2022 Edition

Day Treatment Services (CA-DTX) 2: Personnel

An interdisciplinary team of clinical and direct service personnel have the competency and support needed to provide services and meet the needs of the persons served.

Interpretation

Competency can be demonstrated through education, training, or experience. Support can be provided through supervision or other learning activities to improve understanding or skill development in specific areas.

Currently viewing: DAY TREATMENT SERVICES (CA-DTX)

VIEW THE STANDARDS

Purpose

Individuals who receive Day Treatment Services improve psychosocial, educational, vocational, and cognitive functioning, and learn to manage their symptoms.
1
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice Standards.
2
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice Standards; e.g.,  
  • With some exceptions, staff (direct service providers, supervisors, and program managers) possess the required qualifications, including education, experience, training, skills, temperament, etc., but the integrity of the service is not compromised; or
  • Supervisors provide additional support and oversight, as needed, to the few staff without the listed qualifications; or 
  • Most staff who do not meet educational requirements are seeking to obtain them; or 
  • With few exceptions, staff have received required training, including applicable specialized training; or
  • Training curricula are not fully developed or lack depth; or
  • Training documentation is consistently maintained and kept up-to-date with some exceptions; or
  • A substantial number of supervisors meet the requirements of the standard, and the organization provides training and/or consultation to improve competencies when needed; or
  • With few exceptions, caseload sizes are consistently maintained as required by the standards or as required by internal policy when caseload has not been set by a standard; or
  • Workloads are such that staff can effectively accomplish their assigned tasks and provide quality services and are adjusted as necessary; or
  • Specialized services are obtained as required by the standards.
3
Practice requires significant improvement, as noted in the ratings for the Practice Standards.  Service quality or program functioning may be compromised; e.g.,
  • A significant number of staff (direct service providers, supervisors, and program managers) do not possess the required qualifications, including education, experience, training, skills, temperament, etc.; and as a result, the integrity of the service may be compromised; or
  • Job descriptions typically do not reflect the requirements of the standards, and/or hiring practices do not document efforts to hire staff with required qualifications when vacancies occur; or 
  • Supervisors do not typically provide additional support and oversight to staff without the listed qualifications; or
  • A significant number of staff have not received required training, including applicable specialized training; or
  • Training documentation is poorly maintained; or
  • A significant number of supervisors do not meet the requirements of the standard, and the organization makes little effort to provide training and/or consultation to improve competencies; or
  • There are numerous instances where caseload sizes exceed the standards' requirements or the requirements of internal policy when a caseload size is not set by the standard; or
  • Workloads are excessive, and the integrity of the service may be compromised; or 
  • Specialized staff are typically not retained as required and/or many do not possess the required qualifications; or
  • Specialized services are infrequently obtained as required by the standards.
4
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice Standards.
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • List of program personnel that includes:
    • Title
    • Name
    • Employee, volunteer, or independent contractor
    • Degree or other qualifications
    • Time in current position
  • See organizational chart submitted during application
  • Table of contents of training curricula
  • Procedures or other documentation relevant to continuity of care and case assignment
  • Sample job descriptions from across relevant job categories
  • Documentation tracking staff completion of required trainings and/or competencies
  • Training curricula
  • Caseload size requirements set by policy, regulation, or contract, when applicable
  • Documentation of current caseload size per worker
  • Interviews may include:
    1. Program director
    2. Relevant personnel
  • Review personnel files

 

CA-DTX 2.01

Clinical personnel include mental health or human service professionals qualified:
  1. by an advanced degree, clinical training, and professional experience; and/or 
  2. in accordance with the requirements of their respective disciplines and any applicable legal requirements for practice.

 

CA-DTX 2.02

Direct service providers have:

  1. educational and experiential backgrounds that enable them to participate in the overall treatment program and to meet the emotional and developmental needs of persons served; and
  2. personal characteristics and temperament suitable for working with persons with special needs.

 

CA-DTX 2.03

A psychologist with appropriate credentials and experience is available to provide testing and psychological services, as necessary.

 

CA-DTX 2.04

A psychiatrist or other qualified health practitioner participates in the development and implementation of the overall treatment program, including regular case reviews, and provides medication management and other services as needed.
NA The organization provides non-psychiatric day treatment services.

 
Fundamental Practice

CA-DTX 2.05

A licensed physician is available on-call during hours of operation, or the organization has formal arrangements for health services with a local care authority.
NA All individuals have private physicians.

 

CA-DTX 2.06

Clinical personnel are trained on, or demonstrate competency in, the latest information, theories, and proven practices related to the treatment of alcohol and other drug use disorders including:  

  1. diagnostic criteria for substance use disorders and their severity; 
  2. the signs and symptoms of withdrawal; 
  3. addiction as a disease; 
  4. treatment needs of special populations including women, people experiencing homelessness, adolescents, and people with HIV/AIDS; 
  5. relapse prevention;
  6. management of drug overdose; and 
  7. harm reduction interventions or practices. 
NA The organization does not provide substance use treatment services.

 

CA-DTX 2.07

Individuals who provide peer support:  

  1. obtain certification, as defined by their province; 
  2. are willing to share their personal recovery stories; 
  3. have a job description and clearly understand the role of a peer support worker; and 
  4. have adequate supports in place and appropriate supervision, including mentoring and/or coaching from more experienced peers when indicated. 

 

Interpretation

Regarding element d, supervisors of peer support staff should be trained on recognizing and responding to signs of trauma among peer support workers. 

NA The organization does not utilize peer support workers. 


 

CA-DTX 2.08

Individuals who provide peer support receive pre- and in-service training on:  

  1. how to recognize the need for more intensive services and how to make an appropriate referral; 
  2. established ethical guidelines, including setting appropriate boundaries and protecting confidentiality and privacy; 
  3. wellness support methods, trauma-informed care practices, and recovery resources;  
  4. managing personal triggers that may occur during the course of their role as a peer support provider; and 
  5. skills, concepts, and philosophies related to recovery and peer support. 

NA The organization does not utilize peer support workers. 

Examples: Training on skills, concepts, and philosophies related to recovery can include, but are not limited to: 

  1. system navigation; 
  2. stages of change; 
  3. addiction as a disease; and 
  4. medication-assisted treatment. 

 

CA-DTX 2.09

The organization minimizes the number of staff working with the person over the course of their contact with the organization by:

  1. assigning a worker at intake or early in the contact; and
  2. avoiding the arbitrary or indiscriminate reassignment of direct service personnel.

 
Fundamental Practice

CA-DTX 2.10

There is at least one person on duty at each program site any time the program is in operation that has received first aid and age-appropriate CPR training in the previous two years that included an in-person, hands-on CPR skills assessment conducted by a certified CPR instructor.

 

CA-DTX 2.11

The workloads of direct service personnel support the achievement of positive outcomes and are regularly reviewed.

Examples: Factors that may be considered when determining employee workloads include, but are not limited to:
  1. the qualifications, competencies, and experience of the worker including the level of supervision needed;
  2. the work and time required to accomplish assigned tasks and job responsibilities; and
  3. service volume, accounting for assessed level of needs of persons served.