	Adult Day Services

Introduction

Administration and Management

Service Delivery Administration Standards

Service Standards

AD 12: Personnel

Program personnel have the education, training, experience, and skills needed to provide Adult Day Services.

AD 12.01

Personnel:

are qualified by training, skill, and experience to meet the psychosocial and medical needs of care recipients; and
possess the personal characteristics and temperament suitable for working with adults with special needs.

AD 12.02

Day services providers are able to:

communicate effectively with family members;
identify changes in service recipient functioning;
identify unmet service needs; and
appreciate the cultural background, heritage, and identity of service recipients.

AD 12.03

All direct service personnel receive ongoing training and supervision in the following areas, as appropriate to the services provided:

methods of engagement;
crisis prevention and intervention techniques;
identification of medical needs or problems;
the organization’s plans for handling medical or psychiatric emergencies;
knowledge of public assistance programs, eligibility requirements, and benefits;
skills in case advocacy;
use of community resources and knowledge of the community service delivery system;
use of adaptive equipment, such as braces and wheelchairs;
providing personal care; and
specific skills necessary to serve the target population.

AD 12.04

Personnel who lead or facilitate group activities have relevant training or experience.

AD 12.05

Direct service staff maintain current certification in first aid and CPR.

AD 12.06

A recreational therapist is on staff or available for consultation.

AD 12.07

Day programs with a health focus employ an RN or LPN.

NA The program does not have a health focus.

AD 12.08

A full-time program director or administrator is available at each site who is qualified as a registered nurse or holds a bachelor’s degree in a human service field and has relevant coursework or experience.

Interpretation: If qualified directors or administrators are not employed full-time at every site, a qualified director or administrator oversees a limited number of sites.

AD 12.09

An organization that serves a high percentage of multiply handicapped or frail individuals obtains the specialized services of dieticians, nurses, physicians, and physical and/or occupational therapists for consultation, evaluation, or training.

Interpretation: If specialized services are provided off-site, support and transportation are arranged.

NA The organization does not serve a high percentage of handicapped or frail individuals.

AD 12.10

Employee workloads support the achievement of client outcomes, are regularly reviewed, and are based on an assessment of the following:

the qualifications, competencies, and experience of the worker, including the level of supervision needed;
the work and time required to accomplish assigned tasks and job responsibilities; and
service volume, accounting for assessed level of needs of new and current clients and referrals.

QUICK JUMP TO


	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.

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.


	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.


	PROGRAM PERSONNEL All direct service and administrators or supervisors of direct services that are involved in the operation of the organization's social service programs. "Program personnel" does not include MIS, accounting, facilities, clerical, or other staff that are not involved in the provision or oversight of direct services.


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


	PERSONNEL The body of employees and/or volunteers that carries out the organization's tasks under the organization's administration and/or supervision. This definition does not include foster parents who are specifically referenced in relevant standards


	SPECIAL NEEDS A designation used in reference to conditions or characteristics of a person that reflect a need for special care, services, or treatment. When the term is used in the context of adoption services, special needs refers to conditions that make a child harder to place for adoption. This includes children who are members of sibling groups, older children, children with disabilities, children of certain racial /ethnic backgrounds, etc. When the term is used in the context of foster care it refers to the need for a higher degree of specialized case services and attention due to mental and physical disabilities. When the term is used in the context of out-of-school time services, a child or youth may have special physical, behavioral, medical, emotional, or cognitive needs that should be addressed or accommodated. The term is also used in other contexts. See also DEVELOPMENTAL DISABILITIES.


	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."


	SERVICE RECIPIENT The individuals, groups, organizations, or communities that use, receive, or benefit from programs and services. Service recipients can include consumers, patients, family members, legal guardians, advocates, public/private organizations, employers, and purchasers. All are regarded as significant stakeholders served in a variety of agencies and practice settings.


	SUPERVISION Assumption of responsibility for directly overseeing and evaluating the work or work products of personnel within an organization. Also includes inspecting the act or process of accomplishing a function or activity.


	PREVENTION Actions taken to minimize and/or eliminate social, psychological, or other conditions. Prevention can occur at the individual, group, community, and societal levels and enhances opportunities to achieve positive fulfillment.


	ADVOCACY An act performed with or on behalf of others through direct intervention, empowerment, or representation. Case advocacy refers to actions taken in relation to a particular individual consumer. Cause, social, or systems advocacy refers to actions taken in relation to a common issue affecting a group of persons.


	CERTIFICATION Assurance from a state or professional association that a person or organization possesses certain attributes, knowledge, or skills.


	DIETICIAN A person registered by the Commission on Dietetic Registration of the American Dietetic Association or with the documented equivalent.


	WORKLOAD The amount of work assigned to or expected from a person within a specified period of time. See also CASELOAD.


	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.


	ELIGIBILITY The degree to which an individual, family, group, or community meets the specific criteria and qualifications required to receive goods, benefits, or services.


	CASE A general term used to designate clients (including individuals, families, and groups) served by an organization for purposes of monitoring the provision of services. A foster care case is generally based on the placement of an individual child, although casework for the child may include services to the child's family. A child protective services case is based on an entire family household if a family assessment model is used; otherwise a case is defined as a child.


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


	EMPLOYEE Paid member of an organization. Foster parents are not considered employees and are specifically referenced in relevant standards.


	ASSESSMENT An evaluation, which utilizes professional expertise and skills in the collection and analysis of data to understand and describe the nature of service needs of an individual, family, or group. Assessment, as in needs assessment, is also used to determine priorities of program planning and service development for the organization as a whole. See also DIAGNOSIS.


	REFERRALS Resource suggestions provided to consumers to address problems or needs that are beyond the scope of the organization's mission.