PA-WT 7: Program Activities
activities are designed to meet individual needs, build on strengths, develop skills, and promote learning through experience.
The agency plans, adjusts, and graduates experiences to a level of difficulty appropriate for the skill level and capacities of participants.
Techniques and skills needed for an activity are taught progressively and less-skilled participants are appropriately supported and supervised.
The pace of group activities is based on the capacities of the least able or fit member of the group to prevent accidents or illness.
The agency does not:
- coerce or otherwise force a participant to engage in a specific adventure-based activity; or
- deliberately eliminate reasonable options or alternatives to participation.
The standard is not to be construed as unreasonably requiring an agency to go through a pro forma verbal agreement for each sub-activity. However, when a participant raises a strong objection, the agency must take it seriously, examine all implications, such as illness or skill level, and offer encouragement to participate, when needed. Agencies will clearly specify in their informed consent procedures
whether (1) the program has a “challenge by choice” philosophy, (2) participants will be required to complete all or most elements of the experience, or (3) alternative activities can be used to accomplish the same goals. The person granting informed consent will understand in advance this feature of the program.
Note: Agencies that make use of “escort services” to transport participants to any of their programs, sites, and facilities must provide a complete description of the breadth and scope of such services; referral procedures; how the services are certified, licensed, or regulated by governmental authority or overseen by other mechanisms; and how the agency maintains compliance with standard 7.04. The agency uses only services that are appropriately insured.
Participants learn from and integrate their experiences through formal and informal discussions with staff, including daily debriefing sessions.
Note: Discussions focused on evaluating individual client
needs are recorded in the case record
. Discussions regarding group dynamics and environmental concerns are recorded in a guide or therapist log.
In residential programs, the agency provides opportunities for religious observance and spiritual development to the extent possible given the service setting.
NA Services are not provided in a residential setting.