Day Treatment and Training – Children After School (DTT)

Service Description:

A service that provides specialized sensory-motor, cognitive, communicative, social interaction, and behavioral training to promote skill development for some portion of a 24-hour day.

Service Goals:

1. To provide training and supervision for the member based on the member’s planning document
2. To increase or maintain the member’s socialization and adaptive skills to live and participate in the community
3. To provide opportunities to interact with friends and others in the community, including providing information regarding and facilitating access to community resources
4. To provide opportunities for the member to develop skills that lead to meaningful days, valued community roles, and promote the member’s and his or her family’s vision of the future and priorities.

Service Objectives:

Heart To Heart Behavioral Health Group Home shall ensure the following objectives are met:

1. In accordance with the member’s planning document [e.g., Individual Support Plan (ISP)], assist in developing:
   1. Individualized, time-limited outcomes that are based on assessment data and input from the member and the member’s representative that will allow the member to achieve his or her long-term vision for the future and priorities.
   2. A specific teaching strategy for each habilitative outcome within twenty (20) business days after the initiation of service for a new or continuing placement and whenever a new outcome have been identified for the member. The specific teaching strategy for each outcome shall identify the schedule of the implementation, frequency of services, data collection methods, and the steps to be followed to teach the new skill.
   3. Changes to the specific outcome(s) or strategies, as agreed upon by the member’s planning team (e.g., ISP team), based on the presence or absence of measurable progress by the member.
2. As identified in the member’s planning document, provide training and assistance such as:
   1. Assistance and training related to personal and physical needs and routine daily living skills;
   2. Implementing strategies to address behavioral concerns, developing behavior intervention programs, and coordinating with behavioral health programs to ensure proper review of medication treatment plans;
   3. Ensuring that the health needs of the member are being met, including providing follow-ups as requested by the member’s Primary Care Provider (“PCP”) physician or medical specialist;
   4. Implementing all therapeutic recommendations, including speech, occupational, and physical therapy, and assisting members in following special diets, exercise routines, or other therapeutic programs;
   5. Mobility training, alternative, or adaptive communication training;
   6. Providing general supervision to the member;
   7. Opportunities for training and practice in basic life skills such as shopping, banking, money management, access and use of community resources, and community survival skills; and
   8. Assisting members in utilizing community transportation resources to support the member in all daily living activities (e.g., day treatment and training, employment situation, medical appointments, visits with family and friends, and other community activities) as identified within the member’s planning document.
3. Develop, maintain, or enhance independent functioning skills in sensory-motor 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 methods of starting and maintaining friendships of his or her choice, as well as appropriate assertiveness, social skills, and problem-solving abilities for use in daily interactions.
5. Provide opportunities for members to participate in community activities and facilitate the utilization of community resources.
6. Provide transportation necessary to support program activities.
7. Develop, at a minimum, a monthly on-site/community-integrated schedule of daily activities and document the member’s direct input into the schedule. Daily activities and schedules are based on the member’s choice, developmental level, planning document goals, and enrichment of life experiences. Allow for reasonable choice in activity participation and offer alternative activities. This schedule shall be available to the member, member’s representative, or others upon request.
8. Play an active role in ensuring that services with other involved entities, including family members, group homes, healthcare providers, and schools, are coordinated to meet the needs of the members served.
9. Partner with the Division to conduct program reviews to assess performance in meeting all identified tasks, promote quality improvement, and encourage the best practices. Such reviews shall include the participation of members served, families, and all other interested parties. The frequency of the reviews shall be determined by the Division.