Day Training & Treatment – Adult (DTA)

Service Description

A service that provides specialized sensorimotor, cognitive, communication, social interaction, and behavioral training to promote skill development during a portion of the 24-hour day.

Service Requirements and Limitations

1. This service shall not be provided in a group home or developmental home (child or adult).
2. This service shall not be provided when the Division member is hospitalized.
3. This service shall not be provided to members living in non-state-operated Intermediate Care Facilities (ICFs) or Level I or Level II behavioral health facilities.
4. This service shall be provided in a Qualified Vendor-owned or leased setting where the majority of individuals have disabilities and are supervised by paid Qualified Vendor staff.
   • The setting must be inspected by the Department’s Office of Licensing, Certification, and Regulation (OLCR) and approved by the Division.
5. The primary use of the setting shall be for operating a day program, not as a permanent residence, unless approved by the Division’s District Program Manager or designee.
6. This service is considered habilitation.
7. This service includes support for the member’s personal care needs.
8. Occupational, physical, and/or speech therapy services may be provided at Day Training and Treatment locations when identified in the member’s planning document (e.g., Individual Support Plan [ISP]) under the following circumstances:
   • 8.1 Day Training and Treatment staff are present and learn how to implement activities that support the member’s identified outcomes in conjunction with the home program.
   • 8.2 The therapy is requested by the member or the member’s representative and agreed to by the Day Training and Treatment program. A caregiver or member representative other than Day Training and Treatment staff must be present and participate. In this circumstance, the Day Training and Treatment program shall not bill for the time during which the therapy occurs.
9. This service shall not be provided in the same room at the same time as a Center-Based Employment service.
10. Day Training activities shall not include wage-related activities that would entitle the member to wages.

Service Goals and Objectives

Service Goals

1. To provide training and supervision that help members increase or maintain their socialization and adaptive skills to live and participate in the community.
2. To provide opportunities for members to interact with friends and others in the community, including providing information about and facilitating access to community resources.
3. To provide opportunities for members to develop skills that support meaningful daily activities, valued community roles, and progress toward their vision for the future and personal priorities.

Service Objectives

Meaningful Life Behavioral Health shall ensure that the following objectives are met:

1. In accordance with the member’s planning document (e.g., Individual Support Plan [ISP]), assist in developing:
   • 1.1 Individualized, time-limited outcomes based on assessment data and input from the member and the member’s representative. These outcomes shall help the member work toward their long-term vision for the future and personal priorities.
   • 1.2 A specific teaching strategy for each habilitative outcome within twenty (20) business days after service initiation for a new or continuing placement, and whenever a new outcome is identified for the member. Each teaching strategy shall identify the implementation schedule, frequency of services, data collection methods, and steps to be followed when teaching the new skill.
   • 1.3 Changes to specific outcomes and/or strategies, as agreed upon by the member’s planning team and based on the presence or absence of measurable progress.
2. As identified in the member’s planning document, provide training and/or assistance, including:
   • 2.1 Assistance and training related to personal and physical needs and routine daily living skills.
   • 2.2 Implementing strategies to address behavioral concerns, developing behavior intervention programs, and coordinating with behavioral health programs to ensure appropriate review of medication treatment plans.
   • 2.3 Ensuring that the member’s health needs are met, including providing follow-up as requested by the member’s Primary Care Provider (PCP) or medical specialist.
   • 2.4 Implementing therapeutic recommendations, including speech, occupational, and physical therapy, and assisting members in following special diets, exercise routines, or other therapeutic programs.
   • 2.5 Providing mobility training and alternative or adaptive communication training.
   • 2.6 Providing general supervision to the member.
   • 2.7 Providing opportunities to practise basic life skills, such as shopping, banking, money management, accessing and using community resources, and developing community survival skills.
   • 2.8 Assisting members in using community transportation resources to support participation in daily activities, such as day treatment and training, employment, medical appointments, visits with family and friends, and other community activities, as identified in the member’s planning document.
3. Develop, maintain, or enhance independent functioning skills in sensorimotor areas, cognition, personal grooming, hygiene, dressing, eating, toileting, self-medication and first aid, recognizing symptoms of illness, and preventing accidents and illnesses.
4. Assist each member in developing ways to establish and maintain friendships of their choice, as well as appropriate assertiveness, social skills, and problem-solving abilities for daily interactions.
5. Provide opportunities for members to participate in community activities and facilitate their use of community resources.
6. Provide transportation necessary to support program activities.
7. Develop, at a minimum, a monthly schedule of on-site and community-integrated daily activities and document each member’s direct input into the schedule. Daily activities and schedules shall reflect member choices, developmental levels, planning document goals, and opportunities to enrich life experiences. Allow reasonable choices in activity participation and offer alternative activities. The schedule shall be available to members, member representatives, or others upon request.
8. Play an active role in coordinating services with other involved entities, including group homes, healthcare providers, and schools, to meet the needs of the members served.
9. Refer members who desire and/or demonstrate work-related skills to their planning team for consideration of adding an employment service.
10. Partner with the Division to conduct program reviews that assess performance in meeting identified tasks, promote quality improvement, and encourage best practices. These reviews shall include participation by members served, families, and other interested parties. The Division shall determine the frequency of the reviews.

Source: Arizona Department of Economic Security

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