Day Treatment Services (CA-DTX) 2: Personnel
InterpretationCompetency 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.
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PurposeIndividuals who receive Day Treatment Services improve psychosocial, educational, vocational, and cognitive functioning, and learn to manage their symptoms.
- 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.
- 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.
|Self-Study Evidence||On-Site Evidence||On-Site Activities|
- by an advanced degree, clinical training, and professional experience; and/or
- in accordance with the requirements of their respective disciplines and any applicable legal requirements for practice.
Direct service providers have:
- 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
- personal characteristics and temperament suitable for working with persons with special needs.
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:
- diagnostic criteria for substance use disorders and their severity;
- the signs and symptoms of withdrawal;
- addiction as a disease;
- treatment needs of special populations including women, people experiencing homelessness, adolescents, and people with HIV/AIDS;
- relapse prevention;
- management of drug overdose; and
- harm reduction interventions or practices.
Individuals who provide peer support:
- obtain certification, as defined by their province;
- are willing to share their personal recovery stories;
- have a job description and clearly understand the role of a peer support worker; and
- 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.
Individuals who provide peer support receive pre- and in-service training on:
- how to recognize the need for more intensive services and how to make an appropriate referral;
- established ethical guidelines, including setting appropriate boundaries and protecting confidentiality and privacy;
- wellness support methods, trauma-informed care practices, and recovery resources;
- managing personal triggers that may occur during the course of their role as a peer support provider; and
- 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:
- system navigation;
- stages of change;
- addiction as a disease; and
- medication-assisted treatment.
The organization minimizes the number of staff working with the person over the course of their contact with the organization by:
- assigning a worker at intake or early in the contact; and
- avoiding the arbitrary or indiscriminate reassignment of direct service personnel.
The workloads of direct service personnel support the achievement of positive outcomes and are regularly reviewed.
- 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 persons served.