	Adult Day Services

Introduction

Administration and Management

Service Delivery Administration Standards

Service Standards

PA-AD 6: Service Elements

Social, education, health, and supportive services promote regular participation, optimal functioning, and independence.

PA-AD 6.01

A varied program of social, educational, and supportive activities developed with program participants provides opportunities for:

stimulation of talents and abilities;
skill development and maintenance;
acquiring and using practical information; and
supported or competitive employment, as applicable to the service population.

Interpretation: Programming takes into account issues such as age-related dementia, brain injuries, mental illness, HIV/AIDS, gender/sexuality, and race/ethnicity.

PA-AD 6.02

Programs are:

age-appropriate;
culturally diverse; and
adjusted to the functional levels of individual program participants.

PA-AD 6.03

An activity schedule is published and provides participants with choices.

PA-AD 6.04

Service recipients have the opportunity to interact with the community through:

presentations, lectures, or workshops provided by community members; and
planned trips within the community.

PA-AD 6.05

The health and well-being of each service recipient is promoted through:

contact with the person's physician at intake, as needed;
education designed to enhance the individual’s optimum level of functioning and independence;
basic assistance with activities of daily living;
a nutrition program that meets individual needs and preferences;
emergency medical and dental services, and first aid when needed; and
notification of caregivers when changes in functioning are observed.

Interpretation: Nutrition programs can include culturally competent nutrition, education, nutritious snacks, and one or more balanced meals prepared according to the dietary needs of persons served and current 2005 United States Department of Agriculture recommendations. Health services can include health assessments and monitoring, medication administration and help with self-administered medications, and skilled nursing services.

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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.

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 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.


	COMPETITIVE EMPLOYMENT The placement of persons with disabilities in vocational settings, working among co-workers both with and without disabilities, and receiving a wage that is at or above minimum wage and representative of the position's stated responsibilities.


	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.


	ETHNICITY An orientation toward and identification with a population group that shares national origin, religion, race, or language.


	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.


	INTAKE The client's entry point for services at which eligibility is assessed against established criteria and a preliminary evaluation of the presenting problem occurs.


	CAREGIVER The provider of physical, emotional, and social needs to another person, often dependent and unable to provide for his or her own needs. Caregiver is the generic term used for the direct service providers in Community Care and Support Services (CCS).


	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.


	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.


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


	ADMINISTRATION The personnel responsible for management functions of the organization, including fiscal management, human resources, and service delivery. Such personnel determine organizational goals, acquire and allocate resources to carry out a program, coordinate activities toward goal achievement, and monitor, evaluate, and make needed changes in processes and procedures to improve the likelihood of goal achievement. The term is synonymously used with MANAGEMENT.