2022 Edition

Program Administration (CA-PRG) 5: Services for Persons with Intellectual and Developmental Disabilities

Children, youth, and adults with intellectual and developmental disabilities receive services that help them achieve full integration and inclusion, make choices, exert control over their lives, and fully participate in, and contribute to, their communities.

Interpretation

Throughout these standards the term "person" is defined to include children, youth, and adults with intellectual and developmental disabilities. In instances where the person cannot make his or her own decisions, sign documents, or is otherwise limited in his/her ability to provide informed consent, the term, "person" may be understood to also include an advocate or legal guardian, as in "...the person, his/her advocate, or legal guardian."
NA The organization does not provide any programs or services to persons with intellectual and developmental disabilities.

NA The organization is implementing the standards for Intellectual and Developmental Disabilities Services (CA-IDDS).

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VIEW THE STANDARDS

Purpose

Service delivery practices guide the administration of safe, effective programs that respect personal dignity and self-determination.
Note: Please see the Case Record Checklist for additional guidance on this standard.
1
The organization's practices fully meet the standard, as indicated by full implementation of the practices outlined in the CA-PRG 5 Practice standards.
2
Practices are basically sound but there is room for improvement, as noted in the ratings for the CA-PRG 5 Practice standards.
3
Practice requires significant improvement, as noted in the ratings for the CA-PRG 5 Practice standards.
4
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the CA-PRG 5 Practice standards.
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • See service planning procedures with the service planning and monitoring evidence of each applicable service section
  • Procedures for use of interventions that limit movement, diminish sensory experience, limit personal freedom, or cause personal discomfort
  • Procedures for helping persons access and use assistive technology
  • Procedures for providing or making referrals for family support services
  • Training curricula and/or educational materials provided to support families
  • Training curricula and/or educational materials provided to service recipients regarding sexuality and relationships
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records

 
Fundamental Practice

CA-PRG 5.01

The organization works in partnership with the person, and his or her team according to the wishes of the person, to develop and implement a service plan that promotes self-determination and enables the fullest and most independent life possible in the community.
Examples: Individuals that may be members of the person’s team include, but are not limited to: the person's family, friends and other natural supports, circle of support, support/service broker, and service coordinator.

Service planning topics for persons with intellectual and developmental disabilities can include, but are not limited to:
  1. health and safety issues;
  2. degree of supervision needed;
  3. independent living, social, and daily living skills;
  4. dietary needs;
  5. leisure and vocational interests and aptitudes and the need for greater social inclusion;
  6. screening and treatment for co-occurring psychiatric disorders or substance use conditions;
  7. the need for assistive technology, auxiliary aids, and other special accommodations;
  8. positive behaviour support planning;
  9. medication needs;
  10. issues related to adaptive, behaviour, and cognitive functioning including concrete and abstract reasoning;
  11. specialized supports such as physical, speech, and occupational therapy;
  12. ancillary services;
  13. end of life planning; and
  14. the need for hospice or palliative care.
1
The organization's practices reflect full implementation of the standard.
2
Practices are basically sound but there is room for improvement; e.g.,
  • Practice meets the intent of the standard but procedures need strengthening.
3
Practice requires significant improvement; e.g.,
  • Procedures need significant strengthening; or
  • The standard has not been met in a few cases.
4
Implementation of the standard is minimal or there is no evidence of implementation at all.

 
Fundamental Practice

CA-PRG 5.02

Interventions that limit physical movement, diminish sensory experience, restrict personal freedoms, or cause personal discomfort are implemented only when:
  1. the organization can document its reasons for believing that the intervention will be beneficial to the person served;
  2. the person has been fully informed about the risks and benefits of the intervention and has consented to it;
  3. the intervention is prescribed by a qualified medical practitioner or recommended by an interdisciplinary team, and specific parameters for use of the intervention, such as time limits and clear criteria for when the intervention should be applied, have been established;
  4. the organization periodically reviews the continued need for and effectiveness of the treatment or intervention; and
  5. the intervention is not used as a substitute for appropriate staffing patterns, for the convenience of personnel, or as punishment.
Related Standards:
NA The organization does not use interventions that limit physical movement, diminish sensory experience, restrict personal freedoms, or cause personal discomfort.
Examples: Examples of such treatments and interventions include, but are not limited to: splints or poseys to prevent self-injury; use of visual or auditory screens to reduce stimulation; and use of distasteful substances, textures, or activities as a consequence for behaviour.
1
The organization's practices reflect full implementation of the standard.
2
Practices are basically sound but there is room for improvement; e.g.,
  • Procedures, that include well delineated treatments and interventions, guide practices, but one of the elements needs strengthening; or
  • Documentation related to use of interventions needs minor improvement.
3
Practice requires significant improvement; e.g.,
  • Procedures need strengthening for two of the elements; and/or
  • Documentation needs significant improvement. 
4
Implementation of the standard is minimal or there is no evidence of implementation at all; e.g.,
  • In a few instances one of the standard's elements was not implemented; or
  • Use of interventions is not documented.

 
Fundamental Practice

CA-PRG 5.03

The organization provides assistive technology, or helps the person gain access to assistive resources, as needed, and the person is:
  1. involved in the selection of specific technologies;
  2. afforded the opportunity to try the device prior to purchase or assignment; and
  3. trained on the use of specific assistive devices being provided.
1
The organization's practices reflect full implementation of the standard.
2
Practices are basically sound but there is room for improvement; e.g.,
  • One of the elements needs strengthening.
3
Practice requires significant improvement; e.g.,
  • Two of the elements need strengthening; or
  • One of the elements is not addressed; or
  • Assistive technology is sometimes not available.
4
Implementation of the standard is minimal or there is no evidence of implementation at all; e.g.,
  • Assistive technology is generally not available.

 

CA-PRG 5.04

The organization supports persons with intellectual and developmental disabilities to establish meaningful social relationships, build and maintain natural support systems, exercise their rights and responsibilities, and participate in the life of their community by:
  1. helping them identify and pursue the types of social roles and relationships they wish to pursue;
  2. providing opportunities for social and physical interaction with people, other than service providers and other service recipients; and
  3. helping them achieve an optimal level of community involvement and participation.
1
The organization's practices reflect full implementation of the standard.
2
Practices are basically sound but there is room for improvement.
3
Practice requires significant improvement.
4
Implementation of the standard is minimal or there is no evidence of implementation at all.

 

CA-PRG 5.05

Family support services and information are available to:
  1. strengthen the family's ability to provide care;
  2. prevent unwanted and inappropriate out-of-home placements;
  3. help resolve conflicts between the person and his/her family, advocate, or others involved in establishing and implementing the person's plan; and
  4. help maintain family unity.
Examples: Informational topics that may assist caregivers include, but are not limited to: early childhood development, behaviour, home economics, work-life balance, and nutrition.
 
Examples of community support services include, but are not limited to: behavioural support, case management, counseling, early intervention services, financial assistance, in-home support, public entitlements, respite services, and support groups.
1
The organization's practices reflect full implementation of the standard.
2
Practices are basically sound but there is room for improvement; e.g.,
  • Procedure or documentation related to one of the elements needs strengthening.
3
Practice requires significant improvement; e.g.,
  • Procedure or documentation related to two of the elements needs strengthening.
4
Implementation of the standard is minimal or there is no evidence of implementation at all.

 
Fundamental Practice

CA-PRG 5.06

Persons with intellectual and developmental disabilities receive support and education regarding sexuality and relationships that has been tailored to their assessed needs, capacity, and learning style including:
  1. sexual health and development;
  2. family planning;
  3. prevention of STDs and HIV/AIDS; and
  4. sexual abuse and exploitation including giving and receiving sexual consent.
1
The organization's practices reflect full implementation of the standard.
2
Practices are basically sound but there is room for improvement; e.g.,
  • Procedure or documentation for support or education related to one of the elements needs strengthening.
3
Practice requires significant improvement; e.g.,
  • Procedure or documentation for support or education related to two of the elements needs strengthening.
4
Implementation of the standard is minimal or there is no evidence of implementation at all.