
17.0 Medication – For Programs That Administer Medication
?17.1.1
The program will have written policies and procedures that address the safe administration of prescription and non-prescription medications. These will include the following precautions:
1) Instructions prior to the administration of medications, including the requirement that all prescribed medications be administered only in accordance with a prescription from a physician, and identification of any restrictions or limitations relevant to the proper administration of medications;
2) Documentation of the administration of medications; and
3) The requirement that all prescribed medications are labeled with the name and correct dosage of the medication, the name of the person served for whom it is intended, the name of the prescribing physician, and a number or code identifying the written order.
Indicator:
? Policy submitted as part of the self-study
? Staff interviews
? On-site observation
?17.1.2 (Number changed from 17.2.1 January 2005)
The program will have written policies and procedures to address exceptional circumstances that relate to the safe administration of medications, which will include but are not limited to the following considerations:
1) Refusal of the person served to take medication; and
2) Medication error, adverse effects, or other emergency situation.
Indicator: (Staff interview added January 2005)
? Policy submitted as part of the self-study
? Staff interview
19.0 Suicide Intervention
?19.1.1
The program has written policies and procedures to deal with persons served who take the following actions:
1) Present as suicidal; Threaten suicide;
2) Self-mutilate;
3) Threaten suicide; and/or
4) Attempt suicide
Indicator:
? Policy submitted as part of the self-study
? Staff interview
?19.1.2 (Number changed from 19.2.1 January 2005)
For persons served who present as suicidal, or who attempt suicide, the program staff will take the following actions:
1) Contact the appropriate person(s) (supervisor, parent and/or guardian) as soon as possible;
2) Ensure the person served is closely supervised until he/she is placed in the care of a responsible person (as defined by program policy);
3) Provide referrals to support services and encourage the person to seek professional assistance;
4) Provide cultural supports and resources (if requested); and
5) Document the incident in an incident report that will be forwarded to the appropriate people.
Indicator:
? Staff and person served interviews
? On-site observation of incident reports
21.0 Recreation Standards
Note:
Recreational activities are considered a necessary component of service delivery. Many recreational activities are a normal part of community life and do not require documentation (e.g. outings to the library, the mall, a swimming pool with a lifeguard, etc.).
?21.1.1
All recreational activities need to focus on developing and building skills through fun and enjoyable activities. All activities need to take into consideration the following conditions:
1) Whether the person served has a level of functioning that will enable him or her to comply with safety precautions;
2) Whether the health or physical capabilities of the person served allow for safe participation in the activity; and
3) Whether the person served has or can develop the basic skills required to succeed in the activity.
Indicator:
? Staff and person served interviews
?21.1.2
The program shall ensure that the following conditions are met:
1) There is a clear written policy that outlines which activities require special qualifications and that supervision is congruent with the activity;
2) Portable first aid supplies are on hand or are readily accessible;
3) Individual lifejackets are worn by all participants at all times during boating activities; and
4) Emergency procedures (e.g. medical emergencies, separation from the group, etc.) have been addressed.
Indicator:
? Policy submitted as part of the self-study
? Staff and person served interviews
? On-site review of recreational logs
?21.1.3
If a person served uses any manner of weapon (e.g. gun, bow and arrow, etc.) or potentially dangerous equipment (e.g. electrical tools) this will only occur under the following conditions:
1) With the parent and/or guardian’s (if appropriate) written approval;
2) After appropriate teaching; and
3) Under direct adult supervision.
Indicator:
? Person served file review
? Staff and person served interviews
?21.1.4
For activities that lie beyond the scope of regular activities and require a more specific or specialized skill set (e.g. wilderness camping, rock climbing, canoeing, river rafting, archery, survival camps, etc.) there is documentation that includes the following items:
1) Consent forms from the parent/guardian;
2) Pertinent information;
3) An itinerary;
4) A means to communicate between the group and/or a base camp; and
5) A search and rescue and an emergency plan.
Indicator:
? Staff interview
? On-site review of recreational logs
22.0 Facilities And Equipment
?22.1.1 (Number changed from 22.1 January 2005)
The program’s written policy stipulates that the program will maintain a portable record of information that will be taken in the event of an emergency evacuation. The portable record must include the following information:
1) The full name, address and phone number;
2) The name, address and phone number of parent and/or guardian, if appropriate;
3) The name and phone number of an emergency contact person;
4) Specific information regarding any medication, health concerns and/or allergies; and
5) A recent photograph.
Indicator: (Person served interview deleted January 2005)
? Policy submitted as part of the self-study
? Staff interviews
? On-site observation
23.0 Termination Of Service
?23.1.1 (Number changed from 21.1.1 January 2005)
The program will have written policy and procedures for terminating service.
Indicator:
? Policy submitted as part of the self-study
Staff interview
