ADVANCE COACHING & TRAINING, Inc.
SDP
Structured Day Program
Day Program Services at Advance Coaching & Training have a dual focus:
- Restoration of skills and independence of each individual in collaboration with ILST (See ILST.html), and
- Employment & Career Readiness
This service is provided in small group settings in various community locations. Group instructors are ILS Trainers who work with the participants at their homes, in the community and places of work. Some groups will focus on cognitive retraining activitues in conjunction with other releant activites (i.e., journaling and autobiography) others will focus on jobs training activities, volunteer work, internships or job coaching*. (Job coaching can be a part of ILST services when VESID services have been declined)
TBI Waiver Structured Day Program Services Definition*
Structured Day Program services are individually designed services, provided in an outpatient congregate setting or the community, to improve or maintain the participant’s skills and ability to live as independently as possible in the community. Services may include assessment, training and supervision of, or assistance to, an individual with issues related to self-care, medication management, task completion, communication skills, interpersonal skills, problem-solving skills, socialization, sensory/motor skills, mobility, community transportation skills, reduction/elimination of maladaptive behaviors, money
management skills, and skills to maintain a household.Structured Day Program services may be used to reinforce aspects of other HCBS/TBI waiver and Medicaid State Plan services. This is permitted due to the difficulty many individuals with traumatic brain injury have transferring or generalizing skills learned in one setting to other settings and the need for consistent reinforcement of skills.
This service is intended to provide an opportunity for the participant to continue to strengthen skills that are necessary for greater independence, improved productivity and/or increased community inclusion.
The Structured Day Program service may be provided within a variety of settings and with very different goals. Participants may choose to participate in a Structured Day Program that emphasizes basic work skills, such as punctuality, problem solving and effectively communicating with co-workers and supervisors. Other Structured Day Programs may focus on specific job skills, such as computer operation, cooking, etc. Other participants, for whom employment is not an immediate goal, may be more interested in community inclusion and improving their socialization skills.
The Structured Day Program is responsible for meeting the functional needs of those served. The Program must provide adequate protection for the personal safety of the program participants, including periodic fire drills. The Structured Day Program must be located in a building that meets all provisions of the New York State Uniform Fire Prevention and Building Codes. In addition, access to the Program must meet and adhere to the requirements of the Americans with Disabilities Act. If the RRDS or DOH identify questionable situations, appropriate referrals will be made for necessary corrective action.
Whatever type of Structured Day Program(s) the participant chooses, it is essential that there be coordination between providers, assuring consensus in the type of supports and structures that are used in all settings and avoiding duplication of services. This is particularly important when the participant is receiving waiver services such as Independent Living Skills Training, Intensive Behavioral Program, and Home and Community Support Services.
An identified best practice is to have day programs specifically designed to meet the needs of individuals with TBI. Often individuals with traumatic brain injuries recognize that there are significant differences between themselves and other consumers of day programs, (i.e. individuals with mental retardation, developmental disabilities or mental health difficulties).
The structure, organization, activities and staff training needs are also different. If a Structured Day Program includes the opportunity for participants to earn money, the provider must comply with all existing federal labor laws.
Structured Day Programs may be provided by any not-for-profit or proprietary health and human services agency. All Structured Day Programs must be identified in the Service Plan and provided by agencies approved as a provider of this waiver service by DOH.
*Excerpted from NYS DOH TBI Waiver Provider Manual