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.
 
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  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.
 
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  INFORMED CONSENT

The explicit granting of permission by a consumer or his/her legal guardian to the service provider and organization to use a specific intervention or participate in research. The consent is predicated on full disclosure of the facts to enable the consumer to make a decision based on knowledge of the risks and alternatives.
 
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  PROCEDURES

Written instructions that outline the steps for performing a task(s) or operationalizing an administrative or service delivery process. A procedure can be written as a step-by-step set of instructions or as a narrative description of a process. A procedure tells someone how to do something not just what to do.

Unlike policies, procedures do not need to be approved or reviewed by the governing body, and need not be associated with a specific policy. For example, whereas a broad anti-discrimination policy requires grievance or other procedures in order to be operationalized within an organization, assessment procedures do not require a governing body approved assessment policy.

Note: Procedures are sometimes referred to as administrative policies.

 
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  CLIENT

See service recipient.
 
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  CASE RECORD

A written compilation that describes the client and the services delivered. Records can be in hard copy and/or electronic format. The case record can be used as a source of information for quality improvement or other evaluation activities, for research purposes, or to demonstrate accountability to funding bodies.
 
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Wilderness and Adventure-Based Therapeutic Outdoor Services
 
Private Org Public Agency  

PA-WT 7: Program Activities

 
Program activities are designed to meet individual needs, build on strengths, develop skills, and promote learning through experience.

PA-WT 7.01

 
The agency plans, adjusts, and graduates experiences to a level of difficulty appropriate for the skill level and capacities of participants.

PA-WT 7.02

 
Techniques and skills needed for an activity are taught progressively and less-skilled participants are appropriately supported and supervised.

PA-WT 7.03

 
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.

PA-WT 7.04

 

The agency does not:

  1. coerce or otherwise force a participant to engage in a specific adventure-based activity; or
  2. deliberately eliminate reasonable options or alternatives to participation.
Interpretation: 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.

PA-WT 7.05

 
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.

PA-WT 7.06

 
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.
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PURPOSE: Youth who participate in Wilderness and Adventure-based Therapeutic Outdoor Services expand individual capabilities, develop self-confidence and insight, ameliorate symptoms, and improve interpersonal skills and relationships.
 
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