2022 Edition

Day Treatment Services (CA-DTX) 6: Services for Families

The person, family, and organization work together to achieve an optimal level of family participation.




Individuals who receive Day Treatment Services improve psychosocial, educational, vocational, and cognitive functioning, and learn to manage their symptoms.
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.

Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice Standards; e.g.,

  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions, procedures are understood by staff and are being used; or
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
  • Active participation by persons served occurs to a considerable extent.

Practice requires significant improvement, as noted in the ratings for the Practice Standards. Service quality or program functioning may be compromised; e.g.,

  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Timeframes are often missed; or
  • Several case records are missing important information; or
  • Participation of persons served is inconsistent. 
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice Standards; e.g.,
  • No written procedures, or procedures are clearly inadequate or not being used; or 
  • Documentation is routinely incomplete and/or missing.      
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Procedures for involving the family of the primary person served
No On-Site Evidence
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records


CA-DTX 6.01

The organization engages the family and encourages active participation in the treatment process, including participation in family counselling, unless such involvement is contraindicated.
Examples: Examples of ways to engage family members may include demonstrating: 
  1. sensitivity to the willingness of the family to be engaged;
  2. a non-threatening manner;
  3. respect for the person’s autonomy and confidentiality;
  4. flexibility; and
  5. persistence.


CA-DTX 6.02

When involvement of family members or significant others is desired by the person but proves difficult to achieve, the organization:

  1. attempts to reestablish contacts and positive interactions between family members through activity and educational programs;
  2. provides individual and group counselling to family members or significant others who accept services; and
  3. aids the person in identifying ways to build and enhance a social support system.


CA-DTX 6.03

The families or significant others of participants are offered services including:
  1. family psycho-education;
  2. emotional support and therapy;
  3. community and support services;
  4. care coordination, as needed; and
  5. self-help referrals.